Integration measurement and its applications in low- and middle-income country health systems: a scoping review.
Health systems
Integrated care
Low- and middle-income country
Measurement
Scoping review
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
28 Sep 2023
28 Sep 2023
Historique:
received:
05
01
2023
accepted:
08
09
2023
medline:
27
11
2023
pubmed:
29
9
2023
entrez:
28
9
2023
Statut:
epublish
Résumé
Despite growing interest in and commitment to integration, or integrated care, the concept is ill-defined and the resulting evidence base fragmented, particularly in low- and middle-income countries (LMICs). Underlying this challenge is a lack of coherent approaches to measure the extent of integration and how this influences desired outcomes. The aim of this scoping review is to identify measurement approaches for integration in LMICs and map them for future use. Arksey and O'Malley's framework for scoping reviews was followed. We conducted a systematic search of peer-reviewed literature measuring integration in LMICs across three databases and screened identified papers by predetermined inclusion and exclusion criteria. A modified version of the Rainbow Model for Integrated Care guided charting and analysis of the data. We included 99 studies. Studies were concentrated in the Africa region and most frequently focused on the integration of HIV care with other services. A range of definitions and methods were identified, with no single approach for the measurement of integration dominating the literature. Measurement of clinical integration was the most common, with indicators focused on measuring receipt of two or more services provided at a single point of time. Organizational and professional integration indicators were focused on inter- and intra-organizational communication, collaboration, coordination, and continuity of care, while functional integration measured common information systems or patient records. Gaps were identified in measuring systems and normative integration. Few tools were validated or publicly available for future use. We identified a wide range of recent approaches used to measure integration in LMICs. Our findings underscore continued challenges with lack of conceptual cohesion and fragmentation which limits how integration is understood in practice.
Sections du résumé
BACKGROUND
BACKGROUND
Despite growing interest in and commitment to integration, or integrated care, the concept is ill-defined and the resulting evidence base fragmented, particularly in low- and middle-income countries (LMICs). Underlying this challenge is a lack of coherent approaches to measure the extent of integration and how this influences desired outcomes. The aim of this scoping review is to identify measurement approaches for integration in LMICs and map them for future use.
METHODS
METHODS
Arksey and O'Malley's framework for scoping reviews was followed. We conducted a systematic search of peer-reviewed literature measuring integration in LMICs across three databases and screened identified papers by predetermined inclusion and exclusion criteria. A modified version of the Rainbow Model for Integrated Care guided charting and analysis of the data.
RESULTS
RESULTS
We included 99 studies. Studies were concentrated in the Africa region and most frequently focused on the integration of HIV care with other services. A range of definitions and methods were identified, with no single approach for the measurement of integration dominating the literature. Measurement of clinical integration was the most common, with indicators focused on measuring receipt of two or more services provided at a single point of time. Organizational and professional integration indicators were focused on inter- and intra-organizational communication, collaboration, coordination, and continuity of care, while functional integration measured common information systems or patient records. Gaps were identified in measuring systems and normative integration. Few tools were validated or publicly available for future use.
CONCLUSION
CONCLUSIONS
We identified a wide range of recent approaches used to measure integration in LMICs. Our findings underscore continued challenges with lack of conceptual cohesion and fragmentation which limits how integration is understood in practice.
Identifiants
pubmed: 37770887
doi: 10.1186/s12889-023-16724-2
pii: 10.1186/s12889-023-16724-2
pmc: PMC10537146
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1876Informations de copyright
© 2023. The Author(s).
Références
Gröne O, Garcia-Barbero M, WHO European Office for Integrated Health Care Services. Integrated care: a position paper of the WHO European Office for Integrated Health Care Services. Int J Integr Care. 2001;1:e21.
pubmed: 16896400
pmcid: 1525335
doi: 10.5334/ijic.28
World Health Organization. Universal health coverage (UHC). World Health Organization. 2020. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc ). Accessed 10 Nov 2020.
Integrated health services networks. Pan American Health Organization. https://www.paho.org/en/topics/integrated-health-services-networks . Accessed 14 Feb 2021.
Lê G, Morgan R, Bestall J, Featherstone I, Veale T, Ensor T. Can service integration work for universal health coverage? Evidence from around the globe. Health Policy. 2016;120(4):406–19.
pubmed: 27108079
doi: 10.1016/j.healthpol.2016.02.007
Mounier-Jack S, Mayhew SH, Mays N. Integrated care: learning between high-income, and low- and middle-income country health systems. Health Policy Plan. 2017;32(Suppl 4):iv6-12.
pubmed: 29194541
pmcid: 5886259
doi: 10.1093/heapol/czx039
Topp SM, Abimbola S, Joshi R, Negin J. How to assess and prepare health systems in low- and middle-income countries for integration of services - A systematic review. Health Policy Plan. 2018;33(2):298–312.
pubmed: 29272396
doi: 10.1093/heapol/czx169
Chaitkin M, Blanchet N, Su Y, Husband R, Moon P, Rowan A, et al. Integrating Vertical Programs into Primary Health Care. Washington DC: Results for Development; 2018.
