Innovative models of healthcare delivery: an umbrella review of reviews
Objective To undertake a synthesis of evidence-based research for seven innovative models of care to inform the development of new hospitals.Design Umbrella review.Setting Interventions delivered inside and outside of acute care settings.Participants Children and adults with one or more identified a...
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| Format: | Article |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e066270.full |
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| author | Frances Rapport Jeffrey Braithwaite Yvonne Zurynski Peter D Hibbert Kate Churruca Louise A Ellis Chiara Pomare Robyn Clay-Williams Stephanie Best Janet C Long Gaston Arnolda Bróna Nic Giolla Easpaig Zeyad Mahmoud Mitchell N Sarkies Hoa Mi Nguyen Karen Hutchinson Gilbert Thomas Knaggs Katherine Maka Elizabeth E Austin Diana Fajardo Pulido Sarah Hatem Natalie Roberts Emilie Francis Auton Genevieve Dammery Isabelle Meulenbroeks Ann Carrigan Mai-Tran Nguyen |
| author_facet | Frances Rapport Jeffrey Braithwaite Yvonne Zurynski Peter D Hibbert Kate Churruca Louise A Ellis Chiara Pomare Robyn Clay-Williams Stephanie Best Janet C Long Gaston Arnolda Bróna Nic Giolla Easpaig Zeyad Mahmoud Mitchell N Sarkies Hoa Mi Nguyen Karen Hutchinson Gilbert Thomas Knaggs Katherine Maka Elizabeth E Austin Diana Fajardo Pulido Sarah Hatem Natalie Roberts Emilie Francis Auton Genevieve Dammery Isabelle Meulenbroeks Ann Carrigan Mai-Tran Nguyen |
| author_sort | Frances Rapport |
| collection | DOAJ |
| description | Objective To undertake a synthesis of evidence-based research for seven innovative models of care to inform the development of new hospitals.Design Umbrella review.Setting Interventions delivered inside and outside of acute care settings.Participants Children and adults with one or more identified acute or chronic health conditions.Data sources PsycINFO, Ovid MEDLINE and CINAHL.Primary and secondary outcome measures Clinical indicators and mortality, healthcare utilisation, quality of life, self-management and self-care and patient knowledge.Results A total of 66 reviews were included, synthesising evidence from 1272 primary studies across the 7 models of care. Virtual care was the most common model studied, addressed by 47 (73%) of the reviews. Common outcomes evaluated across reviews were clinical indicators and mortality, healthcare utilisation, self-care and self-management, patient knowledge, quality of life and cost-effectiveness. The findings indicate that the innovative models of healthcare we identified in this review may be effective in managing patients with a range of acute and chronic conditions. Most of the included reviews reported evidence of comparable or improved care.Conclusions A consideration of local infrastructure and individual patient characteristics, such as health literacy, may be critical in determining the suitability of models of care for patients and their implementation in local health systems.Trial registration number 10.17605/OSF.IO/PS6ZU. |
| format | Article |
| id | doaj-art-5a05406b84f8497894855b2cb488ff34 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5a05406b84f8497894855b2cb488ff342025-02-07T08:35:09ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-066270Innovative models of healthcare delivery: an umbrella review of reviewsFrances Rapport0Jeffrey Braithwaite1Yvonne Zurynski2Peter D Hibbert3Kate Churruca4Louise A Ellis5Chiara Pomare6Robyn Clay-Williams7Stephanie Best8Janet C Long9Gaston Arnolda10Bróna Nic Giolla Easpaig11Zeyad Mahmoud12Mitchell N Sarkies13Hoa Mi Nguyen14Karen Hutchinson15Gilbert Thomas Knaggs16Katherine Maka17Elizabeth E Austin18Diana Fajardo Pulido19Sarah Hatem20Natalie Roberts21Emilie Francis Auton22Genevieve Dammery23Isabelle Meulenbroeks24Ann Carrigan25Mai-Tran Nguyen26Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia5 Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaprofessorAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia5 Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, AustraliaAustralian Genomics Health Alliance, Parkville, Victoria, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia2 Western Sydney Local Health District, Wentworthville, New South Wales, Australia1 Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australiaresearch assistantAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australiaresearch fellowAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaObjective To undertake a synthesis of evidence-based research for seven innovative models of care to inform the development of new hospitals.Design Umbrella review.Setting Interventions delivered inside and outside of acute care settings.Participants Children and adults with one or more identified acute or chronic health conditions.Data sources PsycINFO, Ovid MEDLINE and CINAHL.Primary and secondary outcome measures Clinical indicators and mortality, healthcare utilisation, quality of life, self-management and self-care and patient knowledge.Results A total of 66 reviews were included, synthesising evidence from 1272 primary studies across the 7 models of care. Virtual care was the most common model studied, addressed by 47 (73%) of the reviews. Common outcomes evaluated across reviews were clinical indicators and mortality, healthcare utilisation, self-care and self-management, patient knowledge, quality of life and cost-effectiveness. The findings indicate that the innovative models of healthcare we identified in this review may be effective in managing patients with a range of acute and chronic conditions. Most of the included reviews reported evidence of comparable or improved care.Conclusions A consideration of local infrastructure and individual patient characteristics, such as health literacy, may be critical in determining the suitability of models of care for patients and their implementation in local health systems.Trial registration number 10.17605/OSF.IO/PS6ZU.https://bmjopen.bmj.com/content/13/2/e066270.full |
| spellingShingle | Frances Rapport Jeffrey Braithwaite Yvonne Zurynski Peter D Hibbert Kate Churruca Louise A Ellis Chiara Pomare Robyn Clay-Williams Stephanie Best Janet C Long Gaston Arnolda Bróna Nic Giolla Easpaig Zeyad Mahmoud Mitchell N Sarkies Hoa Mi Nguyen Karen Hutchinson Gilbert Thomas Knaggs Katherine Maka Elizabeth E Austin Diana Fajardo Pulido Sarah Hatem Natalie Roberts Emilie Francis Auton Genevieve Dammery Isabelle Meulenbroeks Ann Carrigan Mai-Tran Nguyen Innovative models of healthcare delivery: an umbrella review of reviews BMJ Open |
| title | Innovative models of healthcare delivery: an umbrella review of reviews |
| title_full | Innovative models of healthcare delivery: an umbrella review of reviews |
| title_fullStr | Innovative models of healthcare delivery: an umbrella review of reviews |
| title_full_unstemmed | Innovative models of healthcare delivery: an umbrella review of reviews |
| title_short | Innovative models of healthcare delivery: an umbrella review of reviews |
| title_sort | innovative models of healthcare delivery an umbrella review of reviews |
| url | https://bmjopen.bmj.com/content/13/2/e066270.full |
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