Skip to main content
Top
Published in: Systematic Reviews 1/2022

Open Access 01-12-2022 | Care | Protocol

Information and Communication Technologies (ICTs) enabling integrated primary care for complex patients: a protocol for a scoping review

Authors: Farah Tahsin, Alana Armas, Apery Kirakalaprathapan, Heather Cunningham, Mudathira Kadu, Jasvinei Sritharan, Carolyn Steele Gray

Published in: Systematic Reviews | Issue 1/2022

Login to get access

Abstract

Introduction

An increasing number of individuals are living with multiple chronic conditions, often combined with psychosocial complexities. For these patients with complex conditions, an integrated primary care model that provides care coordination and a team-based approach can help manage their multiple needs. Information and communication technologies (ICTs) are recognized as a critical enabler of integrated primary care. A better understanding of the use of ICTs in an integrated care setting and how ICTs are being leveraged would be beneficial to identify knowledge gaps and could lead to successful implementation for ICT-based interventions.

Objective

This study will systematically scope the literature on the topic of ICT-enabled integrated healthcare delivery models for patients with complex care needs to identify which technologies have been used in integrated primary care settings.

Method

This study protocol outlines a scoping review of the peer-reviewed literature, using Arksey and O’Malley’s (enhanced by Levac et al.) scoping review methodology. Peer-reviewed literature will be identified using a multi-database search strategy. The results of the search will be screened, abstracted, and charted in duplicate by six research team members.

