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Effectiveness of in...
Effectiveness of integrated person-centered interventions for older people's care : Review of Swedish experiences and experts' perspective
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- Kirvalidze, Mariam (author)
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden
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- 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
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- 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
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- Doheny, Megan (author)
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Solna, Sweden
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- 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
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- 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
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- 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
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- 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
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- 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
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- Elmstahl, Soelve (author)
- Department of Clinical Sciences, Division of Geriatric Medicine, Lund University, Lund, Sweden
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- 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
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- 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
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- Gustafsson, Lena-Karin (author)
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
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- Hedberg Rundgren, Åsa (author)
- Stockholm Gerontology Research Center, Stockholm, Sweden
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- 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
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- 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
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- 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
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- Nilsson, Gunnar H. (author)
- Karolinska Institutet, Sweden
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- Nilsson, Peter (author)
- Myndigheten för vård- och omsorgsanalys, Stockholm, Sweden
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- 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
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- 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
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- 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
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- 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
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- Vackerberg, Nicoline (author)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ, Avdelningen för kvalitetsförbättring och ledarskap
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- 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
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- 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
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- 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
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- 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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(creator_code:org_t)
- 2024
- 2024
- English.
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In: Journal of Internal Medicine. - : John Wiley & Sons. - 0954-6820 .- 1365-2796.
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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Abstract
Subject headings
Close
- 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
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Kirvalidze, Mari ...
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Bostrom, Anne-Ma ...
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Liljas, Ann
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Doheny, Megan
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Hendry, Anne
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Mccormack, Brend ...
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show more...
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Fratiglioni, Lau ...
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Ali, Sulin
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Ebrahimi, Zahra, ...
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Elmstahl, Soelve
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Eriksdotter, Mar ...
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Glaske, Pascal
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Gustafsson, Lena ...
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Hedberg Rundgren ...
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Hvitfeldt, Helen ...
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Lennartsson, Car ...
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Marmstål Hammar, ...
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Nilsson, Gunnar ...
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Nilsson, Peter
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Öhlén, Joakim, 1 ...
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Sandgren, Anna, ...
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Söderman, Annika ...
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Swedberg, Karl, ...
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Vackerberg, Nico ...
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Vetrano, Davide ...
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Wijk, Helle, 195 ...
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Agerholm, Janne
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Calderon-Larrana ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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and Geriatrics
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Linnaeus University
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Örebro University
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Högskolan Dalarna
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University of Gothenburg
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Jönköping University