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Suter E, Oelke ND, da Silva Lima MAD, et al. Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis. Int J Integr Care. 2017;17(6):4doi: 10.5334/ijic.3931.
Suter, E., Oelke, N. D., da Silva Lima, M. A. D., Stiphout, M., Janke, R., Witt, R. R., Van Vliet-Brown, C., Schill, K., Rostami, M., Hepp, S., Birney, A., Al-Roubaiai, F., & Marques, G. Q. (2017). Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis. International journal of integrated care, 17(6), 4. https://doi.org/10.5334/ijic.3931
Suter, Esther, et al. "Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis." International journal of integrated care vol. 17,6 (2017): 4. doi: https://doi.org/10.5334/ijic.3931
Suter E, Oelke ND, da Silva Lima MAD, Stiphout M, Janke R, Witt RR, Van Vliet-Brown C, Schill K, Rostami M, Hepp S, Birney A, Al-Roubaiai F, Marques GQ. Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis. Int J Integr Care. 2017 Nov 13;17(6):4. doi: 10.5334/ijic.3931. PMID: 29588637; PMCID: PMC5854167.
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Int J Integr Care. 2017 Nov 13;17(6):4. doi: 10.5334/ijic.3931.

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis.

International journal of integrated care

Esther Suter, Nelly D Oelke, Maria Alice Dias da Silva Lima, Michelle Stiphout, Robert Janke, Regina Rigatto Witt, Cheryl Van Vliet-Brown, Kaela Schill, Mahnoush Rostami, Shelanne Hepp, Arden Birney, Fatima Al-Roubaiai, Giselda Quintana Marques

Affiliations

  1. Faculty of Social Work, University of Calgary, CA.
  2. Workforce Research and Evaluation, Alberta Health Services (AHS), CA.
  3. School of Nursing, University of British Columbia, Okanagan (UBCO), CA.
  4. School of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), BR.
  5. University of British Columbia, Okanagan (UBCO), CA.
  6. British Columbia Patient Safety and Quality Council (BCPSQC), CA.

PMID: 29588637 PMCID: PMC5854167 DOI: 10.5334/ijic.3931

Abstract

BACKGROUND: 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.

METHODS: 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.

FINDINGS: 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.

DISCUSSION: 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.

CONCLUSIONS: 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.

Keywords: Integration; knowledge synthesis; measurement instruments; performance measurement; tools

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