[vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”10px”][/vc_column][/vc_row][vc_row full_width=”stretch_row”][vc_column][vc_empty_space height=”4px”][vc_custom_heading source=”post_title” font_container=”tag:h1|text_align:left|color:%23333333″ google_fonts=”font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:400%20regular%3A400%3Anormal”][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1573049915981{margin-top: 5px !important;margin-right: 5px !important;margin-bottom: 5px !important;margin-left: 5px !important;border-top-width: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #ededed !important;}”]Research article published on Sage journals. 2019 March 20
AUTHORS: Valentina Vodopivec, Bert Vrijhoef HJM.
ABSTRACT
Introduction
Integrated people-centred care is a modern approach for addressing healthcare issues related to demographic changes, increasing prevalence of chronic diseases, and restricted resources. By providing an overview of integrated care models for patients with rheumatoid arthritis, we aimed to offer insight into the strategies and interventions that are being used for designing and implementing integrated models of care for this patient group, and their outcomes.
Methods
We conducted a systematic literature search of peer-reviewed literature available in English and published between 2013 and 2018, using three databases: Cochrane, PubMed and EMBASE. We analysed the publications based on the Framework on integrated people-centred health services and the Triple/Quadruple Aim framework.
Results
We identified 1271 records. After screening, 50 articles met the criteria for inclusion in the review. Approaches for improving patient empowerment, engagement and experience of care were most prevalent in the identified care profiles. Similarly, frequently reported outcomes were related to improvements in patients’ experience of care and their health status. Most of the studies we reviewed did not demonstrate notable improvements from the perspective of cost-effectiveness or benefits for the healthcare workforce.
Conclusions
Our findings suggest that for rheumatoid arthritis, integrated care is in the early stages of development. Strategies focusing on patient outcomes and patient satisfaction were found to be prioritised. Future initiatives aiming to redesign rheumatology care should adopt systems thinking perspective to better address all of the building blocks of people-centred integrated care.
[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_column_text css=”.vc_custom_1573050184118{margin-top: 10px !important;}”]Keywords: Arthritis, rheumatoid, delivery of health care, integrated, patient-centred care, systematic review[/vc_column_text][vc_separator css=”.vc_custom_1555607586280{margin-top: -4px !important;}”][vc_btn title=”Full-text article (Sage Journals)” style=”custom” custom_background=”#8eb223″ custom_text=”#ffffff” align=”center” i_icon_fontawesome=”fa fa-arrow-right” button_block=”true” add_icon=”true” link=”url:https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Fabs%2F10.1177%2F2053434519836425|title:Springer%20link|target:%20_blank|”][vc_separator][vc_posts_slider type=”flexslider_slide” count=”All” interval=”0″ slides_content=”teaser” slides_title=”1″ title=”See also:” posttypes=”post” categories=”publications” css=”.vc_custom_1555606478402{background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}”][/vc_column][vc_column][vc_empty_space][/vc_column][/vc_row][vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”2px”][/vc_column][/vc_row]