Skip to main content

Table 4 Facilitators of the integrated care interventions by Implementation Model levels

From: Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review

Ref.

Innovation

Individual Professional

Patient

Social Context

Organisational Context

Economic & Political Context

[39]a

+ Simple visual IT layout

  

+ Staff involvement/ cooperation

  

+ Resource-sharing

+ Change agent

[40]a

+  Systematic identification and assignment of patients

+ Provider education

 

+ Leadership support

+ Multidisciplinary team

 

+ Dedicated staff time

[44]

+ Bilinguals

  

+ Local champions

  

+ Translations

[32]

 

+ Encouragement

 

+ Shared leadership

  

+ Provider education

+ Shared goals

[41]a

+ Registry

     

+ Outcome data

[45]

  

+ Home tutorial

   

+ Social networking

[42]

+ Time-efficient intervention

  

+ Culture of change

 

+ Low-cost intervention

[54]

      

[37]

      

[26]

      

[33]

+ Multifaceted intervention

   

+ Nurse case manager

 

[50]

+ Multimedia audiovisual prompting

 

+ Patient instruction

   

+ Bilinguals

[55]

+ Electronic messaging

     

[25]

+ Outcome data

  

+ Adapting to change

  

+ Registry

+ Competition

[48]

+ Drop-ins

+ Participatory, informal provider education

  

+ Job conditions

 

+ Case conferences

+ Shared caseload

+ Safety protocols

[27]

+ Automated data extraction

     

[34]

+ Registry

+ Provider education (on guidelines)

 

+ Changing practice culture

+ Changes to organisation’s policies and procedures

 

+ Outcome data

+ Multilinguals

+ Translations

+ Persistence

+ Staff buy-in

+ Pictorial focus

[28]

+ Drop-ins

+ Ability to establish personal relationships with patients

+ Linkages between home situations and clinical care

 

+ Changing workflow

 

+ Varied activities

+ Peer support

[47]

 

+ Provider reminders

  

+ Use of flow sheets

 

[30]

+ Registry

+ Provider education

  

+ Changing practice workflow

 

+ Access to process outcomes

[51]

      

[43]

+ Electronic registry

    

+ Low-cost intervention

[35]

+ Minimal bureaucracy

+ Provider education

  

+ Cooperation & communication

 

+ Timely referral

+ Case conferences

[38]

+ Electronic medical record

 

+ Patient-to-patient feedback

+ Staff buy-in

  

[31]

      

[52]

      

[56]

 

+ Ability to broach delicate topics

 

+ Openness to innovation

  

[53]

 

+ Provider involvement

 

+ Regional embeddedness

 

+ Availability of legal national task profiles

+ Leadership commitment

[46]

 

+ Provider education

 

+ Regional embeddedness

+ Guideline dissemination

 

+ Specialist support

[49]

   

+ Resource-sharing

  

+ Working environment

[36]

   

+ Leadership commitment

  

+ Staff involvement

+ Change agents

[47]

 

+ Provider reminders

    
  1. aindicates articles with lower methodological quality. Empty cells indicate that no facilitators were mentioned in the category