Discussion

The key findings of the study will be thematically analyzed to describe the implemented ICTs aimed for complex patients within the integrated primary care model. The finding will highlight what types of ICTs are being put in place to support these models, and how these ICTs are enabling care integration. This review will be the first step to formally identify how ICT is used to support integrated primary health care models. The results will be disseminated through peer-reviewed publications, conference presentations, and special interest groups.
Appendix
Available only for authorised users
Literature
1.
go back to reference Schaink AK, Kuluski K, Lyons RF, Fortin M, Jadad AR, Upshur R, et al. A scoping review and thematic classification of patient complexity: offering a unifying framework. J Comorbid. 2012;2(1):1–9.CrossRef Schaink AK, Kuluski K, Lyons RF, Fortin M, Jadad AR, Upshur R, et al. A scoping review and thematic classification of patient complexity: offering a unifying framework. J Comorbid. 2012;2(1):1–9.CrossRef
2.
go back to reference Geda NR, Janzen B, Pahwa P. Chronic disease multimorbidity among the Canadian population: prevalence and associated lifestyle factors. Arch Public Health. 2021;79(1):60.CrossRefPubMedPubMedCentral Geda NR, Janzen B, Pahwa P. Chronic disease multimorbidity among the Canadian population: prevalence and associated lifestyle factors. Arch Public Health. 2021;79(1):60.CrossRefPubMedPubMedCentral
3.
go back to reference Hajat C, Stein E. The global burden of multiple chronic conditions: a narrative revie[1] C. Hajat and E. Stein, “The global burden of multiple chronic conditions: a narrative review,” Preventive Medicine Reports, vol. 12. Elsevier Inc., pp. 284–293, 01-Dec-2018.w. Prev Med Rep. 2018;12:284–93.CrossRefPubMedPubMedCentral Hajat C, Stein E. The global burden of multiple chronic conditions: a narrative revie[1] C. Hajat and E. Stein, “The global burden of multiple chronic conditions: a narrative review,” Preventive Medicine Reports, vol. 12. Elsevier Inc., pp. 284–293, 01-Dec-2018.w. Prev Med Rep. 2018;12:284–93.CrossRefPubMedPubMedCentral
4.
go back to reference Zulman DM, Pal Chee C, Wagner TH, Yoon J, Cohen DM, Holmes TH, et al. Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System. BMJ Open. 2015;5(4):e007771.CrossRefPubMedPubMedCentral Zulman DM, Pal Chee C, Wagner TH, Yoon J, Cohen DM, Holmes TH, et al. Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System. BMJ Open. 2015;5(4):e007771.CrossRefPubMedPubMedCentral
5.
go back to reference Burgers JS, Voerman GE, Grol R, Faber MJ, Schneider EC. Quality and coordination of care for patients with multiple conditions: results from an international survey of patient experience. Eval Health Prof. 2010;33(3):343–64.CrossRefPubMed Burgers JS, Voerman GE, Grol R, Faber MJ, Schneider EC. Quality and coordination of care for patients with multiple conditions: results from an international survey of patient experience. Eval Health Prof. 2010;33(3):343–64.CrossRefPubMed
6.
go back to reference Roberts KC, Rao DP, Bennett TL, Loukine L, Jayaraman GC. Prevalence and patterns of chronic disease multimorbidity and associated determinants in Canada. Health Promot Chronic Dis Prev Can. 2015;35(6):87–94.CrossRefPubMedPubMedCentral Roberts KC, Rao DP, Bennett TL, Loukine L, Jayaraman GC. Prevalence and patterns of chronic disease multimorbidity and associated determinants in Canada. Health Promot Chronic Dis Prev Can. 2015;35(6):87–94.CrossRefPubMedPubMedCentral
8.
go back to reference Reuben DB, Tinetti ME. Goal-oriented patient care - An alternative health outcomes paradigm. N Engl J Med. 2012;366(9):777–9.CrossRefPubMed Reuben DB, Tinetti ME. Goal-oriented patient care - An alternative health outcomes paradigm. N Engl J Med. 2012;366(9):777–9.CrossRefPubMed
9.
go back to reference Kuluski K, Peckham A, Gill A, Gagnon D, Wong-Cornall C, McKillop A, et al. What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective. In J Integr Care. 2019;19(3):4–4.CrossRef Kuluski K, Peckham A, Gill A, Gagnon D, Wong-Cornall C, McKillop A, et al. What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective. In J Integr Care. 2019;19(3):4–4.CrossRef
10.
go back to reference Starfield B. Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012. Gac Sanit. 2012;26(SUPPL.1):20–6.CrossRefPubMed Starfield B. Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012. Gac Sanit. 2012;26(SUPPL.1):20–6.CrossRefPubMed
11.
go back to reference Wagner EH. The role of patient care teams in chronic disease management. Br Med J. 2000;320(7234):569–72.CrossRef Wagner EH. The role of patient care teams in chronic disease management. Br Med J. 2000;320(7234):569–72.CrossRef
12.
