Effectiveness of integrated person-centered interventions for older people's care: Review of Swedish experiences and experts' perspective

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Effectiveness of integrated person-centered interventions for older people's care : Review of Swedish experiences and experts' perspective

Kirvalidze, Mariam (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden

Bostrom, Anne-Marie (author): Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden; Theme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden; Research and Development Unit, Stockholms Sjukhem, Stockholm, Sweden

Liljas, Ann (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Department of Global Public Health, Karolinska Institutet, Solna, Sweden

Doheny, Megan (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden

Hendry, Anne (author): International Foundation for Integrated Care (IFIC), Glasgow, Scotland, UK; School of Health and Life Sciences, University of the West of Scotland, Glasgow, Scotland, UK

Mccormack, Brendan (author): Univ Sydney, Australia,Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, The University of Sydney, Sydney, Australia

Fratiglioni, Laura (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden

Ali, Sulin (author): Karolinska Institutet, Sweden;Stockholm University, Sweden;Univ Duisburg Essen, Germany,Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Department of Global Public Health, Karolinska Institutet, Solna, Sweden; Institute for Sociology, University of Duisburg-Essen, Duisburg, Germany

Ebrahimi, Zahra, 1972 (author): Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg Centre for Person-Centred Care – GPCC, Gothenburg, Sweden

Elmstahl, Soelve (author): Department of Clinical Sciences, Division of Geriatric Medicine, Lund University, Lund, Sweden

Eriksdotter, Maria (author): Theme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Huddinge, Sweden

Glaske, Pascal (author): Karolinska Institutet, Sweden;Stockholm University, Sweden;Univ Duisburg Essen, Germany,Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Department of Global Public Health, Karolinska Institutet, Solna, Sweden; Institute for Sociology, University of Duisburg-Essen, Duisburg, Germany

Gustafsson, Lena-Karin (author): School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden

Hedberg Rundgren, Åsa (author): Stockholm Gerontology Research Center, Stockholm, Sweden

Hvitfeldt, Helena (author): Norrtälje Hospital, Vårdbolaget Tiohundra, Stockholm, Sweden,Department of Neurobiology, Care Sciences, and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden

Lennartsson, Carin (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Swedish Institute for Social Research (SOFI), Stockholm University, Stockholm, Sweden

Marmstål Hammar, Lena, 1979- (author): Högskolan Dalarna,Omvårdnad,School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; School of Health and Welfare, Dalarna University, Falun, Sweden,Mälardalen University, Sweden;Dalarna University, Sweden

Nilsson, Gunnar H. (author): Karolinska Institutet, Sweden

Nilsson, Peter (author): Myndigheten för vård- och omsorgsanalys, Stockholm, Sweden

Öhlén, Joakim, 1958 (author): Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg Centre for Person-Centred Care – GPCC, Gothenburg, Sweden; Palliative Care Centre, Sahlgrenska University Hospital, Gothenburg, Sweden

Sandgren, Anna, 1970- (author): Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Collaborat Palliat Care,Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden

Söderman, Annika, 1980- (author): Örebro universitet,Institutionen för hälsovetenskaper,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden,Örebro University, Sweden

Swedberg, Karl, 1944 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Medicine,University of Gothenburg Centre for person-centred care (GPCC),Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Vackerberg, Nicoline (author): Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ, Avdelningen för kvalitetsförbättring och ledarskap

Vetrano, Davide Liborio (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden

Wijk, Helle, 1958 (author): Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg Centre for Person-Centred Care – GPCC, Gothenburg, Sweden; Department of Architecture and Civil Engineering, Chalmers University of Technology, Gothenburg, Sweden; Department of Quality Assurance and Patient Safety, Sahlgrenska University Hospital, Gothenburg, Sweden

Agerholm, Janne (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Department of Global Public Health, Karolinska Institutet, Solna, Sweden

Calderon-Larranaga, Amaia (author): Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden

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2024
2024
English.
In: Journal of Internal Medicine. - : John Wiley & Sons. - 0954-6820 .- 1365-2796.

Related links:: https://doi.org/10.1...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; https://gup.ub.gu.se...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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. image

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)

Keyword

person-centered care
integrated care
older people
Sweden
Omvårdnad
Nursing

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art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Geriatrics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Other Health Sci ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Gerontology spec ...

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By the university: Linnaeus University; Örebro University; Högskolan Dalarna; University of Gothenburg; Jönköping University

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