TY - JOUR
T1 - Information and Communication Technology Based Integrated Care for Older Adults
T2 - A Scoping Review
AU - Tian, Yutong
AU - Zhang, Yan
AU - Cheng, Qingyun
AU - Meng, Lixue
AU - Gao, Mengke
AU - Wang, Shanshan
N1 - Funding Information:
At the system level, there are still impediments to the operation of ICT-based integrated care, such as inadequate legislative frameworks, insufficient funding and uncertainty about cost-effectiveness. For example, the England has had a succession of policies in place since 2010 to encourage the integration of health and social care, but the layering of numerous policy initiatives has affected the establishment of integrated relationships and the chronic underfunding of social care has led to significant workforce challenges [115]. In addition, inadequate financial support and weak cost-effectiveness could discourage the allocation of funds to individuals, hospitals and departments, and thus fail to incentivize the integration of care [116]. The German Federal Government has launched the Healthcare Innovation Fund, which provides €200 million per year from 2020–2024 to support the development and diffusion of integrated healthcare and to stimulate relevant insurance companies to support the development of new models of integrated care [117]. Policies introduced by the US and state governments have initiated health funding to provide financial support for social care [118]. Stokes et al [119] stimulated more integrated activities by pooling health and social care funding. Four practice models in this study showed no net monetary benefit and somewhat reduced incentives for multidisciplinary team members, older adults, and their caregivers to participate in integrated care, possibly because recruiting multidisciplinary team members increases labor cost expenditures, while short-term interventions do not improve health outcomes for frail or multiply chronically ill older adults, and early implementation of the intervention’s aggressive practices may increase older adults’ use of services and informal care, indirectly increasing the cost of interventions. This suggests that governments should take the lead in incentivizing multiple sources of financing to provide appropriate services based on matching supply and demand to reduce the cost of interventions and protect economic benefits.
Publisher Copyright:
© 2023 The Author(s).
PY - 2023/4
Y1 - 2023/4
N2 - Background: Integrated care is an important initiative to respond positively to the ageing of society and information and communication technology(ICT) plays an important role in facilitating the integration of functional and normative health and social care. The scoping review aims to synthesize evidence on the experience and practice of ICT-based implementation of integrated care for older adults. Methods: This study followed the research framework developed by Arksey and O’malley for the scoping review and systematically searched for relevant studies published between 1 January 2000 and 30 March 2022 from nine electronic databases, three specialist journals, three key institutional websites, 11 integrated care project websites, google scholar and references of the studies to be included. Two reviewers independently screened and extracted data and used thematic analysis to sort out and summarize the core elements, hindrances and facilitators of ICT-based integrated care. Results: A total of 77 studies were included in this study, including 36 ICT-based practice models of integrated care with seven core elements of implementation including single entry point, comprehensive geriatric assessment, personalized care planning, multidisciplinary case conferences, coordinated care, case management and patient empowerment, which generally had a positive effect on improving quality of life, caregiver burden and primary care resource utilization for older adults, but effectiveness evaluations remained Heterogeneity exists. The barriers and facilitators to ICT-based implementation of integrated care were grouped into four themes: demand-side factors, provider factors, technology factors and system factors. Conclusion: The implementation of ICT-based integrated care for the elderly is expected to improve the health status of both the supply and demand of services, but there is still a need to strengthen the supply of human resources, team training and collaboration, ICT systems and financial support in order to promote the wider use of ICT in integrated care.
AB - Background: Integrated care is an important initiative to respond positively to the ageing of society and information and communication technology(ICT) plays an important role in facilitating the integration of functional and normative health and social care. The scoping review aims to synthesize evidence on the experience and practice of ICT-based implementation of integrated care for older adults. Methods: This study followed the research framework developed by Arksey and O’malley for the scoping review and systematically searched for relevant studies published between 1 January 2000 and 30 March 2022 from nine electronic databases, three specialist journals, three key institutional websites, 11 integrated care project websites, google scholar and references of the studies to be included. Two reviewers independently screened and extracted data and used thematic analysis to sort out and summarize the core elements, hindrances and facilitators of ICT-based integrated care. Results: A total of 77 studies were included in this study, including 36 ICT-based practice models of integrated care with seven core elements of implementation including single entry point, comprehensive geriatric assessment, personalized care planning, multidisciplinary case conferences, coordinated care, case management and patient empowerment, which generally had a positive effect on improving quality of life, caregiver burden and primary care resource utilization for older adults, but effectiveness evaluations remained Heterogeneity exists. The barriers and facilitators to ICT-based implementation of integrated care were grouped into four themes: demand-side factors, provider factors, technology factors and system factors. Conclusion: The implementation of ICT-based integrated care for the elderly is expected to improve the health status of both the supply and demand of services, but there is still a need to strengthen the supply of human resources, team training and collaboration, ICT systems and financial support in order to promote the wider use of ICT in integrated care.
KW - information and communication technology
KW - integrated care
KW - older adults
KW - scoping review
UR - http://www.scopus.com/inward/record.url?scp=85158041064&partnerID=8YFLogxK
U2 - 10.5334/ijic.6979
DO - 10.5334/ijic.6979
M3 - Review article
AN - SCOPUS:85158041064
SN - 1568-4156
VL - 23
JO - International Journal of Integrated Care
JF - International Journal of Integrated Care
IS - 2
M1 - 2
ER -