Nolte E. Evidence Supporting Integrated Care. In: Amelung V, Stein V, Goodwin N, Balicer R, Nolte E, Suter E, editors. Handbook Integrated Care. Cham: Springer International Publishing; 2017. p. 25–38.
doi: 10.1007/978-3-319-56103-5_2
Goddard M, Mason AR. Integrated care: a pill for all ills? Int J Health Policy Manag. 2017;6(1):1–3.
pubmed: 28005536
doi: 10.15171/ijhpm.2016.111
World Health Organization. People-centred and integrated health services: an overview of the evidence Interim Report. Geneva: World Health Organization; 2015.
Dudley L, Garner P. Strategies for integrating primary health services in low- and middle-income countries at the point of delivery. Cochrane Database of Systematic Reviews. 2011;7:CD003318.
Strandberg-Larsen M, Krasnik A. Measurement of integrated healthcare delivery: a systematic review of methods and future research directions. Int J Integr Care. 2009;9:e01.
pubmed: 19340325
pmcid: 2663702
doi: 10.5334/ijic.305
Bautista MAC, Nurjono M, Lim YW, Dessers E, Vrijhoef HJ. Instruments measuring integrated care: a systematic review of measurement properties. Milbank Q. 2016;94(4):862–917.
pubmed: 27995711
pmcid: 5192798
doi: 10.1111/1468-0009.12233
Suter E, Oelke ND, da Silva Lima MA, Stiphout M, Janke R, Witt RR, et al. Indicators and measurement tools for health systems integration: a knowledge synthesis. Int J Integr Care. 2017;17(6):4.
pubmed: 29588637
pmcid: 5854167
doi: 10.5334/ijic.3931
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.
doi: 10.1080/1364557032000119616
World Health Organization. Rehabilitation in health systems. Geneva: World Health Organization; 2017.
Mills J-A, Marks E, Reynolds T, Cieza A. Rehabilitation: Essential along the Continuum of Care. In: Jamison D, Gelbend H, Horton S, editors. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd ed. Washington, D.C: The International Bank for Reconstruction and Development / The World Bank; 2017.
Dudley L, Garner P. Strategies for integrating primary health services in low- and middle-income countries at the point of delivery. Cochrane Database Syst Rev. 2011;7:CD003318.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–73.
pubmed: 30178033
doi: 10.7326/M18-0850
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
pubmed: 19621072
pmcid: 2707599
doi: 10.1371/journal.pmed.1000097
Valentij PP, Pereira F, Sterner CW, Vrijhoef HJM, Ruwaard D, Hegbrant J, et al. Validation of the rainbow model of integrated care measurement Tools (RMIC-MTs) in renal care for patient and care providers. PLoS ONE. 2019;14(9):e0222593.
doi: 10.1371/journal.pone.0222593
Nurjono M, Valentijn PP, Bautista MAC, Wei LY, Vrijhoef HJM. A prospective validation study of a rainbow model of integrated care measurement tool in Singapore. Int J Integr Care. 2016;16(1):1–6.
Huang Y, Zhu P, Chen L, Wang X, Valentijn P. Validation of the care providers version of the Rainbow Model of Integrated Care-measurement tool in Chinese primary care systems. BMC Health Serv Res. 2020;20:727.
Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: A comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13:e010.
Valentijn PP, Boesveld IC, van der Klauw DM, Ruwaard D, Struijs JN, Molema JJW, et al. Towards a taxonomy for integrated care: A mixed-methods study. Int J Integr Care. 2015;15:e003.
Neill R, Hasan MZ, Das P, Venugopal V, Jain N, Arora D, et al. Evidence of integrated health service delivery during COVID-19 in low and lower-middle-income countries: protocol for a scoping review. BMJ Open. 2021;11(5):e042872.
pubmed: 33941625
doi: 10.1136/bmjopen-2020-042872
Veritas Health Innovation. Covidence systematic review software. Melbourne: Veritas Health Innovation.
Waddington C, Egger D. Integrated health services - what and why? Geneva: World Health Organization; 2018.
World Bank Country and Lending Groups – World Bank Data Help Desk. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups . Accessed 25 Oct 2020.
Microsoft Corporation. Microsoft Excel. Redmond: Microsoft Corporation.
World Bank Country and Lending Groups. World Bank. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups . Accessed 31 Jan 2021.
