Yutong Tian, Yan Zhang, Qingyun Cheng, Lixue Meng, Mengke Gao, Shanshan Wang
The School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan Province, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Int J Integr Care. 2023 Apr 3;23(2):2. doi: 10.5334/ijic.6979. eCollection 2023 Apr-Jun.
Integrated care is an important initiative to respond positively to the ageing of society and information and communication technology(ICT) plays an important role in facilitating the integration of functional and normative health and social care. The scoping review aims to synthesize evidence on the experience and practice of ICT-based implementation of integrated care for older adults.
This study followed the research framework developed by Arksey and O'malley for the scoping review and systematically searched for relevant studies published between 1 January 2000 and 30 March 2022 from nine electronic databases, three specialist journals, three key institutional websites, 11 integrated care project websites, google scholar and references of the studies to be included. Two reviewers independently screened and extracted data and used thematic analysis to sort out and summarize the core elements, hindrances and facilitators of ICT-based integrated care.
A total of 77 studies were included in this study, including 36 ICT-based practice models of integrated care with seven core elements of implementation including single entry point, comprehensive geriatric assessment, personalized care planning, multidisciplinary case conferences, coordinated care, case management and patient empowerment, which generally had a positive effect on improving quality of life, caregiver burden and primary care resource utilization for older adults, but effectiveness evaluations remained Heterogeneity exists. The barriers and facilitators to ICT-based implementation of integrated care were grouped into four themes: demand-side factors, provider factors, technology factors and system factors.
The implementation of ICT-based integrated care for the elderly is expected to improve the health status of both the supply and demand of services, but there is still a need to strengthen the supply of human resources, team training and collaboration, ICT systems and financial support in order to promote the wider use of ICT in integrated care.
整合照护是积极应对社会老龄化的一项重要举措，信息通信技术（ICT）在促进功能性和规范性健康与社会照护的整合方面发挥着重要作用。本综述旨在综合基于ICT实施老年人整合照护的经验和实践的证据。
本研究遵循Arksey和O'malley为综述制定的研究框架，系统地从九个电子数据库、三本专业期刊、三个关键机构网站、11个整合照护项目网站、谷歌学术以及纳入研究的参考文献中检索2000年1月1日至2022年3月30日期间发表的相关研究。两名评审员独立筛选和提取数据，并使用主题分析来梳理和总结基于ICT的整合照护的核心要素、障碍和促进因素。
本研究共纳入77项研究，其中包括36种基于ICT的整合照护实践模式，其实施的七个核心要素包括单一入口点、综合老年评估、个性化护理计划、多学科病例讨论会、协调照护、病例管理和患者赋权，这些要素总体上对改善老年人的生活质量、照顾者负担和初级保健资源利用有积极影响，但有效性评估仍存在异质性。基于ICT实施整合照护的障碍和促进因素分为四个主题：需求方因素、提供者因素、技术因素和系统因素。
基于ICT的老年人整合照护的实施有望改善服务供需双方的健康状况，但仍需要加强人力资源供应、团队培训与协作、ICT系统和财政支持，以促进ICT在整合照护中的更广泛应用。
