Mapping Evidence of Patients' Experiences in Integrated Care Settings: A Protocol for a Scoping Review

BMJ Open. 2017 Dec 14;7(12):e018311. doi: 10.1136/bmjopen-2017-018311.

Abstract

Introduction: Integrated care (IC) models have emerged to address gaps in care for individuals with complex healthcare needs. Although the clinical and cost-effectiveness of IC models are well-established, our understanding of whether IC models facilitate a patient-centred care experience from the patients' perspective is not well understood. This scoping review aims to comprehensively map the literature to provide a broad overview of patients' experiences in IC settings with a focus on the experiences of complex patients with comorbid mental and physical illnesses. It also aims to describe current gaps identified in the literature in our understanding of aspects of care that are often unrecognised.

Methods and analysis: Using established scoping review frameworks and guidelines, we will perform a comprehensive search in the following databases: MEDLINE, EMBASE, PsycINFO, CINAHL, AMED and the Cochrane Library to identify relevant studies on patients' experiences in IC models. Grey literature sources and studies bibliographies will also be searched to identify relevant studies and documents. Data will be extracted and summarised using descriptive statistical and qualitative analyses. We will also consult with stakeholders from various backgrounds to enhance the comprehensiveness of this review.

Ethics and dissemination: This review requires no ethical approval. Findings from this study will be disseminated through publication in a peer-reviewed journal, clinical conferences and in knowledge translation settings, aiming to improve clinical practice and care delivery.

Keywords: collaborative care; integrated care; mental health; patient experience; patient-centred care.

Publication types

  • Review

MeSH terms

  • Cost-Benefit Analysis
  • Delivery of Health Care, Integrated / standards*
  • Humans
  • Patient-Centered Care / organization & administration*
  • Research Design