Combining Integration of Care and a Population Health Approach: A Scoping Review of Redesign Strategies and Interventions, and their Impact.

Authors:
Elina Farmanova
Elina Farmanova
Doctoral student in the Population Health Program at the University of Ottawa
Deborah Cohen
Deborah Cohen
Palo Alto Medical Foundation Research Institute
United States

Int J Integr Care 2019 Apr 11;19(2). Epub 2019 Apr 11.

School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, CA.

Background And Aim: Many health systems attempt to develop integrated and population health-oriented systems of care, but knowledge of strategies and interventions to support this effort is lacking. We aimed to identify specific redesign strategies and interventions, and to present evidence of their effectiveness.

Method: A modified scoping review process was carried out. Fifteen relevant examples of integrated care organizations that incorporated a broad population health approach in countries of the Organization for Economic Cooperation and Development described in 57 articles and reports were included in analysis.

Results: Seven key redesign strategies and multiple redesign interventions have been identified and are described. Most commonly used redesign strategies included focusing on health and wellness, embracing intersectoral action and partnerships, addressing health in vulnerable groups, and addressing a wide range of determinants of health, including making improvements in health services. Redesign interventions included creative and innovative ways of addressing clinical and non-clinical issues such as establishing housing surgeries in primary care, establlishing vast social and provider networks to support patients with complex needs and also broadening of the scope of services, workforce redesign and other. Potential reductions in the utilization of care and costs could be derived by the wider adoption of these strategies and interventions.

Conclusion: Development of integrated and population health-oriented systems of care requires the redesign of how services are organized and delivered, and how organizations and care systems operate. Combining integration of care with the population health approach can be supported by a set of cohesive strategies and interventions aimed at preventing disease, addressing social determinants of health and improving health equity at both population- and individual-level.

Download full-text PDF

Source
http://dx.doi.org/10.5334/ijic.4197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460499PMC
April 2019

Publication Analysis

Top Keywords

redesign strategies
16
strategies interventions
16
health approach
12
population health
12
health
10
health-oriented systems
8
redesign
8
population health-oriented
8
integrated population
8
determinants health
8
systems care
8
scoping review
8
care
8
combining integration
8
care population
8
integration care
8
redesign interventions
8
strategies
7
interventions
6
population
5

References

(Supplied by CrossRef)
The integration of health care: Dimensions and implementation
Work Pap N04-01 2003 Groupe Rech Interdiscip en sante 2003
The Effectiveness of Integrated Care Pathways for Adults and Children in Health Care Settings: A Systematic Review
JBI Libr Syst Rev 2009

2011

Similar Publications