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Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis

Research output: Contribution to journalArticle

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Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation : A systematic review and narrative synthesis. / Sadler, Euan; Potterton, Victoria; Anderson, Ruth; Khadjesari, Zarnie; Sheehan, Katie; Butt, Farida; Sevdalis, Nick; Sandall, Jane.

In: PLoS ONE, Vol. 14, No. 5, e0216488, 13.05.2019, p. e0216488.

Research output: Contribution to journalArticle

Harvard

Sadler, E, Potterton, V, Anderson, R, Khadjesari, Z, Sheehan, K, Butt, F, Sevdalis, N & Sandall, J 2019, 'Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis', PLoS ONE, vol. 14, no. 5, e0216488, pp. e0216488. https://doi.org/10.1371/journal.pone.0216488

APA

Sadler, E., Potterton, V., Anderson, R., Khadjesari, Z., Sheehan, K., Butt, F., ... Sandall, J. (2019). Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis. PLoS ONE, 14(5), e0216488. [e0216488]. https://doi.org/10.1371/journal.pone.0216488

Vancouver

Sadler E, Potterton V, Anderson R, Khadjesari Z, Sheehan K, Butt F et al. Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis. PLoS ONE. 2019 May 13;14(5):e0216488. e0216488. https://doi.org/10.1371/journal.pone.0216488

Author

Sadler, Euan ; Potterton, Victoria ; Anderson, Ruth ; Khadjesari, Zarnie ; Sheehan, Katie ; Butt, Farida ; Sevdalis, Nick ; Sandall, Jane. / Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation : A systematic review and narrative synthesis. In: PLoS ONE. 2019 ; Vol. 14, No. 5. pp. e0216488.

Bibtex Download

@article{ca6c167871b941579a0f0f919312beb2,
title = "Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis",
abstract = "IntroductionOlder people with frailty (OPF) can experience reduced quality of care and adverse outcomes due to poorly coordinated and fragmented care, making this patient population a key target group for integrated care. This systematic review explores service user, carer and provider perspectives on integrated care for OPF, and factors perceived to facilitate and hinder implementation, to draw out implications for policy, practice and research.MethodsSystematic review and narrative synthesis of qualitative studies identified from MEDLINE, CINAHL, PsycINFO and Social Sciences Citation Index, hand-searching of reference lists and citation tracking of included studies, and review of experts’ online profiles. Quality of included studies was appraised with The Critical Appraisal Skills Programme tool for qualitative researchResultsEighteen studies were included in the synthesis. We identified four themes related to stakeholder perspectives on integrated care for OPF: different preferences for integrated care among service users, system and service organisation components, relational aspects of care and support, and stakeholder perceptions of outcomes. Service users and carers highlighted continuity of care with a professional they could trust, whereas providers emphasised improved coordination of care between providers in different care sectors as key strategies for integrated care. We identified three themes related to factors facilitatingand hindering implementation: perceptions of the integrated care intervention and target population, service organisational factors and system level factors influencing implementation. Different stakeholder groups perceived the complexity of care needs of this patient population, difficulties with system navigation and access, and limited service user and carer involvement in care decisions as key factors hindering implementation. Providers mainly also highlighted other organisational and system factors perceived to facilitate and hinder implementation of integrated care for OPF.",
author = "Euan Sadler and Victoria Potterton and Ruth Anderson and Zarnie Khadjesari and Katie Sheehan and Farida Butt and Nick Sevdalis and Jane Sandall",
year = "2019",
month = "5",
day = "13",
doi = "10.1371/journal.pone.0216488",
language = "English",
volume = "14",
pages = "e0216488",
journal = "PL o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
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}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation

T2 - A systematic review and narrative synthesis

AU - Sadler, Euan

AU - Potterton, Victoria

AU - Anderson, Ruth

AU - Khadjesari, Zarnie

AU - Sheehan, Katie

AU - Butt, Farida

AU - Sevdalis, Nick

AU - Sandall, Jane

PY - 2019/5/13

Y1 - 2019/5/13

N2 - IntroductionOlder people with frailty (OPF) can experience reduced quality of care and adverse outcomes due to poorly coordinated and fragmented care, making this patient population a key target group for integrated care. This systematic review explores service user, carer and provider perspectives on integrated care for OPF, and factors perceived to facilitate and hinder implementation, to draw out implications for policy, practice and research.MethodsSystematic review and narrative synthesis of qualitative studies identified from MEDLINE, CINAHL, PsycINFO and Social Sciences Citation Index, hand-searching of reference lists and citation tracking of included studies, and review of experts’ online profiles. Quality of included studies was appraised with The Critical Appraisal Skills Programme tool for qualitative researchResultsEighteen studies were included in the synthesis. We identified four themes related to stakeholder perspectives on integrated care for OPF: different preferences for integrated care among service users, system and service organisation components, relational aspects of care and support, and stakeholder perceptions of outcomes. Service users and carers highlighted continuity of care with a professional they could trust, whereas providers emphasised improved coordination of care between providers in different care sectors as key strategies for integrated care. We identified three themes related to factors facilitatingand hindering implementation: perceptions of the integrated care intervention and target population, service organisational factors and system level factors influencing implementation. Different stakeholder groups perceived the complexity of care needs of this patient population, difficulties with system navigation and access, and limited service user and carer involvement in care decisions as key factors hindering implementation. Providers mainly also highlighted other organisational and system factors perceived to facilitate and hinder implementation of integrated care for OPF.

AB - IntroductionOlder people with frailty (OPF) can experience reduced quality of care and adverse outcomes due to poorly coordinated and fragmented care, making this patient population a key target group for integrated care. This systematic review explores service user, carer and provider perspectives on integrated care for OPF, and factors perceived to facilitate and hinder implementation, to draw out implications for policy, practice and research.MethodsSystematic review and narrative synthesis of qualitative studies identified from MEDLINE, CINAHL, PsycINFO and Social Sciences Citation Index, hand-searching of reference lists and citation tracking of included studies, and review of experts’ online profiles. Quality of included studies was appraised with The Critical Appraisal Skills Programme tool for qualitative researchResultsEighteen studies were included in the synthesis. We identified four themes related to stakeholder perspectives on integrated care for OPF: different preferences for integrated care among service users, system and service organisation components, relational aspects of care and support, and stakeholder perceptions of outcomes. Service users and carers highlighted continuity of care with a professional they could trust, whereas providers emphasised improved coordination of care between providers in different care sectors as key strategies for integrated care. We identified three themes related to factors facilitatingand hindering implementation: perceptions of the integrated care intervention and target population, service organisational factors and system level factors influencing implementation. Different stakeholder groups perceived the complexity of care needs of this patient population, difficulties with system navigation and access, and limited service user and carer involvement in care decisions as key factors hindering implementation. Providers mainly also highlighted other organisational and system factors perceived to facilitate and hinder implementation of integrated care for OPF.

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U2 - 10.1371/journal.pone.0216488

DO - 10.1371/journal.pone.0216488

M3 - Article

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VL - 14

SP - e0216488

JO - PL o S One

JF - PL o S One

SN - 1932-6203

IS - 5

M1 - e0216488

ER -

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