Developing an integrated care conceptual framework for older adults with multimorbidity within china's integrated delivery system.
Background The definition of China's integrated delivery system remains abstract since it was proposed in 2021, lacking detailed clarification on essential concepts such as specific contents and main providers of services for older adults with multimorbidity. Aim To develop an integrated care concep...
| Publicado en: | Age & Ageing Vol. 54; no. 3; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Mar2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184349371&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184349371 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2025 vid: 54 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 184349371 10.1093/ageing/afaf060 ppf: 1 ppct: 8 formats: tig: atl: Developing an integrated care conceptual framework for older adults with multimorbidity within china's integrated delivery system. aug: au: Wu, Jingjie Shao, Jing Chen, Dandan Xue, Erxu Fu, Yujia Zhang, Hui Xu, Qinhong Liu, Chunbo Ye, Zhihong affil: Nursing Department, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China Nursing Department, Zhejiang University School of Medicine, Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China Nursing Research Institute, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China Nursing Department, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China Nursing Department, Women and Children's Hospital of Ningbo University, Ningbo, Zhejiang, China su: China Corporate culture Social network analysis Diffusion of innovations Interprofessional relations Primary health care Health policy Interviewing Information technology Patient-centered care Labor supply Professional practice Research funding Continuum of care Systematic reviews Conceptual structures Research methodology Medical care for older people Delphi method Integrated health care delivery Comorbidity Rules sug: subj: Corporate culture Social network analysis Diffusion of innovations Interprofessional relations Primary health care Health policy Interviewing Information technology Patient-centered care Labor supply China Temporary Help Services Administration of Public Health Programs Professional practice Research funding Continuum of care Systematic reviews Conceptual structures Research methodology Medical care for older people Delphi method Integrated health care delivery Comorbidity Rules keyword: aged care comprehensiveness care continuity care coordination continuity of patient care coordination of care health personnel integrated treatment multimorbidity multiple chronic conditions older adult older people organizations aged care comprehensiveness care continuity care coordination continuity of patient care coordination of care health personnel integrated treatment multimorbidity multiple chronic conditions older adult older people organizations ab: Background The definition of China's integrated delivery system remains abstract since it was proposed in 2021, lacking detailed clarification on essential concepts such as specific contents and main providers of services for older adults with multimorbidity. Aim To develop an integrated care conceptual framework for older adults with multimorbidity within China's integrated delivery system. Methods A scoping review, semi-structured interviews and a modified e-Delphi study were used to explore specific contents of integrated care for older adults with multimorbidity. A social network analysis was conducted to identify healthcare providers with the greatest potential to play a central role in the integrated care for older adults with multimorbidity. Finally, an integrated care conceptual framework was established based on specific contents and main providers. Results The center of the framework represents the people-centered and need-oriented connotation of China's integrated delivery system. The first circle reflects three significant characteristics of the integrated delivery system, namely care comprehensiveness, care coordination, and care continuity. The second circle includes main providers of integrated care, which are expected to play a central role in professional collaboration and information diffusion. The outermost circle consists of specific contents of integrated care, including clinical practice, human workforce, organisational collaboration, information technology, regulations and policies. Conclusion The framework derived from this study is expected to promote the understanding and implementation of integrated care for older adults with multimorbidity within the Chinese context. The service content of integrated care related to clinical practice also offers valuable references for other countries. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|