Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE

Project Information

SELFIE

Grant agreement ID: 634288

DOI 10.3030/634288

Project closed

EC signature date 27 March 2015

Start date 1 September 2015

End date 31 August 2019

Funded under

• SOCIETAL CHALLENGES - Health, demographic change and well-being

Total cost € 5 472 447,25

EU contribution € 5 472 446,75

Coordinated by

ERASMUS UNIVERSITEIT ROTTERDAM
Netherlands

Deliverables

Documents, reports (11)

Outcome measures and importance weights

A list of outcomes and indicators to measure outcomes of ICC models specifically targeting patients with multimorbidity plus five sets of weights that indicate the importance of these outcomes from the perspective of five stakeholder groups patients informal caregivers professionals payers and policy makers

Guide to pricing

Guide to pricing of ICC

Guide to payment schemes

A comprehensive guide to financial and payment schemes that facilitate the provision of ICC to multimorbid patients the incentives they create and the responses to them plus the conditions for successful implementation

Detailed description of 16 best practice ICC models

An analysis of the thick descriptions of the 16 best practice ICC models with a special focus on how the process of care delivery is designed around the patient and how the implementation is supported by ICT applications selfmanagement and new professional roles in best practices

Conceptual framework

Conceptual framework for describing and evaluating ICC models for multimorbid patients plus selection of promising ICC models for further study in WP2

Implementation strategies CEE

Report on barriers and facilitators to implementation of ICC models in CEE plus strategies to transfer the proposed ICC models, financial incentives and performance monitoring tools to CEE.

Taxonomy of ICC models and implementation strategy

Taxonomy of optimal ICC models matching to the different health care systems in EU to tackle the problem of providing patient-centered integrated care to patients with multi-morbidity plus strategies for implementation of these models.

MCDA Framework

A methodological framework to perform a comprehensive evaluation of ICC models for patients with multimorbidity using MCDA and a description of study designs that ensure the outcomes can be causally attributed to the ICC model under investigation given different types of data availability

Results panel data analysis

Results of the panel data analysis of the impact of different financing and payment systems on healthcare expenditure quality and efficiency of care

SELFIE Final Conference report.
Performance-Monitoring Tool

A MCDA based PerformanceMonitoring Tool to monitor target achievement based on performance indicators

Websites, patent fillings, videos etc. (1)

Website

SELFIE website and associated contents regularly updated with Virtual Private Working Platform

Publications

Peer reviewed articles (16)

Defining good health and care from the perspective of persons with multimorbidity: results from a qualitative study of focus groups in eight European countries

Author(s): Fenna R M Leijten, Maaike Hoedemakers, Verena Struckmann, Markus Kraus, Sudeh Cheraghi-Sohi, Antal Zemplényi, Rune Ervik, Claudia Vallvé, Mirjana Huiĉ, Thomas Czypionka, Melinde Boland, Maureen P M H Rutten-van Mölken
Published in: BMJ Open, Issue 8/8, 2018, Page(s) e021072, ISSN 2044-6055
Publisher: BMJ Publishing Group
DOI: 10.1136/bmjopen-2017-021072

Strengthening the evidence-base of integrated care for people with multi-morbidity in Europe using Multi-Criteria Decision Analysis (MCDA)

Author(s): Maureen Rutten-van Mölken, Fenna Leijten, Maaike Hoedemakers, Apostolos Tsiachristas, Nick Verbeek, Milad Karimi, Roland Bal, Antoinette de Bont, Kamrul Islam, Jan Erik Askildsen, Thomas Czypionka, Markus Kraus, Mirjana Huic, János György Pitter, Verena Vogt, Jonathan Stokes, Erik Baltaxe
Published in: BMC Health Services Research, Issue 18/1, 2018, ISSN 1472-6963
Publisher: BioMed Central
DOI: 10.1186/s12913-018-3367-4

Towards incentivising integration: A typology of payments for integrated care

Author(s): Jonathan Stokes, Verena Struckmann, Søren Rud Kristensen, Sabine Fuchs, Ewout van Ginneken, Apostolos Tsiachristas, Maureen Rutten van Mölken, Matt Sutton
Published in: Health Policy, Issue 122/9, 2018, Page(s) 963-969, ISSN 0168-8510
Publisher: Elsevier BV
DOI: 10.1016/j.healthpol.2018.07.003

