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Measurement Instruments for Integration within Children and Young People Healthcare Systems and Networks: A Rapid Review of the International Literature

Lookup NU author(s): Dr Steph Scott, Dr Frances Hillier-Brown



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 2023 The Author(s).Introduction: Robust measures of integration are essential for assessment of the development, design and implementation of integration within healthcare systems. This review aimed to identify measurement instruments for integration within children and young people’s (CYP) healthcare systems (PROSPERO registration number CRD42021235383). Methods: We searched electronic databases (PubMED and Ovid Embase) using three main concepts: ‘(integrated care) AND (child population) AND (measurement)’, along with additional searches. Results: Fifteen studies describing 16 measurement instruments were eligible for inclusion. The majority of studies were conducted in the USA. There was a diversity of health conditions included in the studies. The most frequent type of assessment used was a questionnaire (11 identified), but interviews, patient data and healthcare records, and focus groups were also used. Integration outcomes assessed were quality of care coordination, quality of collaboration, continuity of care, completeness of care, structure of care, quality of communication, and local implementation of integrated care. Conclusion: A variety of instruments for the measurement of integration within CYP healthcare systems were identified. Further work on the standardisation of integrated care measures would be valuable; however, it is important that instruments and measures meet the needs of specific settings, populations and conditions being studied.

Publication metadata

Author(s): Dedat Z, Hope S, Hargreaves D, Lloyd-Houldey O, Nicholls D, Scott S, Stepanova E, Summerbell C, Viner RM, Hillier-Brown F

Publication type: Article

Publication status: Published

Journal: International Journal of Integrated Care

Year: 2023

Volume: 23

Issue: 2

Online publication date: 23/05/2023

Acceptance date: 09/05/2023

Date deposited: 11/07/2023

ISSN (electronic): 1568-4156

Publisher: Ubiquity Press


DOI: 10.5334/ijic.7028


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Funder referenceFunder name
National Institute for Health and Care Research