Integrated care programmes for chronically ill patients: a review of systematic reviews
Abstract
Objective To investigate effectiveness, definitions, and components of integrated care programmes for chronically ill patients on the basis of systematic reviews. Design Literature review from January 1996 to May 2004. Main measures Definitions and components of integrated care programmes and all effects reported on the quality of care. Results Searches in the Medline and Cochrane databases identified 13 systematic reviews of integrated care programmes for chronically ill patients. Despite considerable heterogeneity in interventions, patient populations, and processes and outcomes of care, integrated care programmes seemed to have positive effects on the quality of patient care. No consistent definitions were present for the management of patients with chronic illnesses. In all the reviews the aims of integrated care programmes were very similar, namely reducing fragmentation and improving continuity and coordination of care, but the focus and content of the programmes differed widely. The most common components of integrated care programmes were self-management support and patient education, often combined with structured clinical follow-up and case management; a multidisciplinary patient care team; multidisciplinary clinical pathways and feedback, reminders, and education for professionals. Conclusion Integrated care programmes seemed to have positive effects on the quality of care. However, integrated care programmes have widely varying definitions and components and failu…
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Integrated chronic care models in high income settings tend to produce improvements in quality of care and in patient outcomes.
“the overall findings are largely consistent and show that integrated chronic care models, in high income settings, do indeed tend to produce improvements in quality of care 28 and in patient outcomes 29”
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 [29]
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- Authors
- Ouwens, M.
- Affiliations
- Radboud University Nijmegen (NL)
- Corresponding author
- Ouwens, M.
- Venue
- International Journal for Quality in Health Care
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-04-01
- Volume
- 17
- Issue
- 2
- Pages
- 141-146
- ISSN
- 1353-4505 (ISSN-L)
- 1464-3677
- OpenAlex
- W2171647259
- Cited by
- 606
- References
- 35
- Citations by year
- 2026: 7 · 2025: 18 · 2024: 10 · 2023: 23 · 2022: 20 · 2021: 28 · 2020: 29 · 2019: 50 · 2018: 49 · 2017: 33 · 2016: 39 · 2015: 34 · 2014: 41 · 2013: 35 · 2012: 38
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal for Quality in Health Care (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- chronic disease, quality of care, continuity of care, care coordination, care fragmentation, self-management support, patient education, case management, multidisciplinary team, care pathways
- MeSH terms
- Systematic Reviews as Topic, Chronic Disease, Health Services Research, Humans, Quality Assurance, Health Care, Databases, Bibliographic, Delivery of Health Care, Integrated, Disease Management
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