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Table 1 Overview of the included studies

From: Older multimorbid patients’ experiences on integration of services: a systematic review

1st Author, year Country Study design Time for data collection Setting Multimorbidity Type of participants No. of participant (%men) Age mean +/− sd, median, {range}, (age-groups) Objectives Quality rating: repor-ted/items
Andreasen, 2015 [22] Denmark Interviews 1 week after discharge Primary to secondary Tilburg Frailty Indicator + comorbidity Acutely admitted frail elderly 14 (50) 80.6, {69–93} “was to explore how the frail elderly experience daily life 1 week after discharge from an acute admission to the hospital” 11/11
Arendts, 2015 [21] Australia Interviews When resident were able to do the interview Secondary to primary Unclear* Residents of Residential Aged Care facilities (RACF) 11 (18) 88 “to capture and interpret the perspectives of three important decision-making groups concerning the transfer of residents from RACF to Emergency department; to understand how the perspectives of these converge and diverge; and to explore shared decision-making and the extent to which there was delegation of transfer decisions to others” 8/11
Bayliss, 2008 [23] USA Interviews Unclear Secondary Three target conditions (diabetes, depression, osteoarthritis) + self-reported condition Members of a not- for-profit Health Maintenance Organization 26 (50) (65–84) “was to explore patient perspectives on components of ‘best’ Processes of care for persons with multiple morbidities in order to inform the development of future interventions to improve care” 8/11
Butterworth, 2014 [24] United Kingdom Interviews Unclear Secondary 14 participants had one or more chronic diseases Registered with surgery for at least 6 month 20 (45) (65–74),
“to investigate the association between older patients’ trust in their general practitioner and their perceptions of shared decision-making.” 8/11
Foss, 2011 [25] Norway Face to face questionnaire 2–3 weeks after discharge Primary to secondary Unclear* Patients discharged from hospitals 254 (31.5) 86.9 +/− 4.9 “was to describe older hospital patients’ discharge experiences concerning participation in discharge planning” 10/11
Gabrielsson-Järhult, 2016 [26] Sweden Observations and discharge meeting material Before discharge Primary to secondary Unclear* Admitted to hospital and about to be discharged 27 (37) 81 “was to explore older people’s concerns about their needs as expressed in a discharge planning meeting at a hospital” 10/11
Gill, 2014 [27] Canada Interviews Unclear Primary to secondary Two or more chronic conditions Patients from a family health team 27 (56) 82.3 +/− 7.7 “was to explore the challenges experienced by 27 patients-caregivers-family physician triads in an attempt to capture a full understanding of their health system experience and to illuminate where system improvements are most needed for managing multimorbidity” 11/11
Neiterman, 2015 [28] Canada Interviews 2–5 weeks post discharge Primary to secondary Lace score 10 or higher Patients discharged from acute care hospital 17 (58) (70–89) “was to understand how patients and their caregivers experienced the transition to community and which barriers and facilitators they identified on their way to recovery” 11/11
Sheaff, 2017 [29] United Kingdom Interviews May 2012–November 2013 Primary to secondary Two or more specified chronic conditions Patient who had been admitted within a year and who had received care from 2 separate healthcare services 66(NA) 78, (65 or older) “was to analyze what information was changed or lost in communication between clinicians and a group of frail older patients in England, and some implications for care coordination and continuity” 6/11
  1. *Included because we know that among those aged more than 85 years, 82% are patients with multimorbidity