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Table 2 Three main assessment dimensions: effects of the intervention, determinants of success of implementation and maturity of integration

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

Study Protocol Outcomes of the intervention [26, 27] Deployment strategies [28, 29] Maturity level [4]
(1) Population-based Mortality, general practitioner visits, community-nurse visits, cumulative days per year admitted in hospital, emergency department visits, all hospital admissions, potentially avoidable hospitalizations, multiple drug prescription, needs for social support, costs per patient per year (Additional file 1: Table S1) A. What are the possible factors and agents responsible for good implementation of a health intervention?
B. What are the possible factors for enhancing or expanding
a given health intervention?
C. What describes the context in which implementation occurs?
D. What describes the main factors influencing implementation in a given context?
To be assessed using a mixed methods approach: combining qualitative and quantitative methods
Assessment of the twelve dimensions of the Maturity Model for Integrated Care, both at health system and health services levels, promoted by the European Innovation Partnership for Active and Healthy Ageing, following the instructions reported in reference (4). These twelve dimensions are:
1. Readiness to Change
2. Structure & Governance
3. Information & eHealth Services
4.Standardization& Simplification
5. Finance & Funding
6. Removal of Inhibitors
7. Population Approach
8. Citizen Empowerment
9. Evaluation Methods
10. Breadth of Ambition
11. Innovation Management
12. Capacity Building
(2) Home hospitalization Health and well-being Mortality rate 30/90 days after discharge, place of death, avoidable hospital admissions, total bed days, 12 months before admission (hospital and community resources); 30-day after discharge (hospital and community resources), transitional care strategies (palliative care, primary care or hospital care)
Patient experience Person centeredness, continuity of care (Additional file 2: Table S2)
Costs Operational costs
(3) Prehabilitation Health and well-being Cumulative hospital days of stay, intensive care unit length of stay, number of complications per patient, costs from the perspective of the hospital including inpatient services, diagnostic procedures, pharmaceutical consumption and blood products consumption, aerobic capacity, physical activity, psychological status, health status (Additional file 3: Table S3)
Costs Operational costs
(4) Frail elderly Health and well-being Mortality rate, avoidable hospital admissions, total bed days, 30-day readmissions, number of ER visits in the month, physical functioning, psychological well-being, social relationships & participation, enjoyment of life, resilience, autonomy
Patient experience Person centeredness, continuity of care, burden of medication, burden of informal caregiving (Additional file 4: Table S4)
Costs Operational costs