Table 2 Overview of the core set and programme-type specific outcomes in SELFIE
Outcomes for integrated care for individuals with multi-morbidity | |||||
|---|---|---|---|---|---|
Triple Aim | Core set outcomes | Programme-type specific outcomes | |||
Population health management | Frail elderly | Palliative and oncology | Problems in multiple life domains | ||
Health & well-being | Physical functioning | Activation & engagement | Autonomy | Mortality | Self-sufficiency |
Psychological well-being | Pain and other symptoms | ||||
Social participation/relationships | |||||
Resilience | |||||
Enjoyment of life | |||||
Experience | Person-centeredness | Burden of medication | Compassionate care | ||
Continuity of care | Burden of informal caregiving | Timely access to care | |||
Preferred place of death | |||||
Burden of informal caregiving | |||||
Costs | Total health- and social care costs | Ambulatory care sensitive hospital admissions | Living at home | Justice contacts | |
Hospital re-admissions | Falls leading to ER or hospital admissions | ||||