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

Kirvalidze, Mariam (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden
Boström, Anne Marie (författare)
Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
Liljas, Ann, 1983- (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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
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Doheny, Megan (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden
Hendry, Anne (författare)
University of the West of Scotland,International Foundation for Integrated Care (IFIC), Glasgow, Scotland, UK; School of Health and Life Sciences, University of the West of Scotland, Glasgow, Scotland, UK,Int Fdn Integrated Care IFIC, Glasgow, Scotland.;Univ West Scotland, Sch Hlth & Life Sci, Blantyre, Scotland.
McCormack, Brendan (författare)
Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, The University of Sydney, Sydney, Australia,Univ Sydney, Susan Wakil Sch Nursing & Midwifery, Sydney Nursing Sch, Fac Med & Hlth, Camperdown, NSW, Australia.
Fratiglioni, Laura (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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 (författare)
Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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 (författare)
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,University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg Centre for Person-Centred Care – GPCC, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Ctr Person Centred Care GPCC, Gothenburg, Sweden.
Elmståhl, Sölve (författare)
Lund University,Lunds universitet,Geriatrik,Forskargrupper vid Lunds universitet,Geriatrics,Lund University Research Groups
Eriksdotter, Maria (författare)
Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
Gläske, Pascal (författare)
Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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, Docent, 1966- (författare)
Mälardalen University,Mälardalens universitet,Hälsa och välfärd,School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
Rundgren, Åsa Hedberg (författare)
Stockholm Gerontology Research Center, Stockholm, Sweden,Stockholm Gerontol Res Ctr, Stockholm, Sweden.
Hvitfeldt, Helena (författare)
Karolinska Institutet,Karolinska Institute,Stockholm County Council,Aging Research Center
Lennartsson, Carin, 1965- (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Institutet för social forskning (SOFI),Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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- (författare)
Dalarna University College,Mälardalens universitet,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,Hälsa och välfärd,Dalarna Univ, Sch Hlth & Welf, Falun, Sweden.
Nilsson, Gunnar H. (författare)
Karolinska Institutet
Nilsson, Peter (författare)
Myndigheten för vård- och omsorgsanalys, Stockholm, Sweden,Swedish Agency for Health and Care Services Analysis
Öhlén, Joakim, 1958 (författare)
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,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,University of Gothenburg,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,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Ctr Person Centred Care GPCC, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Palliat Care Ctr, Gothenburg, Sweden.
Sandgren, Anna, 1970- (författare)
Linnaeus University,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Linnaeus Univ, Ctr Collaborat Palliat Care, Dept Hlth & Caring Sci, Växjö, Sweden.,Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
Söderman, Annika, 1980- (författare)
Örebro University,Örebro universitet,Institutionen för hälsovetenskaper
Swedberg, Karl, 1944 (författare)
Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för medicin,University of Gothenburg Centre for person-centred care (GPCC),Institute of Medicine,University of Gothenburg,Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Dept Mol & Clin Med, Gothenburg, Sweden.
Vackerberg, Nicoline (författare)
Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ, Avdelningen för kvalitetsförbättring och ledarskap,Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden,Jönköping University, Sweden,Jönköping Univ, Jönköping Acad Improvement Hlth & Welf, Jönköping, Sweden.
Vetrano, Davide Liborio (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,University of Gothenburg,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,Chalmers tekniska högskola,Chalmers University of Technology,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,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Ctr Person Centred Care GPCC, Gothenburg, Sweden.;Chalmers Univ Technol, Dept Architecture & Civil Engn, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Dept Qual Assurance & Patient Safety, Gothenburg, Sweden.
Agerholm, Janne (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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
Calderón-Larrañaga, Amaia (författare)
Karolinska Institutet,Karolinska Institute,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),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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 (creator_code:org_t)
John Wiley & Sons, 2024
2024
Engelska.
Ingår i: Journal of Internal Medicine. - : John Wiley & Sons. - 1365-2796 .- 0954-6820. ; 295:6, s. 804-824
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (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)
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  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

person-centered care
Sweden
older people
integrated care
Omvårdnad
integrated care
older people
person-centered care
Sweden

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