Adamchak SE, Okello FO, Kaboré I. Developing a system to monitor family planning and HIV service integration: results from a pilot test of indicators. J Fam Plann Reprod Health Care. 2016;42(1):24–9.
pubmed: 26424662
doi: 10.1136/jfprhc-2014-101047
Mitiku AM, Asfaw GZ, Tsegay HT, Zewdie BY, Tesfay AM. Levels and predictors of TB-HIV diagnostic service linkage and testing in government hospitals of southern zone of Tigray, Northern Ethiopia. Afr Health Sci. 2019;19(3):2335–46.
pubmed: 32127802
pmcid: 7040298
doi: 10.4314/ahs.v19i3.5
Ndagijimana A, Rugigana E, Uwizeye CB, Ntaganira J. One-stop TB-HIV services evaluation in Rwanda: comparison of the 2001–2005 and 2006–2010 cohorts. Public Health Action. 2015;5(4):209–13.
pubmed: 26767172
pmcid: 4682610
doi: 10.5588/pha.15.0093
Wagner GJ, Ngo V, Glick P, Obuku EA, Musisi S, Akena D. INtegration of DEPression Treatment into HIV Care in Uganda (INDEPTH-Uganda): study protocol for a randomized controlled trial. Trials. 2014;15:248.
pubmed: 24962086
pmcid: 4083331
doi: 10.1186/1745-6215-15-248
Young N, Achieng F, Desai M, Phillips-Howard P, Hill J, Aol G, et al. Integrated point-of-care testing (POCT) for HIV, syphilis, malaria and anaemia at antenatal facilities in western Kenya: a qualitative study exploring end-users’ perspectives of appropriateness, acceptability and feasibility. BMC Health Serv Res. 2019;19(1):74.
pubmed: 30691447
pmcid: 6348645
doi: 10.1186/s12913-018-3844-9
Sinai I, Cleghorn F, Kinkel HF. Improving management of tuberculosis in people living with HIV in South Africa through integration of HIV and tuberculosis services: a proof of concept study. BMC Health Serv Res. 2018;18:711.
pubmed: 30217152
pmcid: 6137746
doi: 10.1186/s12913-018-3524-9
Pfaff C, Scott V, Hoffman R, Mwagomba B. You can treat my HIV – But can you treat my blood pressure? Availability of integrated HIV and non-communicable disease care in northern Malawi. Afr J Prim Health Care Fam Med. 2017;9(1):1151.
pubmed: 28235324
pmcid: 5320467
doi: 10.4102/phcfm.v9i1.1151
Khan MA, Walley JD, Ali S, King R, Khan SE, Khan N, et al. Process evaluation of integrated diabetes management at primary healthcare facilities in Pakistan: a mixed-methods study. BJGP Open. 2018;2(4):bjgpopen18X101612.
Yugbaré Belemsaga D, Goujon A, Bado A, Kouanda S, Duysburgh E, Temmerman M, et al. Integration of postpartum care into child health and immunization services in Burkina Faso: findings from a cross-sectional study. Reprod Health. 2018;15(1):171.
pubmed: 30305123
pmcid: 6180606
doi: 10.1186/s12978-018-0602-8
McGinn EK, Irani L. Provider-initiated family planning within HIV services in Malawi: did policy make it into practice? Glob Health Sci Pract. 2019;7(4):540–50.
pubmed: 31791976
pmcid: 6927829
doi: 10.9745/GHSP-D-19-00192
Milford C, Beksinska M, Greener LR, Mabude Z, Smit J. Implementation of a sexual and reproductive health service integration model: South African providers’ reports. Cogent Med. 2019;6(1):1592740.
doi: 10.1080/2331205X.2019.1592740
Biswas KK, Pearson E, Shahidullah SM, Sultana S, Chowdhury R, Andersen KL. Integrating postabortion care, menstrual regulation and family planning services in Bangladesh: a pre-post evaluation. Reprod Health. 2017;14:37.
pubmed: 28284230
pmcid: 5346262
doi: 10.1186/s12978-017-0298-1
Demissie DB, Mmusi-Phetoe R. Integration of family planning services with HIV treatment for women of reproductive age attending ART clinic in Oromia regional state. Ethiopia Reprod Health. 2021;18:102.
pubmed: 34022885
doi: 10.1186/s12978-021-01157-0
Irungu EM, Odoyo J, Wamoni E, Bukusi EA, Mugo NR, Ngure K, et al. Process evaluation of PrEP implementation in Kenya: adaptation of practices and contextual modifications in public HIV care clinics. J Int AIDS Soc. 2021;24(9):e25799.
