Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

doi:10.5334/ijic.5439

. 2021 Feb 8;21(1):3.

doi: 10.5334/ijic.5439.

Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

Kamilla Anna Pinter¹, Hanwen Zhang², Chang Liu³, Bach Tran⁴, Maulik Chokshi², Don Eliseo Lucerno-Prisno^{2

5

6}, Vikash Sharma⁷, Shenglan Tang^{8

9}

Affiliations

¹ Duke Kunshan University, US.
² ACCESS Health International, US.
³ Mainland China, Hong Kong and Singapore, ACCESS Health International, CN.
⁴ Hanoi Medical University, Johns Hopkins Bloomberg School of Public Health, VN.
⁵ London School of Hygiene and Tropical Medicine, UK.
⁶ Philippines Open University, PH.
⁷ Internal Medicine, School of Medical Sciences, College of Medicine, Nursing and Health Sciences, Fiji National University, FJ.
⁸ Medicine and Global Health, Duke Medical School/Duke Global Health Institute, US.
⁹ Global Health at SingHealth-Duke-NUS Global Health Institute, US.

PMID: 33613135
PMCID: PMC7879996
DOI: 10.5334/ijic.5439

Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

Kamilla Anna Pinter et al. Int J Integr Care. 2021.

. 2021 Feb 8;21(1):3.

doi: 10.5334/ijic.5439.

Authors

Kamilla Anna Pinter¹, Hanwen Zhang², Chang Liu³, Bach Tran⁴, Maulik Chokshi², Don Eliseo Lucerno-Prisno^{2

5

6}, Vikash Sharma⁷, Shenglan Tang^{8

9}

Affiliations

¹ Duke Kunshan University, US.
² ACCESS Health International, US.
³ Mainland China, Hong Kong and Singapore, ACCESS Health International, CN.
⁴ Hanoi Medical University, Johns Hopkins Bloomberg School of Public Health, VN.
⁵ London School of Hygiene and Tropical Medicine, UK.
⁶ Philippines Open University, PH.
⁷ Internal Medicine, School of Medical Sciences, College of Medicine, Nursing and Health Sciences, Fiji National University, FJ.
⁸ Medicine and Global Health, Duke Medical School/Duke Global Health Institute, US.
⁹ Global Health at SingHealth-Duke-NUS Global Health Institute, US.

PMID: 33613135
PMCID: PMC7879996
DOI: 10.5334/ijic.5439

Abstract

Background and aims: Globally, hospital-based healthcare models targeting acute care, are not effective in addressing chronic conditions. Integrated care programmes for chronic diseases have been widely developed and implemented in Europe and North America and to a much lesser extent in the Asia-Pacific region to meet such challenges. We completed a scoping review aiming to examine the elements of programmes identified in the literature from select study countries in the Asia-Pacific, and discuss important facilitators and barriers for design and implementation.

Methods: The study design adopted a scoping review approach. Integrated care programmes in the study countries were searched in electronic databases using a developed search strategy and key words. Elements of care integration, barriers and facilitators were identified and charted following the Chronic Care Model (CCM).

Results: Overall the study found a total of 87 integrated care programmes for chronic diseases in all countries, with 44 in China, 21 in Singapore, 12 in India, 5 in Vietnam, 4 in the Philippines and 1 in Fiji. Financial incentives were found to play a crucial role in facilitating integrated care and ensuring the sustainability of programmes. In many cases, the performance of programmes was found not to have been adequately assessed.

Conclusion: Integrated care is important for addressing the challenges surrounding the delivery of long-term care and there is an increasing trend of integrated care programmes for chronic diseases in the Asia-Pacific. Evaluating the performance of integrated care programmes is crucial for developing strategies for implementing future programmes and improving already existing programmes.

Keywords: chronic diseases; elements; integrated care delivery; integrated healthcare; performance.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

**Figure 1**
Flow chart of literature search.

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[1] WHO. WHO Global Health Expenditure Atlas. 2014. [cited 2019 Jun 30]. Available from: https://www.who.int/health-accounts/documentation/atlas.pdf.

[2] WHO. WHO Global Health Expenditure Atlas. 2014. [cited 2019 Jun 30]. Available from: https://www.who.int/health-accounts/documentation/atlas.pdf.

[3] WHO. Tracking universal health coverage: first global monitoring report Geneva: World Health Organization; 2015.

[4] WHO. Tracking universal health coverage: first global monitoring report Geneva: World Health Organization; 2015.

[5] UNESCAP. Addressing the Challenges of Population Ageing in Asia and the Pacific. 2017. [cited 2019 Jun 30]. Available from: https://www.who.int/health_financing/documents/tracking-uhc/en/.

[6] UNESCAP. Addressing the Challenges of Population Ageing in Asia and the Pacific. 2017. [cited 2019 Jun 30]. Available from: https://www.who.int/health_financing/documents/tracking-uhc/en/.

[7] WHO. Global status report on noncommunicable diseases 2010. 2011. [cited 2019 Jun 30]. Available from: https://www.who.int/nmh/publications/ncd_report2010/en/.

[8] WHO. Global status report on noncommunicable diseases 2010. 2011. [cited 2019 Jun 30]. Available from: https://www.who.int/nmh/publications/ncd_report2010/en/.

[9] Tham TY, Tran TL, Prueksaritanond S, Isidro JS, Setia S, Welluppillai V. Integrated health care systems in Asia: an urgent necessity. Clinical interventions in aging. 2018; 13: 2527–2538. DOI: 10.2147/CIA.S185048 - DOI - PMC - PubMed

[10] Tham TY, Tran TL, Prueksaritanond S, Isidro JS, Setia S, Welluppillai V. Integrated health care systems in Asia: an urgent necessity. Clinical interventions in aging. 2018; 13: 2527–2538. DOI: 10.2147/CIA.S185048 - DOI - PMC - PubMed

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Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

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Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

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Conflict of interest statement

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