Loraine Busetto|Katrien Luijkx|Arianne Elissen|Hubertus J. M. Vrijhoef
Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review
Tilburg University|Tilburg University|Maastricht University|National University Health System|National University of Singapore
integrated care interventions chronic conditions lead improved outcomes clear case study aims answer following two research questions first context mechanisms outcomes integrated care people type 2 diabetes second relationships context mechanisms outcomes integrated care people type 2 diabetesa systematic literature search conducted period 20032013 cochrane pubmed articles included focussed integrated care type 2 diabetes concerned empirical research analysing implementation intervention data extraction performed using common data extraction table quality studies assessed mixed methods appraisal tool cmo model context mechanism outcome used study relationship context factors described barriers facilitators encountered implementation process categorised six levels implementation model mechanisms defined intervention types described number chronic care model subcomponents outcomes intentional unintentional effects triggered mechanism contextthirtytwo studies met inclusion criteria reported barriers implementation process found organisational context level facilitators social context level due low number articles reporting comparable quantitative outcome measures indepth qualitative information possible make statements relationship context mechanisms outcomesefficient resource allocation entail increased investments organisational context level barriers expected occur likely investments social context level also help decrease development barriers organisational context level especially increasing staff involvement satisfaction future research adequately inform practice policy regarding impact efforts health outcomes focus actual relationships context mechanisms outcomes actively incorporated study designs