NDLI: Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review

Content Provider	Springer Nature : BioMed Central
Author	Busetto, Loraine Luijkx, Katrien Ger Elissen, Arianne Mathilda Josephus Vrijhoef, Hubertus Johannes Maria
Abstract	Background Integrated care interventions for chronic conditions can lead to improved outcomes, but it is not clear when and why this is the case. This study aims to answer the following two research questions: First, what are the context, mechanisms and outcomes of integrated care for people with type 2 diabetes? Second, what are the relationships between context, mechanisms and outcomes of integrated care for people with type 2 diabetes? Methods A systematic literature search was conducted for the period 2003–2013 in Cochrane and PubMed. Articles were included when they focussed on integrated care and type 2 diabetes, and concerned empirical research analysing the implementation of an intervention. Data extraction was performed using a common data extraction table. The quality of the studies was assessed with the Mixed Methods Appraisal Tool. The CMO model (context + mechanism = outcome) was used to study the relationship between context factors (described by the barriers and facilitators encountered in the implementation process and categorised at the six levels of the Implementation Model), mechanisms (defined as intervention types and described by their number of Chronic Care Model (sub-)components) and outcomes (the intentional and unintentional effects triggered by mechanism and context). Results Thirty-two studies met the inclusion criteria. Most reported barriers to the implementation process were found at the organisational context level and most facilitators at the social context level. Due to the low number of articles reporting comparable quantitative outcome measures or in-depth qualitative information, it was not possible to make statements about the relationship between context, mechanisms and outcomes. Conclusions Efficient resource allocation should entail increased investments at the organisational context level where most barriers are expected to occur. It is likely that investments at the social context level will also help to decrease the development of barriers at the organisational context level, especially by increasing staff involvement and satisfaction. If future research is to adequately inform practice and policy regarding the impact of these efforts on health outcomes, focus on the actual relationships between context, mechanisms and outcomes should be actively incorporated into study designs.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-015-1231-3.pdf
Ending Page	14
Page Count	14
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-015-1231-3
Journal	BMC Health Services Research
Issue Number	1
Volume Number	16
Language	English
Publisher	BioMed Central
Publisher Date	2016-01-15
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Integrated care Chronic care model CMO model Implementation model Diabetes type 2 Chronic conditions
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

A systematic literature review of the implementation of integrated care for people with diabetes mellitus type 2: context, mechanisms and outcomes

The implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: context, mechanisms and outcomes

Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review

Implementation of integrated geriatric care at a German hospital: a case study to understand when and why beneficial outcomes can be achieved

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Guideline adherence and health outcomes in diabetes mellitus type 2 patients: a cross-sectional study

Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review

Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study

Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: a case study

Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review

Similar Documents

A systematic literature review of the implementation of integrated care for people with diabetes mellitus type 2: context, mechanisms and outcomes

The implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: context, mechanisms and outcomes

Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review

Implementation of integrated geriatric care at a German hospital: a case study to understand when and why beneficial outcomes can be achieved

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Guideline adherence and health outcomes in diabetes mellitus type 2 patients: a cross-sectional study

Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review

Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study

Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: a case study

Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review