The SELFIE framework for integrated care for multi-morbidity: development and description

Leijten, Fenna R.M. and Struckmann, Verena and van Ginneken, Ewout and Czypionka, Thomas and Kraus, Markus and Reiss, Miriam and Tsiachristas, Apostolos and Boland, Melinde and de Bont, Antoinette and Bal, Roland and Busse, Reinhard and Rutten-van Mölken, Maureen (2018) The SELFIE framework for integrated care for multi-morbidity: development and description. Health Policy, 122 (1), pp. 12-22.

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Abstract or Table of Contents

Background: The rise of multi-morbidity constitutes a serious challenge in health and social care organi-sation that requires a shift from disease- towards person-centred integrated care. The aim of the currentstudy was to develop a conceptual framework that can aid the development, implementation, description,and evaluation of integrated care programmes for multi-morbidity.Methods: A scoping review and expert discussions were used to identify and structure concepts forintegrated care for multi-morbidity. A search of scientific and grey literature was conducted.Discussion: meetings were organised within the SELFIE research project with representatives of fivestakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.Results: In the scientific literature 11,641 publications were identified, 92 were included for data extrac-tion. A draft framework was constructed that was adapted after discussion with SELFIE partners from 8 EUcountries and 5P representatives. The core of the framework is the holistic understanding of the personwith multi-morbidity in his or her environment. Around the core, concepts were grouped into adaptedWHO components of health systems: service delivery, leadership & governance, workforce, financing,technologies & medical products, and information & research. Within each component micro, meso, andmacro levels are distinguished.Conclusion: The framework structures relevant concepts in integrated care for multi-morbidity and canbe applied by different stakeholders to guide development, implementation, description, and evaluation.

Item Type: Article in Academic Journal
Keywords: Integrated Care, Multi-Morbidity, Framework, Conceptual Model, Frail Elderly, Chronic Care, Comorbidity
Funders: European Commission Horizon 2020
Research Groups: Health Economics and Health Policy
Status: Published
Date Deposited: 28 Jun 2017 13:54
Last Modified: 04 Apr 2018 12:58

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