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Approaches to evaluating efficiency and quality of integrated health care: state of the evidence

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EN
Abstrakty
EN
This paper investigates the outcomes of integrated health care model in terms of its economic efficiency and quality. The quality refers to subjective assessments of a patient, measured by a satisfaction indicator, as well as to the health benefits to a patient, measured by health status. A systematic literature review has been applied to study the results of care coordination. The author performed the ordered analysis of existing research evidence, based on peer-reviewed literature available on health science and business databases. The model of integrated health care delivery seemed to have positive effects on the quality of care. This encompasses mainly the quality of life, functional status, health outcomes, and process outcomes. The equal positive impact of integrated health programmes on economic efficiency has not been revealed. Only 15% of the effects reported in the reviews have been significant. The work contributes to the worldwide debate dedicated to the impact of integrated health care programmes. The gathered research evidence concerning positive influence on costs remains unclear. It might require further investigations. The work also revealed some significant gaps that are prevalent in the field of standardized instruments of measurement referring to integration outcomes, including quality and efficiency over time at levels of the system, programme, provider, and patient.
Rocznik
Strony
7--14
Opis fizyczny
Bibliogr. 34 poz., tab.
Twórcy
autor
  • Department of Business Analysis and Strategy, Faculty of Economics and Management, University of Szczecin
Bibliografia
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  • Berenson, R., & Howell, J. (2009). Structuring, financing and paying for effective chronic care coordination. A report commissioned by the National Coalition on Care Coordination, Urban Institute.
  • Bravata, D.M., McDonald, K.M., Shojania, K.G., Sundaram, V., & Owens, D.K. (2005). Challenges in systematic reviews: synthesis of topics related to the delivery, organization, and financing of health care. Annals of Internal Medicine, 142(12 Pt 2), 1056-1065.
  • Brereton, P., Kitchenham, B.A., Budgen, D., Turner, M., & Khalil, M. (2007). Lessons from applying the systematic literature review process within the software engineering domain. The Journal of Systems and Software, 80(4), 571-583. doi:10.1016/j. jss.2006.07.009
  • Brown, R. (2009). The promise of care coordination. Report commissioned by the National Coalition for Care Coordination. Overview of Current Initiatives, Mathematica Policy Research, Inc.
  • Ferguson, J.A., & Weinberger, M. (1998). Case management programs in primary care. Journal of General Internal Medicine, 13(2), 123-126. doi: 10.1046/j.1525-1497.1998.00029
  • Feussner, J.R., Kizer, K.W., & Demakis, J.G. (2000). The quality enhancement research initiative (QUERI): from evidence to action. Medical Care, 38, I1-I6. doi: 10.1097/00005650-200006001-00001
  • Hardy, B., Van Raak, A., Mur-Veeman, I., Steenbergen, M., & Paulus, A. (2003). Introduction. In A. Van Raak, I. Mur-Veeman, B. Hardy, M. Steenbergen, & A. Paulus (Eds.), Integrated care in Europe. Description and comparison of integrated care in six EU countries. Maarssen, The Netherlands: Elsevier Gezondheidzorg.
  • Kodner, D.L., & Spreeuwenberg, C. (2002). Integrated care: meaning, logic, applications and implications: a discussion paper. International Journal of Integrated Care, 2(e12). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480401/
  • Lavis, J.N., Davies, H., Gruen, R.L., & Walshe, K. (2006). Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthcare Policy, 1(2), 21-33.
  • Lavis, J.N., Davies, H., Oxman, A., Denis, J., Golden-Biddle, K., & Ferlie, E. (2005). Towards systematic reviews that inform health care management and policy-making. Journal of Health Services Research and Policy, 10(Suppl 1), 35-48. doi: 10.1258/1355819054308549
  • Leutz, W. (1999). Five laws for integrating medical and social services: lessons for the United States and the United Kingdom. The Milbank Quarterly, 77(1), 77-110. doi: 10.1111/1468-0009.00125
  • Ling, T., Bardsley, M., Adams, J., Lewis, R., & Roland, M. (2010). Evaluation of UK integrated care pilots: research protocol. International Journal of Integrated Care, 10(e056). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2948682/
  • Lomas, J. (2005). Using research to inform healthcare managers’ and policy makers’ questions: from summative to interpretive synthesis. Healthcare Policy, 1(1), 55-71.
  • McAlister, F.A., Lawson, F.M., Teo, K.K., & Armstrong, P.W. (2001a). A systematic review of randomized trials of disease management programs in heart failure. American Journal of Medicine, 110(5), 378-384. doi: 10.1016/S0002-9343(00)00743-9
  • McAlister, F.A., Lawson, F.M., Teo, K.K., & Armstrong, P.W. (2001b). Randomised trials of secondary prevention programmes in coronary heart disease: systematic review. British Medical Journal, 323(7319), 957-962.
  • McDonald, K.M, Vandana Sundaram, M.M., Dena, M.P., Bravata, M. et al. (2007). Closing the Quality Gap: a critical analysis of quality improvement strategies, AHRQ Publication No. 04 (07)-0051-7. Standford: Stanford University, Evidence-based Practice Center.
  • Moser, D.K. (2000). Heart failure management: optimal health care delivery programs. Annual Review of Nursing Research, 18(1), 91-126.
  • Mur-Veeman, I., Van Raak A., & Paulus, A. (2008). Comparing integrated care policy in Europe: does policy matter? Health Policy, 85(2), 172-183. doi: 10.1016/j.healthpol.2007.07.008
  • Norris, S.L., Nichols, P.J., Caspersen, C.J., et al. (2002). The effectiveness of disease and case management for people with diabetes. A systematic review. American Journal of Preventive Medicine, 22(4, Suppl. 1), 15-38. doi: 10.1016/S0749-3797(02)00423-3
  • Ofman, J.J., Badamgarav, E., Henning J. et al. (2004). Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. American Journal of Medicine, 117(3), 182-192. doi: 10.1016/j.amjmed.2004.03.018
  • Philbin, E.F. (1999). Comprehensive multidisciplinary programs for the management of patients with congestive heart failure. Journal of General Internal Medicine, 14(2), 130-135.
  • Powell Davies, G., Williams, A., Larsen, K., Perkins, D., Roland, M., & Harris, M. (2008). Coordinating primary health care: an analysis of the outcomes of a systematic review. Medical Journal of Australia, 188(8), 65-68.
  • Renders, C.M., Valk, G.D., Griffin, S., Wagner, E.H., Eijk, J.T., & Assendelft, W.J. (2001). Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database of Systematic Reviews, 1(CD001481).
  • Rich, M.W. (1999). Heart failure disease management: a critical review. Journal of Cardiac Failure, 5(1), 64-75. doi: 10.1016/S1071-9164(99)90026-X
  • Rudawska, I. (2013). Methodology of assessing patient service quality in integrated healthcare – a preliminary framework. Actual Problems of Economics, 9(147), 481-491.
  • Sin, D.D., McAlister, F.A., Man, S.F., & Anthonisen, N.R. (2003). Contemporary management of chronic obstructive pulmonary disease: scientific review. The Journal of the American Medical Association, 290(17), 2301-2312. doi:10.1001/jama.290.17.2301
  • Sobczak, A., & Grudziąż-Sękowska, J. (2011). Zwiększanie efektywności opieki zdrowotnej przez płacenie za wyniki – specyfika, przykłady i warunki skutecznego zastosowania [Enhancing health care efficiency through paying for performance – specifics, examples and conditions of effective application]. Problemy Zarządzania, 9(3), 153-168.
  • Stranberg-Larsen, M., & Krasnik, A. (2009). Measurement of integrated healthcare delivery: a systematic review of methods and future. International Journal of Integrated Care, 9(1), 1-10. doi: 10.5334/ijic.305
  • SUTC - Stroke Unit Trialists’ Collaboration. (2007). Organised Inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews, 17(4, CD000197).
  • Van Raak, A., Mur-Veeman, I., Hardy, B., Steenbergen, M., & Paulus, A. (Eds.). (2003). Integrated care in Europe. Description and comparison of integrated care in six EU countries. Maarssen, The Netherlands: Elsevier Gezondheidzorg.
  • Vondeling, H. (2004). Economic evaluation of integrated care: an introduction. International Journal of Integrated Care, 4(e20). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1393259/
  • Windham, B.G., Bennett, R.G., & Gottlieb, S. (2003). Care management interventions for older patients with congestive heart failure. American Journal of Managed Care, 9(6), 447-459.
Uwagi
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-4a510777-9f8f-454c-b341-b07828c5a741
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