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Main Title: The SELFIE framework for integrated care for multi-morbidity: development and description
Author(s): Leijten, Fenna R.M.
Struckmann, Verena
van Ginneken, Ewout
Czypionka, Thomas
Kraus, Markus
Reiss, Miriam
Tsiachristas, Apostolos
Boland, Melinde
de Bont, Antoinette
Bal, Roland
Busse, Reinhard
Rutten-van Mölken, Maureen
Type: Article
Language Code: en
Abstract: Background The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. Methods A scoping review and expert discussions were used to identify and structure concepts for integrated care for multi-morbidity. A search of scientific and grey literature was conducted. Discussion meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers. Results In the scientific literature 11,641 publications were identified, 92 were included for data extraction. A draft framework was constructed that was adapted after discussion with SELFIE partners from 8 EU countries and 5P representatives. The core of the framework is the holistic understanding of the person with multi-morbidity in his or her environment. Around the core, concepts were grouped into adapted WHO components of health systems: service delivery, leadership & governance, workforce, financing, technologies & medical products, and information & research. Within each component micro, meso, and macro levels are distinguished. Conclusion The framework structures relevant concepts in integrated care for multi-morbidity and can be applied by different stakeholders to guide development, implementation, description, and evaluation.
Issue Date: Jan-2018
Date Available: 28-May-2018
DDC Class: 610 Medizin und Gesundheit
Subject(s): integrated care
Sponsor/Funder: EC/H2020/634288/EU/Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE/SELFIE
Journal Title: Health policy
Publisher: Elsevier
Publisher Place: Amsterdam
Volume: 122
Issue: 1
Publisher DOI: 10.1016/j.healthpol.2017.06.002
Page Start: 12
Page End: 22
ISSN: 0168-8510
Appears in Collections:FG Management im Gesundheitswesen » Publications

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