Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review

Alaa Youssef; Zarah K Chaudhary; David Wiljer; Maria Mylopoulos; Sanjeev Sockalingam

doi:10.1016/j.genhosppsych.2019.08.004

Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review

Gen Hosp Psychiatry. 2019 Nov-Dec:61:1-9. doi: 10.1016/j.genhosppsych.2019.08.004. Epub 2019 Aug 16.

Authors

Alaa Youssef¹, Zarah K Chaudhary², David Wiljer³, Maria Mylopoulos⁴, Sanjeev Sockalingam⁵

Affiliations

¹ Institute for Medical Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.
² The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.
³ Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; University Health Network Centre for Mental Health, Toronto, Ontario, Canada; The Institute for Health Policy, Management and Education, University of Toronto, Toronto, Ontario, Canada.
⁴ The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada.
⁵ Institute for Medical Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada; University Health Network Centre for Mental Health, Toronto, Ontario, Canada; Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada. Electronic address: sanjeev.sockalingam@uhn.ca.

PMID: 31479842
DOI: 10.1016/j.genhosppsych.2019.08.004

Abstract

Objectives: Despite the established clinical and cost-effectiveness of integrated care (IC) models for patients with comorbid mental and physical illness, little is known about whether these models facilitate a better care experience from the patient's perspective. The authors conducted a scoping review of the literature to explore how IC influences patients' care experiences.

Methods: MEDLINE, EMBASE, PSYC INFO CINAHL, AMED, the Cochrane Library, and grey literature were searched to identify relevant articles. Eligible studies were systematically reviewed and analyzed, using thematic analysis approach, to identify patterns, trends, and variation in patient experience within IC settings.

Results: Search results yielded 5250 unique resources of which 21 primary studies met our eligibility criteria for analysis. Findings from this scoping review revealed variation in patients' experiences in IC settings. IC models enhanced patients' experience by creating theraputic spaces: improving patient access to care, developing collaborative relationships, and personalizing patient care to address individual needs.

Conclusion: Productive interactions with care team were key to improve patient engagement and experience of centeredness in IC settings. Successful implementation of IC demanded purposeful alignment of IC structural components and care processes to create therapeutic spaces that address patient care needs and preferences.

Keywords: Behavioural health in primary care; Collaborative care; Integrated care; Mental health; Patient experience; Patient-centered care.

Publication types

Research Support, Non-U.S. Gov't
Scoping Review

MeSH terms

Delivery of Health Care, Integrated*
Humans
Mental Health Services*
Patient Satisfaction*
Patient-Centered Care*
Primary Health Care*