The SELFIE framework for integrated care for multi-morbidity: development and description

dc.contributor.authorLeijten, Fenna R.M.
dc.contributor.authorStruckmann, Verena
dc.contributor.authorvan Ginneken, Ewout
dc.contributor.authorCzypionka, Thomas
dc.contributor.authorKraus, Markus
dc.contributor.authorReiss, Miriam
dc.contributor.authorTsiachristas, Apostolos
dc.contributor.authorBoland, Melinde
dc.contributor.authorde Bont, Antoinette
dc.contributor.authorBal, Roland
dc.contributor.authorBusse, Reinhard
dc.contributor.authorRutten-van Mölken, Maureen
dc.date.accessioned2018-05-28T09:27:53Z
dc.date.available2018-05-28T09:27:53Z
dc.date.issued2018-01
dc.description.abstractBackground 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.en
dc.description.sponsorshipEC/H2020/634288/EU/Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE/SELFIE
dc.identifier.issn0168-8510
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/7861
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-7021
dc.language.isoenen
dc.relation.ispartof10.14279/depositonce-8828
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otherintegrated careen
dc.subject.othermulti-morbidityen
dc.subject.otherframeworken
dc.subject.otherconceptualen
dc.subject.othermodelen
dc.titleThe SELFIE framework for integrated care for multi-morbidity: development and descriptionen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.doi10.1016/j.healthpol.2017.06.002en
dcterms.bibliographicCitation.issue1en
dcterms.bibliographicCitation.journaltitleHealth policyen
dcterms.bibliographicCitation.originalpublishernameElsevieren
dcterms.bibliographicCitation.originalpublisherplaceAmsterdamen
dcterms.bibliographicCitation.pageend22en
dcterms.bibliographicCitation.pagestart12en
dcterms.bibliographicCitation.volume122en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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