pubmed: 34496148
pmcid: 8425783
doi: 10.1002/jia2.25799
Sheahan KL, Speizer IS, Orgill-Meyer J, Curtis S, Weinberger M, Paul J, et al. Facility-level characteristics associated with family planning and child immunization services integration in urban areas of Nigeria: a longitudinal analysis. BMC Public Health. 2021;21:1379.
pubmed: 34247607
pmcid: 8274034
doi: 10.1186/s12889-021-11436-x
Mutemwa R, Mayhew SH, Warren CE, Abuya T, Ndwiga C, Kivunaga J. Does service integration improve technical quality of care in low-resource settings? An evaluation of a model integrating HIV care into family planning services in Kenya. Health Policy Plan. 2017;32(suppl_4):iv91-101.
pubmed: 29194543
pmcid: 5886058
doi: 10.1093/heapol/czx090
Nguyen Bich D, Korthuis PT, Nguyen Thu T, van Dinh H, le Minh G. HIV patients’ preference for integrated models of addiction and HIV treatment in Vietnam. J Subst Abuse Treat. 2016;69:57–63.
pubmed: 27568511
doi: 10.1016/j.jsat.2016.07.003
Odjidja EN, Gatasi G, Duric P. Delivery of integrated infectious disease control services under the new antenatal care guidelines: a service availability and readiness assessment of health facilities in Tanzania. BMC Health Serv Res. 2019;19:153.
pubmed: 30866924
pmcid: 6417178
doi: 10.1186/s12913-019-3990-8
Obure CD, Jacobs R, Guinness L, Mayhew S, Vassall A. Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality measures. Soc Sci Med. 2016;151:147–56.
pubmed: 26803655
pmcid: 4774477
doi: 10.1016/j.socscimed.2016.01.013
Church K, Warren CE, Birdthistle I, Ploubidis GB, Tomlin K, Zhou W, et al. Impact of integrated services on HIV testing: a nonrandomized trial among Kenyan family planning clients. Stud Fam Plann. 2017;48:208.
pubmed: 28470971
pmcid: 5518195
doi: 10.1111/sifp.12022
Kanyangarara M, Sakyi K, Laar A. Availability of integrated family planning services in HIV care and support sites in sub-Saharan Africa: A secondary analysis of national health facility surveys. Reprod Health. 2019;16:60.
pubmed: 31138242
pmcid: 6538552
doi: 10.1186/s12978-019-0713-x
Mayhew S, Ploubidis GB, Sloggett A, Church K, Obure CD, Birdthistle I, et al. The integra Indexes of HIV and reproductive health integration. PLOS Oneq. 2016;11(1):e0146694.
doi: 10.1371/journal.pone.0146694
Haskins JL, Phakathi SA, Grant M, Horwood CM. Integrating services for impact and sustainability: a proof-of-concept project in KwaZulu-Natal, South Africa. South African Family Practice. 2019;61(6):216–22.
doi: 10.1080/20786190.2019.1656435
Hassan S, Cooke A, Saleem H, Mushi D, Mbwambo J, Lambdin BH. Evaluating the integrated methadone and anti-retroviral therapy strategy in Tanzania using the RE-AIM framework. Int J Environ Res Public Health. 2019;16(5):728.
pubmed: 30823440
pmcid: 6427450
doi: 10.3390/ijerph16050728
Birdthistle IJ, Mayhew SH, Kikuvi J, Zhou W, Church K, Warren CE, et al. Integration of HIV and maternal healthcare in a high HIV-prevalence setting: analysis of client flow data over time in Swaziland. BMJ Open. 2014;4(3):e003715.
pubmed: 24607560
pmcid: 3948459
doi: 10.1136/bmjopen-2013-003715
Sheahan KL, Orgill-Meyer J, Speizer IS, Curtis S, Paul J, Weinberger M, et al. Development of integration indexes to determine the extent of family planning and child immunization services integration in health facilities in urban areas of Nigeria. Reprod Health. 2021;18(1):47.
Usman M, Anand E, Siddiqui L, Unisa S. Continuum of maternal health care services and its impact on child immunization in India: an application of the propensity score matching approach. J Biosoc Sci. 2021;53(5):643–62.
pubmed: 32830633
doi: 10.1017/S0021932020000450
Moucheraud C, Hing M, Seleman J, Phiri K, Chibwana F, Kahn D, et al. Integrated care experiences and out-of-pocket expenditures: a cross-sectional survey of adults receiving treatment for HIV and hypertension in Malawi. BMJ Open. 2020;10(2):e032652.
pubmed: 32051306
pmcid: 7044935
doi: 10.1136/bmjopen-2019-032652
Mutisya R, Wambua J, Nyachae P, Kamau M, Karnad SR, Kabue M. Strengthening integration of family planning with HIV/AIDS and other services: experience from three Kenyan cities. Reprod Health. 2019;16:62.
