Patient Experience of Integrated Care within the United Kingdom: A Systematic Review

Davidson, Lea, Scott, Jason and Forster, Natalie (2021) Patient Experience of Integrated Care within the United Kingdom: A Systematic Review. International Journal of Care Coordination. ISSN 2053-4345 (In Press)

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Official URL: https://doi.org/10.1177/20534345211004503

Abstract

Introduction
Integrated care and patient experience are central to the coordination and delivery of high quality health and social care in the UK, but their joint application is poorly understood. This systematic review aimed to gain an understanding of patient experience within current integrated care services in the UK, and specifically, whether they reflect person-centred coordinated care (PCCC).

Methods
Following PRISMA, electronic databases (ProQuest, EBSCO and Cochrane Library) were searched from 2012 to 2019 for primary, peer-reviewed literature. Papers were included where patients’ or carers’ experiences of integrated care were reported. Papers were excluded where they focused on acute integrated care interventions, measured experience via satisfaction scores only, or findings lacked sufficient depth to answer the research question. Quality was assessed using Mixed Methods Appraisal Tool, and findings synthesised using a framework approach, incorporating the Rainbow Model of Integrated Care and Measuring Integrated Care Patient Framework.

Results
Sixteen studies were included. Person-centred and shared responsibility experiences were most often discussed. Experiences were not always described as positive and some patients experienced a lack of PCCC. Clinical, professional/organisational and functional integration processes were associated with experiencing domains of PCCC.

Discussion
People with complex needs experience a lack of coordination across teams and wider community resources, and limited associations were made between integration processes and patient experience. Further research which gives context to individual experience, provides greater detail of integration processes and utilises validated patient experience measures of PCCC is required to understand the association between integration processes and domains of PCCC.

Item Type: Article
Uncontrolled Keywords: Integrated health care system, healthcare delivery, United Kingdom, literature review
Subjects: B700 Nursing
B900 Others in Subjects allied to Medicine
L400 Social Policy
L500 Social Work
L900 Others in Social studies
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Elena Carlaw
Date Deposited: 10 Mar 2021 15:19
Last Modified: 30 Mar 2021 11:45
URI: http://nrl.northumbria.ac.uk/id/eprint/45669

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