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Title: Effectiveness of integrated care interventions for patients with long-term conditions: a review of systematic reviews
Authors: Mansour, MHH
Pokhrel, S
Anokye, N
Issue Date: 16-Jun-2022
Publisher: BMJ on behalf of the Royal Pharmaceutical Society
Citation: Mansour, M.H.H., Pokhrel, S. and Anokye, N. (2022) 'Effectiveness of integrated care interventions for patients with long-term conditions: a review of systematic reviews', Integrated Healthcare Journal, 4(1), e000083, pp. 1 - 14. doi:10.1136/ihj-2021-000083.
Abstract: Copyright © Author(s) (or their employer(s)) 2022. To examine the effectiveness of integrated care intervention (ICI) models (stand-alone or combination of self-management, discharge management, case management and multidisciplinary teams models) targeting patients with one or more chronic conditions, and to identify outcome measures/indicators of effectiveness, we conducted a systematic review of published systematic reviews and meta-analyses. Included reviews comprise ICIs targeting adult patients with one or more long-term conditions. We searched MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews: 60 reviews were included in the final analysis; 28 reviews evaluated ICIs focused on self-management, 4 on case management, 10 on discharge management and 5 on multidisciplinary teams; 13 reviews assessed multiple interventions that were labelled as complex. Across all reviews, only 19 reviews included intervention with multiple ICIs. Overall, interventions with multiple components, compared with interventions with single components, were more likely to improve hospital use outcomes effectively. Clinical/lifestyle/condition-specific outcomes were more likely to be improved by self-management interventions. Outcome measures identified could be classified into three main categories: organisational, patient-centred and clinical/lifestyle/condition-specific. The findings of this review may provide inputs to future design and evaluation of ICIs.
Description: Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer- reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
Correction notice This article has been corrected since it was first published online. The corresponding author has been updated to Nana Anokye and the licence has been updated to CC- BY.
Other Identifiers: e000083
Appears in Collections:Dept of Health Sciences Research Papers

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