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

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

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • 2024
  • John Wiley & Sons,2024
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:lnu-129146
  • https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-129146URI
  • https://doi.org/10.1111/joim.13784DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-113410URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-48444URI
  • https://gup.ub.gu.se/publication/337224URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-64060URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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 and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Bostrom, Anne-MarieDepartment 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 (author)
  • Liljas, AnnAging 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 (author)
  • Doheny, MeganAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden (author)
  • Hendry, AnneInternational Foundation for Integrated Care (IFIC), Glasgow, Scotland, UK; School of Health and Life Sciences, University of the West of Scotland, Glasgow, Scotland, UK (author)
  • Mccormack, BrendanUniv Sydney, Australia,Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, The University of Sydney, Sydney, Australia (author)
  • Fratiglioni, LauraAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden (author)
  • Ali, SulinKarolinska 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 (author)
  • Ebrahimi, Zahra,1972Gothenburg 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(Swepub:gu)xebrza (author)
  • Elmstahl, SoelveDepartment of Clinical Sciences, Division of Geriatric Medicine, Lund University, Lund, Sweden (author)
  • Eriksdotter, MariaTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Huddinge, Sweden (author)
  • Glaske, PascalKarolinska 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 (author)
  • Gustafsson, Lena-KarinSchool of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden (author)
  • Hedberg Rundgren, ÅsaStockholm Gerontology Research Center, Stockholm, Sweden (author)
  • Hvitfeldt, HelenaNorrtälje Hospital, Vårdbolaget Tiohundra, Stockholm, Sweden,Department of Neurobiology, Care Sciences, and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden (author)
  • Lennartsson, CarinAging 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 (author)
  • Marmstål Hammar, Lena,1979-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(Swepub:du)lma (author)
  • Nilsson, Gunnar H.Karolinska Institutet, Sweden (author)
  • Nilsson, PeterMyndigheten för vård- och omsorgsanalys, Stockholm, Sweden (author)
  • Öhlén, Joakim,1958Gothenburg 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(Swepub:gu)xohlej (author)
  • Sandgren, Anna,1970-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(Swepub:lnu)asaivosa (author)
  • Söderman, Annika,1980-Örebro universitet,Institutionen för hälsovetenskaper,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden,Örebro University, Sweden(Swepub:oru)aasn (author)
  • Swedberg, Karl,1944Gothenburg 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(Swepub:gu)xsweka (author)
  • Vackerberg, NicolineJönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ, Avdelningen för kvalitetsförbättring och ledarskap(Swepub:hj)vacnic (author)
  • Vetrano, Davide LiborioAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden (author)
  • Wijk, Helle,1958Gothenburg 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(Swepub:gu)xwijhe (author)
  • Agerholm, JanneAging 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 (author)
  • Calderon-Larranaga, AmaiaAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden (author)
  • Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, SwedenDepartment 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 (creator_code:org_t)

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