go back to reference Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff. 2009;28(1):75–85.CrossRef Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff. 2009;28(1):75–85.CrossRef
13.
go back to reference Renders CM, Valk GD, Griffin SJ, Wagner E, van Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Syst Rev. 2000;2000(4):CD001481.PubMedCentral Renders CM, Valk GD, Griffin SJ, Wagner E, van Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Syst Rev. 2000;2000(4):CD001481.PubMedCentral
14.
go back to reference Davy C, Bleasel J, Liu H, Tchan M, Ponniah S, Brown A. Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review. BMC Health Serv Res. 2015;15(1):194.CrossRefPubMedPubMedCentral Davy C, Bleasel J, Liu H, Tchan M, Ponniah S, Brown A. Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review. BMC Health Serv Res. 2015;15(1):194.CrossRefPubMedPubMedCentral
15.
go back to reference Austin B, Wagner E, Hindmarsh M, Davis C. Elements of effective chronic care: a model for optimizing outcomes for the chronically ill. Epilepsy Behav. 2000;1(4) [cited 2021 Nov 4]. Available from: http://www.idealibrary.com. Austin B, Wagner E, Hindmarsh M, Davis C. Elements of effective chronic care: a model for optimizing outcomes for the chronically ill. Epilepsy Behav. 2000;1(4) [cited 2021 Nov 4]. Available from: http://​www.​idealibrary.​com.
16.
go back to reference Bodenheimer T, Wagner EH, Kevin Grumbach M, Corresponding Author W. Improving primary care for patients with chronic illness the chronic care model, Part 2. Innov Prim Care JAMA. 2002;288:1909–14 Available from: www.jama.com. Bodenheimer T, Wagner EH, Kevin Grumbach M, Corresponding Author W. Improving primary care for patients with chronic illness the chronic care model, Part 2. Innov Prim Care JAMA. 2002;288:1909–14 Available from: www.​jama.​com.
18.
go back to reference Gammon D, Berntsen GKR, Koricho AT, Sygna K, Ruland C. The Chronic Care Model and technological research and innovation: a scoping review at the crossroad. J Med Internet Res. 2015;17(2):e25.CrossRefPubMedPubMedCentral Gammon D, Berntsen GKR, Koricho AT, Sygna K, Ruland C. The Chronic Care Model and technological research and innovation: a scoping review at the crossroad. J Med Internet Res. 2015;17(2):e25.CrossRefPubMedPubMedCentral
21.
go back to reference Eysenbach G. What is e-health? J Med Internet Res. 2001;3(2):E20. Eysenbach G. What is e-health? J Med Internet Res. 2001;3(2):E20.
22.
go back to reference Shaw T, McGregor D, Brunner M, Keep M, Janssen A, Barnet S. What is eHealth (6)? Development of a conceptual model for ehealth: qualitative study with key informants. J Med Internet Res. 2017;19(10):e324.CrossRefPubMedPubMedCentral Shaw T, McGregor D, Brunner M, Keep M, Janssen A, Barnet S. What is eHealth (6)? Development of a conceptual model for ehealth: qualitative study with key informants. J Med Internet Res. 2017;19(10):e324.CrossRefPubMedPubMedCentral
23.
go back to reference Pim P. Valentijn, Sanneke M. Schepman, Wilfrid Opheij, Marc A. Bruijnzeels. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13(1). Pim P. Valentijn, Sanneke M. Schepman, Wilfrid Opheij, Marc A. Bruijnzeels. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13(1).
24.
go back to reference Valentijn PP, Pereira F, Sterner CW, Vrijhoef HJM, Ruwaard D, Hegbrant J, et al. Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers. PLoS One. 2019;14(9):e0222593.CrossRefPubMedPubMedCentral Valentijn PP, Pereira F, Sterner CW, Vrijhoef HJM, Ruwaard D, Hegbrant J, et al. Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers. PLoS One. 2019;14(9):e0222593.CrossRefPubMedPubMedCentral
25.
go back to reference Boesveld IC, Valentijn PP, Hitzert M, Hermus MAA, Franx A, de Vries RG, et al. An Approach to measuring integrated care within a maternity care system: experiences from the maternity care network study and the Dutch birth centre study. Int J Integr Care. 2017;17(2):6.CrossRefPubMedPubMedCentral Boesveld IC, Valentijn PP, Hitzert M, Hermus MAA, Franx A, de Vries RG, et al. An Approach to measuring integrated care within a maternity care system: experiences from the maternity care network study and the Dutch birth centre study. Int J Integr Care. 2017;17(2):6.CrossRefPubMedPubMedCentral
26.
go back to reference Perlin JB, Kolodner RM, Roswell RH. The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care. HealthcarePapers. 2005;5(4):10–24.CrossRefPubMed Perlin JB, Kolodner RM, Roswell RH. The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care. HealthcarePapers. 2005;5(4):10–24.CrossRefPubMed
27.
go back to reference Steele Gray C, Barnsley J, Gagnon D, Belzile L, Kenealy T, Shaw J, et al. Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies. Implement Sci. 2018;13(1):1–14.CrossRef Steele Gray C, Barnsley J, Gagnon D, Belzile L, Kenealy T, Shaw J, et al. Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies. Implement Sci. 2018;13(1):1–14.CrossRef