pubmed: 31138271
pmcid: 6538540
doi: 10.1186/s12978-019-0715-8
Milford C, Greener LR, Beksinska M, Greener R, Mabude Z, Smit J. Provider understandings of and attitudes towards integration: Implementing an HIV and sexual and reproductive health service integration model, South Africa. Afr J AIDS Res. 2018;17(2):183–92.
pubmed: 30003849
doi: 10.2989/16085906.2018.1478314
Milford C, Scorgie F, Rambally Greener L, Mabude Z, Beksinska M, Harrison A, et al. Developing a model for integrating sexual and reproductive health services with HIV prevention and care in KwaZulu-Natal. South Africa Reprod Health. 2018;15:189.
pubmed: 30442150
doi: 10.1186/s12978-018-0633-1
Paula CC de, Padoin SM de M, Silva CB da, Kleinubing RE, Ferreira T. Health care for children and adolescents with HIV: longitudinality assessment. Acta Paulista de Enfermagem. 2017;30(2):136–43.
Church K, Wringe A, Lewin S, Ploubidis GB, Fakudze P, Initiative I, et al. Exploring the feasibility of service integration in a low-income setting: a mixed methods investigation into different models of reproductive health and HIV care in Swaziland. PLoS ONE. 2015;10(5):e0126144.
pubmed: 25978632
pmcid: 4433110
doi: 10.1371/journal.pone.0126144
Nelson AR, Cooper CM, Kamara S, Taylor ND, Zikeh T, Kanneh-Kesselly C, et al. Operationalizing integrated immunization and family planning services in rural Liberia: lessons learned from evaluating service quality and utilization. Glob Health Sci Pract. 2019;7(3):418–34.
pubmed: 31558598
pmcid: 6816810
doi: 10.9745/GHSP-D-19-00012
Dadi TL, Medhin G, Kasaye HK, Kassie GM, Jebena MG, Gobezie WA, et al. Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter? Reprod Health. 2021;18:220.
pubmed: 34742315
pmcid: 8572478
doi: 10.1186/s12978-021-01265-x
Wall KM, Kilembe W, Inambao M, Hoagland A, Sharkey T, Malama K, et al. Cost-effectiveness of integrated HIV prevention and family planning services for Zambian couples. AIDS. 2020;34(11):1633–42.
pubmed: 32701577
doi: 10.1097/QAD.0000000000002584
Vodicka EL, Babigumira JB, Mann MR, Kosgei RJ, Lee F, Mugo NR, et al. Costs of integrating cervical cancer screening at an HIV clinic in Kenya. Int J Gynecol Obstet. 2017;136(2):220–8.
doi: 10.1002/ijgo.12025
Shiri T, Birungi J, Garrib A v., Kivuyo SL, Namakoola I, Mghamba J, et al. Patient and health provider costs of integrated HIV, diabetes and hypertension ambulatory health services in low-income settings — an empirical socio-economic cohort study in Tanzania and Uganda. BMC Med. 2021;19:230.
pubmed: 34503496
pmcid: 8431904
doi: 10.1186/s12916-021-02094-2
Mayhew SH, Ploubidis GB, Sloggett A, Church K, Obure CD, Birdthistle I, et al. Innovation in evaluating the impact of integrated service-delivery: the integra indexes of HIV and reproductive health integration. PLoS ONE. 2016;11(1):e0146694.
pubmed: 26800517
pmcid: 4723242
doi: 10.1371/journal.pone.0146694
Hamon JK, Krishnaratne S, Hoyt J, Kambanje M, Pryor S, Webster J. Integrated delivery of family planning and childhood immunisation services in routine outreach clinics: findings from a realist evaluation in Malawi. BMC Health Serv Res. 2020;20:777.
pubmed: 32838774
pmcid: 7447579
doi: 10.1186/s12913-020-05571-1
Zimba CC, Akiba CF, Matewere M, Thom A, Udedi M, Masiye JK, et al. Facilitators, barriers and potential solutions to the integration of depression and non-communicable diseases (NCDs) care in Malawi: a qualitative study with service providers. Int J Ment Health Syst. 2021;15(1):59.
pubmed: 34116699
pmcid: 8196431
doi: 10.1186/s13033-021-00480-0
Mayhew SH, Sweeney S, Warren CE, Collumbien M, Ndwiga C, Mutemwa R, et al. Numbers, systems, people: how interactions influence integration. Insights from case studies of HIV and reproductive health services delivery in Kenya. Health Policy Plan. 2017;32(Suppl 4):iv67-81.
pubmed: 29194544
pmcid: 5886080
doi: 10.1093/heapol/czx097
Erhardt-Ohren B, Schroffel H, Rochat R. Integrated family planning and routine child immunization services in Benin: a process evaluation. Matern Child Health J. 2020;24(6):701–8.
pubmed: 32303937
doi: 10.1007/s10995-020-02915-5
Wang X, Birch S, Zhu W, Ma H, Embrett M, Meng Q. Coordination of care in the Chinese health care systems: a gap analysis of service delivery from a provider perspective. BMC Health Serv Res. 2016;16:571.
Wu X, Li S, Xu N, Wu D, Zhang X. Establishing a balanced scorecard measurement system for integrated care organizations in China. Int J Health Plann Manage. 2019;34(2):672–92.
pubmed: 30615222
doi: 10.1002/hpm.2726
Li XM, Rasooly A, Peng B, JianWang, Xiong SY. An analysis on intersectional collaboration on non-communicable chronic disease prevention and control in China: a cross-sectional survey on main officials of community health service institutions. BMC Health Serv Res. 2017;17:711.
Li H, Wei X, Wong MCS. Changes of the perceived quality of care for older patients with hypertension by community health centers in shanghai. BMC Fam Pract. 2017;18(1):114.
pubmed: 29284408
pmcid: 5747137
doi: 10.1186/s12875-017-0683-4
Thomas JC, Reynolds HW, Alterescu X, Bevc C, Tsegaye A. Improving referrals and integrating family planning and HIV services through organizational network strengthening. Health Policy Plan. 2016;31(3):302–8.
pubmed: 26135363
doi: 10.1093/heapol/czv058
Ferrer APS, Brentani AVM, Sucupira ACSL, Navega ACB, Cerqueira ES, Grisi SJFE. The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services—Brazilian evidence. Health Policy Plan. 2014;29(Suppl 2):ii107-113.
pubmed: 25274635
doi: 10.1093/heapol/czu077
Yuan S, Wang F, Zhao Y, Liu Y. Assessing perceived quality of primary care under hospital-township health centre integration: a cross-sectional study in China. Int J Health Plann Manage. 2020;35(1):e196-209.
pubmed: 31713280
doi: 10.1002/hpm.2965
León-Arce HG, Mogollón-Pérez A-S, Vargas I, Vázquez M-L. Changes in knowledge and use of clinical coordination mechanisms between care levels in healthcare networks of Colombia. Int J Health Plann Manage. 2021;36(1):134–50.
pubmed: 32954542
doi: 10.1002/hpm.3073
He J, Chen D, Tang Z, Cong L, Tian Y, Xie C, et al. How the health institution combinative contracting mechanism influences community residents’ patient experiences in Shanghai: a comparative study of data from two cross-sectional surveys. Int J Health Plann Manage. 2019;34(3):1036–54.
pubmed: 31368145
doi: 10.1002/hpm.2873
Seyedamini B, Riahi L, Farahani MMM, Tabibi SJ, Asl IM. The effective organizational factors in the health system integration. JIMS8M: The Journal of Indian Management Strategy. 2018;23(3):55.
Li L, Lin C, Liang L-J, Nguyen DB, Pham LQ, Le TA, et al. Community capacity building for HIV and addiction service integration: an intervention trial in Vietnam. AIDS Behav. 2022;26(1):123–31.
pubmed: 34228251
doi: 10.1007/s10461-021-03363-0
Sheiman I, Shevsky V. Concentration of health care providers: Does it contribute to integration of service delivery? Risk Manag Healthc Policy. 2019;12:153–66.
pubmed: 31496851
pmcid: 6689798
doi: 10.2147/RMHP.S205905
Sheiman I, Shevski V. Evaluation of health care delivery integration: the case of the Russian Federation. Health Policy. 2014;115(2-3):128–37.
pubmed: 24461718
doi: 10.1016/j.healthpol.2013.12.011
Shaqura II, Baroud R, Sari AA. Collaboration among healthcare professionals at the public hospitals in Gaza: a quantitative study. J Integr Care. 2020;30(1):106–19.
doi: 10.1108/JICA-09-2020-0057
Tao W, Zeng W, Yan L, Yang H, Wen J, Li W. The health service capacity of primary health care in West China: Different perspectives of physicians and their patients. BMC Health Serv Res. 2019;19:143.
pubmed: 30819168
pmcid: 6396462
doi: 10.1186/s12913-019-3964-x
Soko TN, Jere DL, Wilson LL. Healthcare workers’ perceptions on collaborative capacity at a referral hospital in Malawi. Health SA. 2021;26:1561.
pubmed: 34394967
Mensah EO, Aikins MK, Gyapong M, Anto F, Bockarie MJ, Gyapong JO. Extent of integration of priority interventions into general health systems: a case study of neglected tropical diseases program in the Western Region of Ghana. PLoS Negl Trop Dis. 2016;10(5):e0004725.
pubmed: 27203854
pmcid: 4874689
doi: 10.1371/journal.pntd.0004725
Deconinck H, Hallarou M, Criel B, Donnen P, Macq J. Integrating acute malnutrition interventions into national health systems: Lessons from Niger. BMC Public Health. 2016;16:249.
pubmed: 26965752
pmcid: 4785683
doi: 10.1186/s12889-016-2903-6
Mbah H, Negedu-Momoh OR, Adedokun O, Ikani PA, Balogun O, Sanwo O, et al. Implementing and measuring the level of laboratory service integration in a program setting in Nigeria. PLoS ONE. 2014;9(9):e107277.
pubmed: 25211131
pmcid: 4161433
doi: 10.1371/journal.pone.0107277
Macinko J, Jimenez G, Cruz-Peñate M. Primary care performance in Dominica. Rev Panam Salud Publica. 2015;37(2):104-12.
World Health Organization. Everybody’s business– strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva: World Health Organization; 2007.
Mossie MY, Pfitzer A, Yusuf Y, Wondimu C, Bazant E, Bansal V, et al. Counseling at all contacts for postpartum contraceptive use: can paper-based tools help community health workers improve continuity of care? A qualitative study from Ethiopia. Gates Open Res. 2021;3:1652.
pubmed: 33997651
pmcid: 8094216
doi: 10.12688/gatesopenres.13071.2
Afrizal SH, Hidayanto AN, Handayani PW, Besral B, Martha E, Markam H, et al. Evaluation of integrated antenatal care implementation in primary health care: a study from an urban area in Indonesia. J Integr Care. 2020;28(2):99–117.
doi: 10.1108/JICA-07-2019-0031
Vázquez M-L, Vargas I, Unger J-P, de Paepe P, Mogollón-Pérez AS, Samico I, et al. Evaluating the effectiveness of care integration strategies in different healthcare systems in Latin America: the EQUITY-LA II quasi-experimental study protocol. BMJ Open. 2015;5(7):e007037.
pubmed: 26231753
pmcid: 4521516
doi: 10.1136/bmjopen-2014-007037
Tang W, Wei L, Zhang L. Analysing a Chinese regional integrated healthcare organisation reform failure using a complex adaptive system approach. Int J Integr Care. 2017;17:3.
pubmed: 28970744
pmcid: 5624080
doi: 10.5334/ijic.2420
Xu J, Pan R, Pong RW, Miao Y, Qian D. Different models of hospital-community health centre collaboration in selected cities in China: A cross-sectional comparative study. Int J Integr Care. 2016;16(1):8.
pubmed: 27616952
pmcid: 5015528
doi: 10.5334/ijic.2456
Uyei J, Coetzee D, MacInko J, Weinberg SL, Guttmacher S. Measuring the degree of integrated tuberculosis and HIV service delivery in Cape Town, South Africa. Health Policy Plan. 2014;29(1):42–55.
pubmed: 23274439
doi: 10.1093/heapol/czs131
Lovero KL, Lammie SL, van Zyl A, Paul SN, Ngwepe P, Mootz JJ, et al. Mixed-methods evaluation of mental healthcare integration into tuberculosis and maternal-child healthcare services of four South African districts. BMC Health Serv Res. 2019;19:83.
Marotta C, Lochoro P, Pizzol D, Putoto G, Mazzucco W, Saracino A, et al. Capacity assessment for provision of quality sexual reproductive health and HIV-integrated services in Karamoja. Uganda Afr Health Sci. 2020;20(3):1053–65.
pubmed: 33402951
doi: 10.4314/ahs.v20i3.8
Gallego-Ardila AD, Pinzón-Rondón ÁM, Mogollón-Pérez AS, Cardozo CX, Vargas I, Vázquez ML. Care coordination in two of Bogota’s public healthcare networks: a cross-sectional study among doctors. Int J Care Coord. 2019;22:127–39.
Vázquez ML, Vargas I, Garcia-Subirats I, Unger JP, de Paepe P, Mogollón-Pérez AS, et al. Doctors’ experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries. Soc Sci Med. 2017;182:10–9.
pubmed: 28411523
doi: 10.1016/j.socscimed.2017.04.001
de Almeida PF, dos Santos AM. Primary Health Care: Care coordinator in regionalized networks? Rev Saude Publica. 2016;50:80.
pubmed: 28099663
pmcid: 5152826
doi: 10.1590/s1518-8787.2016050006602
Uchôa SA da C, Arcêncio RA, Fronteira I, Coêlho AA, Martiniano CS, Brandão ICA, et al. Potential access to primary health care: What does the national program for access and quality improvement data show? Rev Lat Am Enfermagem. 2016;24:e672.
Rodrigues LBB, dos Santos CB, Goyatá SLT, Popolin MP, Yamamura M, Deon KC, et al. Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context. BMC Fam Pract. 2015;16:87.
pubmed: 26198100
pmcid: 4510885
doi: 10.1186/s12875-015-0299-5
Seyedamini B, Riahi L, Farahani M, Tabibi S, Asl A. The effect of clinical factor on the health system integration. Int Arch Health Sci. 2019;6:6(1):1-11.
doi: 10.4103/iahs.iahs_18_18
Athié K, Menezes AL do A, da Silva AM, Campos M, Delgado PG, Fortes S, et al. Perceptions of health managers and professionals about mental health and primary care integration in Rio de Janeiro: a mixed methods study. BMC Health Serv Res. 2016;16(1):532.
D’Avila OP, Harzheim E, Hauser L, Pinto LF, de Castilhos ED, Hugo FN. Validation of the Brazilian version of Primary Care Assessment Tool (PCAT) for Oral Health - PCATool Brazil Oral Health for Professionals. Ciencia e Saude Coletiva. 2021;26(6):2097–108.
pubmed: 34231722
doi: 10.1590/1413-81232021266.23432020
Qiu C, Chen S, Yao Y, Zhao Y, Xin Y, Zang X. Adaption and validation of Nijmegen continuity questionnaire to recognize the influencing factors of continuity of care for hypertensive patients in China. BMC Health Serv Res. 2019;19:79.
pubmed: 30696430
pmcid: 6352379
doi: 10.1186/s12913-019-3915-6
Xia J, Rutherford S, Ma Y, Wu L, Gao S, Chen T, et al. Obstacles to the coordination of delivering integrated prenatal HIV, syphilis and hepatitis B testing services in Guangdong: using a needs assessment approach Health systems and services in low and middle income settings. BMC Health Serv Res. 2015;15:117.
pubmed: 25889645
pmcid: 4378261
doi: 10.1186/s12913-015-0760-0
Ollé-Espluga L, Vargas I, Mogollón-Pérez A, Soares-de-Jesus RPF, Eguiguren P, Cisneros A-I, et al. Care continuity across levels of care perceived by patients with chronic conditions in six Latin-American countries. Gac Sanit. 2021;35(5):411–9.
pubmed: 32654876
doi: 10.1016/j.gaceta.2020.02.013
Bousquat A, Giovanella L, Campos EMS, de Almeida PF, Martins CL, Mota PHDS, et al. Primary health care and the coordination of care in health regions: Managers’ and users’ perspective. Ciencia e Saude Coletiva. 2017;22(4):1141–54.
pubmed: 28444041
doi: 10.1590/1413-81232017224.28632016
Miguel-Esponda G, Bohm-Levine N, Rodríguez-Cuevas FG, Cohen A, Kakuma R. Implementation process and outcomes of a mental health program integrated in primary care clinics in rural Mexico: a mixed-methods study. Int J Ment Health Syst. 2020;14:21.
pubmed: 32190108
pmcid: 7074983
doi: 10.1186/s13033-020-00346-x
Fujita M, Poudel KC, Green K, Wi T, Abeyewickreme I, Ghidinelli M, et al. HIV service delivery models towards “Zero AIDS-related Deaths”: a collaborative case study of 6 Asia and Pacific countries. BMC Health Serv Res. 2015;15:176.
pubmed: 25902708
pmcid: 4421992
doi: 10.1186/s12913-015-0804-5
Castro SM, Cubillos L, Uribe-Restrepo JM, Suárez-Obando F, Meier A, Naslund JA, et al. Assessing the integration of behavioral health services in primary care in Colombia. Adm Policy Ment Health Ment Health Serv Res. 2020;47(3):435–42.
doi: 10.1007/s10488-019-01002-4
van Rensburg AJ, Petersen I, Wouters E, Engelbrecht M, Kigozi G, Fourie P, et al. State and non-state mental health service collaboration in a South African district: a mixed methods study. Health Policy Plan. 2018;33(4):516–27.
pubmed: 29462292
doi: 10.1093/heapol/czy017
Aleluia IRS, Medina MG, de Almeida PF, Vilasbôas ALQ. Care coordination in primary health care: an evaluative study in a municipality in the Northeast of Brazil. Ciencia e Saude Coletiva. 2017;22(6):1845–56.
pubmed: 28614504
doi: 10.1590/1413-81232017226.02042017
Lewis RQ, Rosen R, Goodwin N, Dixon J. Where next for integrated care organisations in the English NHS? London: the Nuffield Trust; 2010.