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. 2023 Jul 6;12(3):22799036231181210.
doi: 10.1177/22799036231181210. eCollection 2023 Jul.

Exploration of understanding of integrated care from a public health perspective: A scoping review

Fadumo Noor  1 , Gabriel Gulis  1 , Leena Eklund Karlsson  1
Affiliations

Exploration of understanding of integrated care from a public health perspective: A scoping review

Fadumo Noor et al. J Public Health Res. .

Abstract

Background: Many health care systems attempt to develop an integrated care approach that is a whole population health-oriented system. However, knowledge of strategies to support this effort are scarce and fragmented. The aim of the current paper is to investigate existing concepts of integrated care and their elements from a public health perspective and to propose an elaborated approach that could be applied to explore the public health orientation of integrated care.

Design and methods: We applied a scoping review approach. A literature search was conducted in Embase, Medline, CINAHL, Scopus and Web of Science for the period 2000-2020 yielding 16 studies for inclusion.

Results: Across the papers, 14 frameworks were identified. Nine of these referred to the Chronic Care Model (CCM). Service delivery, person-centeredness, IT systems design and utilization and decision support were identified as the core elements of most of the included frameworks. The descriptions of these elements were mainly clinical-oriented focusing particularly on clinical care processes and treatment of diseases instead of wider determinants of population health.

Conclusions: A synthesized model is proposed that emphasizes the importance of mapping the unique needs and characteristics of the population it aims to serve, leans on the social determinants approach with a commitment to individual and community empowerment, health literacy and suggests reorienting services to meet the expressed needs of the population.

Keywords: Frameworks; health care systems; integrated care; models; public health.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flow chart of the literature search process.
Figure 2.
Figure 2.
Sentinel events in the development of integrated care framework/models.
Figure 3.
Figure 3.
Concept map of key elements.
Figure 4.
Figure 4.
Suggestion for an integrated care model with a public health perspective.
See this image and copyright information in PMC

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