Nahara Anani Martínez-González|Peter Berchtold|Klara Ullman|André Busato|Matthias Egger
Integrated care programmes for adults with chronic conditions: a meta-review
Institute of Social and Preventive Medicine|University of Bern|University of Zurich|Institute of Social and Preventive Medicine|University of Bern|Institute of Social and Preventive Medicine|University of Bern|Institute of Social and Preventive Medicine|University of Bern
review systematic reviews metaanalyses integrated care programmes chronically ill patients focus methodological quality elements integration assessed effects reportedmetareview systematic reviews metaanalyses identified medline 1946march 2012 embase 1980march 2012 cinhal 1981march 2012 cochrane library systematic reviews issue 1 2012methodological quality assessed 11item assessment multiple systematic reviews amstar checklist elements integration assessed using published list 10 key principles integration effects patientcentred outcomes process quality use healthcare coststwentyseven systematic reviews identified conditions included chronic heart failure chf 12 reviews diabetes mellitus dm seven reviews chronic obstructive pulmonary disease copd seven reviews asthma five reviews median number amstar checklist items met five reviewers searched unpublished literature described primary studies interventions detail reviews covered comprehensive services across care continuum standardization care interprofessional teams organizational culture governance structure financial management rarely assessed majority reviews found beneficial effects integration including reduced hospital admissions readmissions chf dm improved adherence treatment guidelines dm copd asthma quality life dm reviews showed reductions costssystematic reviews integrated care programmes mixed quality assessed components integration care showed consistent benefits outcomes others