Suter Esther, Oelke Nelly D, da Silva Lima Maria Alice Dias, Stiphout Michelle, Janke Robert, Witt Regina Rigatto, Van Vliet-Brown Cheryl, Schill Kaela, Rostami Mahnoush, Hepp Shelanne, Birney Arden, Al-Roubaiai Fatima, Marques Giselda Quintana
Faculty of Social Work, University of Calgary, CA.
Workforce Research and Evaluation, Alberta Health Services (AHS), CA.
Int J Integr Care. 2017 Nov 13;17(6):4. doi: 10.5334/ijic.3931.
Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care.
We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools.
From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains.
Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, "overall integration" tools may be useful for a broad assessment of the overall state of a system.
Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework.
尽管综合照护得到了广泛支持，但对综合照护进行概念化和衡量仍然具有挑战性。本知识综合旨在确定衡量综合照护进展的指标领域和工具。
我们使用既定框架并对综合专家进行德尔菲调查，以确定相关的衡量领域。对于每个领域，我们搜索并回顾了有关相关工具的文献。
从7133篇摘要中，我们检索到114种独特的工具。我们发现了许多用于衡量照护协调、患者参与度和团队有效性/绩效的优质工具。相比之下，在绩效衡量和信息系统、组织目标与资源分配的一致性等领域，工具较少。搜索产生了12种衡量整体整合或三个及以上指标领域的工具。
我们的研究结果凸显了在衡量支持综合照护的基础组成部分的工具方面仍存在差距。在缺乏此类针对性工具的情况下，“整体整合”工具可能有助于对系统的整体状态进行广泛评估。
综合照护的持续进展取决于我们评估不同层面和背景下策略成功与否的能力。本研究确定了114种在16个领域衡量综合照护的工具，为建立统一的衡量框架提供了支持。
