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

Leijten, Fenna R.M.; Struckmann, Verena; van Ginneken, Ewout; Czypionka, ThomasORCID:; Kraus, MarkusORCID:; Reiss, MiriamORCID:; Tsiachristas, Apostolos; Boland, Melinde; de Bont, Antoinette; Bal, Roland; 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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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 Units: Current Research Groups > Health Economics and Health Policy
Date Deposited: 28 Jun 2017 13:54
Last Modified: 21 Feb 2024 13:36
DOI: 10.1016/j.healthpol.2017.06.002
ISSN: 0168-8510

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