Achieving quadruple aim goals through clinical networks: A systematic review
| Autor: | M Panella, Antonella D'Alleva, Luk Bruyneel, Carmela Rinaldi, Kris Vanhaecht, G. Cangelosi, Dirk De Ridder, Fabrizio Leigheb, F. Di Stanislao |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
National Health Programs
media_common.quotation_subject Objetivo cuádruple MEDLINE Context (language use) CINAHL Disease Mejora de la calidad Organización sanitaria Clinical networks Infant Newborn Diseases Resource Allocation 03 medical and health sciences 0302 clinical medicine Patient satisfaction Outcome Assessment Health Care Health care Humans Quality (business) Redes clínicas 030212 general & internal medicine Quality improvement Healthcare organization Quality of Health Care Randomized Controlled Trials as Topic media_common Medical education Delivery of Health Care Integrated business.industry Resultados de los servicios de salud 030503 health policy & services Health Policy Infant Newborn Health Care Costs Quality Improvement Health services outcomes Observational Studies as Topic Systematic review Chronic Disease Quadruple aim Interdisciplinary Communication 0305 other medical science business Psychology Goals |
| Zdroj: | Journal of Healthcare Quality Research. 34:29-39 |
| ISSN: | 2603-6479 |
| DOI: | 10.1016/j.jhqr.2018.10.010 |
| Popis: | INTRODUCTION: Clinical Networks are complex interventions that enable healthcare professionals from various disciplines to work in a coordinated manner in the context of multiple care settings, to provide a high quality response to a specific disease. The aim of this study was to evaluate if clinical networks are able to improve effectiveness, efficiency, patients' satisfaction and professionals' behavior in the health care settings, namely the "quadruple aim" quality goals. MATERIALS AND METHODS: A systematic review of documents published until February 28, 2018, in Medline, Embase and CINAHL was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach. A specific research strategy was created to identify studies evaluating effectiveness, efficiency, patient satisfaction and professionals well-being obtained through clinical networks implementation. RESULTS: 14249 studies were identified; 12 of these were eligible to the evaluation of "Quadruple Aim" outcomes. 9 studies focused on patients' outcomes improvement and 4 on network efficiency. Professionals' and patients' experience were not considered in any study. CONCLUSIONS: There are some evidences that clinical network can improve patients' outcomes and health funds allocation in a small number of moderate-low quality studies. Further rigorous studies are needed to confirm these findings and to evaluate patients' and professionals' experience, taking into account also networks' structural features that could influence outcomes achievement. ispartof: Journal of Healthcare Quality Research vol:34 issue:1 pages:29-39 ispartof: location:Spain status: published |
| Databáze: | OpenAIRE |
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