Economic impact of integrated care models for patients with chronic diseases: a systematic review
Open accessAbstract
Objectives To assess the costs and potential financial benefits of integrated care models for patients with chronic diseases, that is, type 2 diabetes mellitus, schizophrenia, and multiple sclerosis, respectively.Methods A systematic search of the literature was performed using EMBASE, MEDLINE, and Web of Science. Studies that conducted a cost analysis, considered at least two components of the chronic care model, and compared integrated care with standard care were included.Results Out of 575 articles, 26 were included. Most studies examined integrated care models for type 2 diabetes mellitus (n = 18) and to a lesser extent for schizophrenia (n = 6) and multiple sclerosis (n = 2). Across the three disease groups, the incremental cost per patient per year ranged from - €3860 to + €613.91 (x¯ = - €533.61 ± €902.96). The incremental cost for type 2 diabetes mellitus ranged from - €1507.49 to + €299.20 (x¯ = - €518.22 ± + €604.75), for schizophrenia from - €3860 to + €613.91 (x¯ = - €677.21 ± + €1624.35), and for multiple sclerosis from - €822 to + €339.43 (x¯ = - €241.29 ± + €821.26). Most of the studies (22 of 26 [84.6%]) reported a positive economic impact of integrated care models: for type 2 diabetes mellitus (16 of 18 [88.9%]), schizophrenia (4 of 6 [66.7%]), and multiple sclerosis (1 of 2 [50%]).Conclusions In this systematic literature review, predominantly positive economic impacts of integrated care models for patients with chronic diseases were found.
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The economic outcomes reported are somewhat less consistent, but tend to show an overall positive impact on cost reduction.
“The economic outcomes reported are somewhat less consistent, but tend to show an overall positive impact on cost reduction 36 .”
From Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries (2019) · cites this paper as [36]
In other similar studies, positive effects have been shown for people with depression, chronic obstructive pulmonary disease, asthma, diabetes and heart failure.
“In other similar studies, positive effects have been shown for people with depression 34 35 , chronic obstructive pulmonary disease 35 , asthma 35 36 , diabetes 35 36 and heart failure 36 .”
From Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries (2019) · cites this paper as [36]
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Long COVID – Integrated Approaches to Chronic Disease Management?
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Equity and AI Governance at Academic Medical Centers
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PsoPlus: An Integrated Practice Unit for Psoriasis
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Modeling the Economic Value of Cardiometabolic Virtual-First Care Programs
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Thermobalancing therapy as a self-management tool
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Mind–Body Integration in Brain Health
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Implementing Team-Based Telemedicine Workflows in Safety-Net Primary Care
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A systematic review on recommendation systems applied to chronic diseases
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Physicians in ACOs Report Greater Documentation Burden
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Towards More Integrated Health Care – The Review of the International Experience
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Consumers With Serious Mental Illness Perspectives on Care Integration: Preparation for Integration
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Patient-Centered Treatment of Cirrhosis
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Transforming Caring for Dependent Older People: A New Approach for Integrated Socio‐Healthcare
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The Cost Consequences of the Gold Coast Integrated Care Programme
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Integrated approaches for comorbidity
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Multimorbidity in Primary Care
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A Way Forward — Navigating the Integrative Medical Paradigm
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Interventional Analytics in Skilled Nursing Facilities Associated With Reduced Readmissions
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- Authors
- Desmedt, M., Vertriest, S., Hellings, J., Bergs, J., Dessers, E., Vankrunkelsven, P., Vrijhoef, H., Annemans, L., Verhaeghe, N., Petrovic, M., & Vandijck, D.
- Affiliations
- Hasselt University (BE)
- AZ Delta (BE)
- KU Leuven (BE)
- Vrije Universiteit Brussel (BE)
- Ghent University (BE)
- Corresponding author
- Desmedt, Melissa
- ORCID
- Venue
- Value in Health
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 19
- Issue
- 6
- Pages
- 892-902
- ISSN
- 1098-3015 (ISSN-L)
- OpenAlex
- W2461500403
- Cited by
- 120
- References
- 54
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 16 · 2023: 30 · 2022: 8 · 2021: 8 · 2020: 9 · 2019: 12 · 2018: 15 · 2017: 6 · 2016: 1
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Value in Health (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- Lirias (KU Leuven) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- integrated care, chronic disease, type 2 diabetes, schizophrenia, multiple sclerosis, cost analysis, economic impact, Chronic Care Model, cost-effectiveness
- MeSH terms
- Chronic Disease, Humans, Health Care Costs, Cost of Illness, Models, Economic, Delivery of Health Care, Integrated
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