The SELFIE framework for integrated care for multi-morbidity: Development and description

Author(s): Fenna R.M. Leijten, Verena Struckmann, Ewout van Ginneken, Thomas Czypionka, Markus Kraus, Miriam Reiss, Apostolos Tsiachristas, Melinde Boland, Antoinette de Bont, Roland Bal, Reinhard Busse, Maureen Rutten-van Mölken
Published in: Health Policy, Issue 122/1, 2018, Page(s) 12-22, ISSN 0168-8510
Publisher: Elsevier BV
DOI: 10.1016/j.healthpol.2017.06.002

The SELFIE project: Results from 8 focus groups amongst persons with multi-morbidity on how to define good health and a good care process

Author(s): Fenna Leijten, Melinde Boland, Verena Struckmann, Markus Kraus, Jonathan Stokes, Antal Zemplényi, Rune Ervik, Claudia Vallvé, Mirjana Huiĉ, Maureen Rutten-van Mölken
Published in: International Journal of Integrated Care, Issue 17/5, 2017, Page(s) 87, ISSN 1568-4156
Publisher: Igitur, Utrecht Publishing and Archiving Services
DOI: 10.5334/ijic.3392

Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review

Author(s): Verena Struckmann, Fenna R.M. Leijten, Ewout van Ginneken, Markus Kraus, Miriam Reiss, Anne Spranger, Melinde R.S. Boland, Thomas Czypionka, Reinhard Busse, Maureen Rutten-van Mölken
Published in: Health Policy, Issue 122/1, 2018, Page(s) 23-35, ISSN 0168-8510
Publisher: Elsevier BV
DOI: 10.1016/j.healthpol.2017.08.008

Protocol for regional implementation of community-based collaborative management of complex chronic patients

Author(s): Isaac Cano, Ivan Dueñas-Espín, Carme Hernandez, Jordi de Batlle, Jaume Benavent, Juan Carlos Contel, Erik Baltaxe, Joan Escarrabill, Juan Manuel Fernández, Judith Garcia-Aymerich, Miquel Àngel Mas, Felip Miralles, Montserrat Moharra, Jordi Piera, Tomas Salas, Sebastià Santaeugènia, Nestor Soler, Gerard Torres, Eloisa Vargiu, Emili Vela, Josep Roca
Published in: npj Primary Care Respiratory Medicine, Issue 27/1, 2017, ISSN 2055-1010
Publisher: Nature Publishing Group
DOI: 10.1038/s41533-017-0043-9

Targeting the ‘right’ patients for integrated care: stakeholder perspectives from a qualitative study

Author(s): Jonathan Stokes, Lisa Riste, Sudeh Cheraghi-Sohi
Published in: Journal of Health Services Research & Policy, Issue 23/4, 2018, Page(s) 243-251, ISSN 1355-8196
Publisher: Royal Society of Medicine
DOI: 10.1177/1355819618788100

Common challenges faced in EU-funded projects on integrated care for vulnerable persons

Author(s): Maureen Rutten-van Mölken
Published in: International Journal of Integrated Care, Issue 17/2, 2017, ISSN 1568-4156
Publisher: Igitur, Utrecht Publishing and Archiving Services
DOI: 10.5334/ijic.3104

Digital Health Transformation of Integrated Care in Europe: Overarching Analysis of 17 Integrated Care Programs

Author(s): Erik Baltaxe, Thomas Czypionka, Markus Kraus, Miriam Reiss, Jan Erik Askildsen, Renata Grenkovic, Tord Skogedal Lindén, János György Pitter, Maureen Rutten-van Molken, Oscar Solans, Jonathan Stokes, Verena Struckmann, Josep Roca, Isaac Cano
Published in: Journal of Medical Internet Research, Issue 21/9, 2019, Page(s) e14956, ISSN 1438-8871
Publisher: Journal of medical Internet Research
DOI: 10.2196/14956

Integrated Care for Frail Elderly: A Qualitative Study of a Promising Approach in The Netherlands

Author(s): Maaike Hoedemakers, Fenna Ruby Marie Leijten, Wilhelmijn Looman, Thomas Czypionka, Markus Kraus, Hanneke Donkers, Esther Van den Hende-Wijnands, Nicole M.A. Van den Broek, Maureen Rutten-van Molken
Published in: International Journal of Integrated Care, Issue 19/3, 2019, Page(s) 16, ISSN 1568-4156
Publisher: Igitur, Utrecht Publishing and Archiving Services
DOI: 10.5334/ijic.4626

Does pooling health & social care budgets reduce hospital use and lower costs?

Author(s): Jonathan Stokes, Yiu-Shing Lau, Søren Rud Kristensen, Matt Sutton
Published in: Social Science & Medicine, Issue 232, 2019, Page(s) 382-388, ISSN 0277-9536
Publisher: Pergamon Press Ltd.
DOI: 10.1016/j.socscimed.2019.05.038

Effects of non-medical health coaching on multimorbid patients in primary care: a difference-in-differences analysis

Author(s): Vishalie Shah, Jonathan Stokes, Matt Sutton
Published in: BMC Health Services Research, Issue 19/1, 2019, ISSN 1472-6963
Publisher: BioMed Central
DOI: 10.1186/s12913-019-4367-8

Evaluation of integrated care services in Catalonia: population-based and service-based real-life deployment protocols

Author(s): Erik Baltaxe, Isaac Cano, Carmen Herranz, Anael Barberan-Garcia, Carme Hernandez, Albert Alonso, María José Arguis, Cristina Bescos, Felip Burgos, Montserrat Cleries, Joan Carles Contel, Jordi de Batlle, Kamrul Islam, Rachelle Kaye, Maarten Lahr, Graciela Martinez-Palli, Felip Miralles, Montserrat Moharra, David Monterde, Jordi Piera, José Ríos, Nuria Rodriguez, Reut Ron, Maureen Rutten-van M
Published in: BMC Health Services Research, Issue 19/1, 2019, ISSN 1472-6963
Publisher: BioMed Central
DOI: 10.1186/s12913-019-4174-2

Protocol for regional implementation of collaborative self-management services to promote physical activity

Author(s): Anael Barberan-Garcia, Elena Gimeno-Santos, Isabel Blanco, Isaac Cano, Graciela Martínez-Pallí, Felip Burgos, Felip Miralles, Miquel Coca, Serafín Murillo, María Sanz, Alexander Steblin, Marta Ubré, Jaume Benavent, Josep Vidal, Marta Sitges, Josep Roca
Published in: BMC Health Services Research, Issue 18/1, 2018, ISSN 1472-6963
Publisher: BioMed Central
DOI: 10.1186/s12913-018-3363-8

Planning, implementation and operation of a personalized patient management system for subjects with first suspect of cancer (OnkoNetwork): system description based on a qualitative study

Author(s): János G. Pitter, Marcell Csanádi, Annamária Szigeti, Gábor Lukács, Árpád Kovács, Mariann Moizs, Imre Repa, Antal Zemplényi, Thomas Czypionka, Markus Kraus, Maureen P. M. H. Rutten-van Mölken, Zoltán Kaló
Published in: BMC Health Services Research, Issue 19/1, 2019, ISSN 1472-6963
Publisher: BioMed Central
DOI: 10.1186/s12913-019-3957-9

Non-peer reviewed articles (1)

THE SELFIE FRAMEWORK FOR INTEGRATED CARE FOR MULTI-MORBIDITY

Author(s): Fenna RM Leijten*, Verena Struckmann*, Ewout van Ginneken, Thomas Czypionka, Markus Kraus, Miriam Reiss, Apostolos Tsiachristas, Melinde Boland, Antoinette de Bont, Roland Bal, Reinhard Busse, and Maureen Rutten-van Mölken, on behalf of the SELFIE consortium
Published in: EuroHealth, Issue Vol23 No2, 2017, Page(s) 16-20, ISSN 1356-1030
Publisher: The European Observatory on Health Systems and Policies