Dalarna University's logo and link to the university's website

du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effectiveness of integrated person-centered interventions for older people's care: Review of Swedish experiences and experts' perspective
Karolinska Institutet and Stockholm University, Solna.
Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm; Stockholms Sjukhem, Stockholm.
Karolinska Institutet and Stockholm University, Solna; Karolinska Institutet, Solna.
Karolinska Institutet and Stockholm University, Solna.
Show others and affiliations
2024 (English)In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 295, no 6, p. 804-824Article, review/survey (Refereed) Published
Abstract [en]

Older adults have multiple medical and social care needs, requiring a shift toward an integrated person-centered model of care. Our objective was to describe and summarize Swedish experiences of integrated person-centered care by reviewing studies published between 2000 and 2023, and to identify the main challenges and scientific gaps through expert discussions. Seventy-three publications were identified by searching MEDLINE and contacting experts. Interventions were categorized using two World Health Organization frameworks: (1) Integrated Care for Older People (ICOPE), and (2) Integrated People-Centered Health Services (IPCHS). The included 73 publications were derived from 31 unique and heterogeneous interventions pertaining mainly to the micro- and meso-levels. Among publications measuring mortality, 15% were effective. Subjective health outcomes showed improvement in 24% of publications, morbidity outcomes in 42%, disability outcomes in 48%, and service utilization outcomes in 58%. Workshop discussions in Stockholm (Sweden), March 2023, were recorded, transcribed, and summarized. Experts emphasized: (1) lack of rigorous evaluation methods, (2) need for participatory designs, (3) scarcity of macro-level interventions, and (4) importance of transitioning from person- to people-centered integrated care. These challenges could explain the unexpected weak beneficial effects of the interventions on health outcomes, whereas service utilization outcomes were more positively impacted. Finally, we derived a list of recommendations, including the need to engage care organizations in interventions from their inception and to leverage researchers' scientific expertise. Although this review provides a comprehensive snapshot of interventions in the context of Sweden, the findings offer transferable perspectives on the real-world challenges encountered in this field.

Place, publisher, year, edition, pages
2024. Vol. 295, no 6, p. 804-824
Keywords [en]
Sweden, integrated care, older people, person‐centered care
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:du-48444DOI: 10.1111/joim.13784ISI: 001208107500001PubMedID: 38664991Scopus ID: 2-s2.0-85191252820OAI: oai:DiVA.org:du-48444DiVA, id: diva2:1855389
Available from: 2024-04-30 Created: 2024-04-30 Last updated: 2025-02-20Bibliographically approved

Open Access in DiVA

fulltext(989 kB)704 downloads
File information
File name FULLTEXT01.pdfFile size 989 kBChecksum SHA-512
f74f504cb74c54c67ee0045f772020678a54df10cfae20f3c82c9d42865ae3e7613ded4e30b4caf0d0fbd5e82dff061add8e337a398071c276ea05c56da4fad2
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Marmstål Hammar, Lena

Search in DiVA

By author/editor
Marmstål Hammar, Lena
By organisation
Caring Science/Nursing
In the same journal
Journal of Internal Medicine
Public Health, Global Health and Social Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 704 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 770 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf