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Value-Based Integrated Care: A Systematic Literature Review

Publish Year: 1403
Type: Journal paper
Language: English
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JR_HPM-13-1_007

Index date: 6 August 2024

Value-Based Integrated Care: A Systematic Literature Review abstract

Background  Healthcare services worldwide are transforming themselves into value-based organizations. Integrated care is an important aspect of value-based healthcare (VBHC), but practical evidence-based recommendations for the successful implementation of integrated care within a VBHC context are lacking. This systematic review aims to identify how value-based integrated care (VBIC) is defined in literature, and to summarize the literature regarding the effects of VBIC, and the facilitators and barriers for its implementation. Methods  Embase, Medline ALL, Web of Science Core Collection, and Cochrane Central Register of Controlled Trails databases were searched from inception until January 2022. Empirical studies that implemented and evaluated an integrated care intervention within a VBHC context were included. Non-empirical studies were included if they described either a definition of VBIC or facilitators and barriers for its implementation. Theoretical articles and articles without an available full text were excluded. All included articles were analysed qualitatively. The Rainbow Model of Integrated Care (RMIC) was used to analyse the VBIC interventions. The quality of the articles was assessed using the Mixed Methods Appraisal Tool (MMAT). Results  After screening 1328 titles/abstract and 485 full-text articles, 24 articles were included. No articles were excluded based on quality. One article provided a definition of VBIC. Eleven studies reported—mostly positive— effects of VBIC, on clinical outcomes, patient-reported outcomes, and healthcare utilization. Nineteen studies reported facilitators and barriers for the implementation of VBIC; factors related to reimbursement and information technology (IT) infrastructure were reported most frequently. Conclusion  The concept of VBIC is not well defined. The effect of VBIC seems promising, but the exact interpretation of effect evaluations is challenged by the precedence of multicomponent interventions, multiple testing and generalizability issues. For successful implementation of VBIC, it is imperative that healthcare organizations consider investing in adequate IT infrastructure and new reimbursement models. Systematic Review Registration: PROSPERO (CRD42021259025).

Value-Based Integrated Care: A Systematic Literature Review authors

Evelien S. van Hoorn

Department of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands

Lizhen Ye

Department of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands

Nikki van Leeuwen

Department of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands

Hein Raat

Department of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands

Hester F. Lingsma

Department of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands