TY - JOUR
AU - L. Tops
AU - S. G. Beerten
AU - M. Vandenbulcke
AU - M. Vermandere
AU - M. Deschodt
A1 - 
AB - OBJECTIVE: Multimorbidity is a growing challenge in the care for older people with mental illness. To address both physical and mental illnesses, integrated care management is required. The purpose of this scoping review is to identify core components of integrated care models for older adults with depression and physical comorbidity, and map reported outcomes and implementation strategies. METHODS: PubMed, EMBASE, CINAHL and Cochrane Library were searched independently by two reviewers for studies concerning integrated care interventions for older adults with depression and physical comorbidity. We used the SELFIE framework to map core components of integrated care models. Clinical and organisational outcomes were mapped. RESULTS: Thirty-eight studies describing thirteen care models were included. In all care models, a multidisciplinary team was involved. The following core components were mainly described: continuity, person-centredness, tailored holistic assessment, pro-activeness, treatment interaction, individualized care planning, and coordination tailored to complexity of care needs. Twenty-seven different outcomes were evaluated, with more attention given to clinical than to organisational outcomes. CONCLUSION: The core components that comprise integrated care models are diverse. Future studies should focus more on implementation aspects of the intervention and describe financial parts, e.g., the cost of the intervention for the healthcare user, more transparently.
AD - Academic Centre of General Practice, KU Leuven, Kapucijnenvoer 7, Box 7001, 3000, Leuven, Belgium.; Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.; Department of Neurosciences, Leuven Brain Institute, KU Leuven, Leuven, Belgium.; Department of Geriatric Psychiatry, University Psychiatric Centre, KU Leuven, Leuven, Belgium.; Competence Center for Nursing, University Hospitals Leuven, Belgium.; Gerontology and Geriatrics, University Hospitals Leuven, Belgium.
AN - 38222854
BT - Int J Integr Care
C5 - Healthcare Disparities
CP - 1
DA - Jan-Mar
DO - 10.5334/ijic.7576
DP - NLM
ET - 20240110
IS - 1
JF - Int J Integr Care
LA - eng
N2 - OBJECTIVE: Multimorbidity is a growing challenge in the care for older people with mental illness. To address both physical and mental illnesses, integrated care management is required. The purpose of this scoping review is to identify core components of integrated care models for older adults with depression and physical comorbidity, and map reported outcomes and implementation strategies. METHODS: PubMed, EMBASE, CINAHL and Cochrane Library were searched independently by two reviewers for studies concerning integrated care interventions for older adults with depression and physical comorbidity. We used the SELFIE framework to map core components of integrated care models. Clinical and organisational outcomes were mapped. RESULTS: Thirty-eight studies describing thirteen care models were included. In all care models, a multidisciplinary team was involved. The following core components were mainly described: continuity, person-centredness, tailored holistic assessment, pro-activeness, treatment interaction, individualized care planning, and coordination tailored to complexity of care needs. Twenty-seven different outcomes were evaluated, with more attention given to clinical than to organisational outcomes. CONCLUSION: The core components that comprise integrated care models are diverse. Future studies should focus more on implementation aspects of the intervention and describe financial parts, e.g., the cost of the intervention for the healthcare user, more transparently.
PY - 2024
SN - 1568-4156 (Print)
SP - 1
ST - Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review
T1 - Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review
T2 - Int J Integr Care
TI - Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review
U1 - Healthcare Disparities
U3 - 10.5334/ijic.7576
VL - 24
VO - 1568-4156 (Print)
Y1 - 2024
ER -