28.
go back to reference Morton K, Dennison L, May C, Murray E, Little P, McManus RJ, et al. Using digital interventions for self-management of chronic physical health conditions: a meta-ethnography review of published studies Europe PMC Funders Group. Patient Educ Couns. 2017;100(4):616–35.CrossRefPubMed Morton K, Dennison L, May C, Murray E, Little P, McManus RJ, et al. Using digital interventions for self-management of chronic physical health conditions: a meta-ethnography review of published studies Europe PMC Funders Group. Patient Educ Couns. 2017;100(4):616–35.CrossRefPubMed
29.
go back to reference Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Re Method: Theory Pract. 2005;8(1):19–32.CrossRef Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Re Method: Theory Pract. 2005;8(1):19–32.CrossRef
31.
go back to reference Gill PJ, Roberts NW, Wang KY, Heneghan C. Development of a search filter for identifying studies completed in primary care. Fam Pract. 2014;31(6):739–45.CrossRefPubMed Gill PJ, Roberts NW, Wang KY, Heneghan C. Development of a search filter for identifying studies completed in primary care. Fam Pract. 2014;31(6):739–45.CrossRefPubMed
32.
go back to reference Everall AC, Guilcher SJT, Cadel L, Asif M, Li J, Kuluski K, et al. Patient and caregiver experience with delayed discharge from a hospital setting: A scoping review. Health Expect. 2019;22:863–73.CrossRefPubMedPubMedCentral Everall AC, Guilcher SJT, Cadel L, Asif M, Li J, Kuluski K, et al. Patient and caregiver experience with delayed discharge from a hospital setting: A scoping review. Health Expect. 2019;22:863–73.CrossRefPubMedPubMedCentral
33.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Revista española de cardiología (English ed). 2021;74(9):790–9. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Revista española de cardiología (English ed). 2021;74(9):790–9.
34.
go back to reference Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–73.CrossRefPubMed Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–73.CrossRefPubMed
35.
go back to reference Evans JM, Grudniewicz A, Gray CS, Wodchis WP, Carswell P, Baker GR. Organizational context matters: a research toolkit for conducting standardized case studies of integrated care initiatives. Int J Integr Care. 2017;17(2):9.CrossRefPubMedPubMedCentral Evans JM, Grudniewicz A, Gray CS, Wodchis WP, Carswell P, Baker GR. Organizational context matters: a research toolkit for conducting standardized case studies of integrated care initiatives. Int J Integr Care. 2017;17(2):9.CrossRefPubMedPubMedCentral
36.
go back to reference Nutting PA, Gallagher KM, Riley K, White S, Dietrich AJ, Dickinson WP. Implementing a depression improvement intervention in five health care organizations: Experience from the RESPECT-Depression trial. Adm Policy Ment Health Ment Health Serv Res. 2007;34(2):127–37.CrossRef Nutting PA, Gallagher KM, Riley K, White S, Dietrich AJ, Dickinson WP. Implementing a depression improvement intervention in five health care organizations: Experience from the RESPECT-Depression trial. Adm Policy Ment Health Ment Health Serv Res. 2007;34(2):127–37.CrossRef
37.
go back to reference Thielke S, Vannoy S, Unützer J. Integrating mental health and primary care. Prim Care - Clin Office Pract. 2007;34(3):571–92.CrossRef Thielke S, Vannoy S, Unützer J. Integrating mental health and primary care. Prim Care - Clin Office Pract. 2007;34(3):571–92.CrossRef
38.
go back to reference Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Implement. 2021;19(1):3–10.CrossRefPubMed Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Implement. 2021;19(1):3–10.CrossRefPubMed
39.
go back to reference Creswell JW, Creswell JW. Qualitative inquiry & research design : choosing among five approaches. 2nd ed. Thousand Oaks: Sage Publications; 2007. Creswell JW, Creswell JW. Qualitative inquiry & research design : choosing among five approaches. 2nd ed. Thousand Oaks: Sage Publications; 2007.
41.
go back to reference Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143.CrossRefPubMedPubMedCentral Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143.CrossRefPubMedPubMedCentral
Metadata
Title
Information and Communication Technologies (ICTs) enabling integrated primary care for complex patients: a protocol for a scoping review
Authors
Farah Tahsin
Alana Armas
Apery Kirakalaprathapan
Heather Cunningham
Mudathira Kadu
Jasvinei Sritharan
Carolyn Steele Gray
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
Systematic Reviews / Issue 1/2022
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-022-02057-5

Other articles of this Issue 1/2022

Systematic Reviews 1/2022 Go to the issue