Innovative models of healthcare delivery: an umbrella review of reviews

Natalie Roberts, Ann Carrigan, Robyn Clay-Williams, Peter Hibbert, Zeyad Mahmoud (), Chiara Pomare, Diana Fajardo Pulido, Isabelle Meulenbroeks, Gilbert Knaggs, Elizabeth Austin, Kate Churruca, Louise Ellis, Janet Long, Karen Hutchinson, Stephanie Best, Brona Nic Giolla Easpaig, Mitchell Sarkies, Emilie Francis Auton, Sarah Hatem, Genevieve Dammery, Mai-Tran Nguyen, Hoa Nguyen, Gaston Arnolda, Frances Rapport, Yvonne Zurynski, Katherine Maka and Jeffrey Braithwaite
Additional contact information
Natalie Roberts: Macquarie University [Sydney]
Ann Carrigan: Macquarie University [Sydney]
Robyn Clay-Williams: Macquarie University [Sydney]
Peter Hibbert: Macquarie University [Sydney], University of South Australia [Adelaide]
Zeyad Mahmoud: Macquarie University [Sydney], LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - Nantes Univ - IAE Nantes - Nantes Université - Institut d'Administration des Entreprises - Nantes - Nantes Université - pôle Sociétés - Nantes Univ - Nantes Université
Chiara Pomare: Macquarie University [Sydney]
Diana Fajardo Pulido: Macquarie University [Sydney]
Isabelle Meulenbroeks: Macquarie University [Sydney]
Gilbert Knaggs: Macquarie University [Sydney]
Elizabeth Austin: Macquarie University [Sydney]
Kate Churruca: Macquarie University [Sydney]
Louise Ellis: Macquarie University [Sydney]
Janet Long: Macquarie University [Sydney]
Karen Hutchinson: Macquarie University [Sydney]
Stephanie Best: Macquarie University [Sydney], MCRI - Murdoch Children's Research Institute
Brona Nic Giolla Easpaig: Macquarie University [Sydney]
Mitchell Sarkies: Macquarie University [Sydney]
Emilie Francis Auton: Macquarie University [Sydney]
Sarah Hatem: Macquarie University [Sydney]
Genevieve Dammery: Macquarie University [Sydney]
Mai-Tran Nguyen: Macquarie University [Sydney]
Hoa Nguyen: Macquarie University [Sydney]
Gaston Arnolda: Macquarie University [Sydney]
Frances Rapport: Macquarie University [Sydney]
Yvonne Zurynski: Macquarie University [Sydney]
Jeffrey Braithwaite: Macquarie University [Sydney]

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Abstract: 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 selfmanagement, patient knowledge, quality of life and costeffectiveness. 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.

Date: 2023-02
Note: View the original document on HAL open archive server: https://hal.science/hal-04256108v1
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Published in BMJ Open, 2023, 13 (2), pp.e066270. ⟨10.1136/bmjopen-2022-066270⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04256108

DOI: 10.1136/bmjopen-2022-066270

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