Abstract
Introduction:Although substantial generic knowledge about integrated care has been developed, better understanding of the factors that drive behaviour, decision-making, collaboration and governance processes in integrated care networks is needed to take integrated care forward. To gain more insight into these topics and to understand integrated care in more depth, a set of underlying values of integrated care has been developed and defined in this study.Theory and methods:A systematic literature review was conducted to identify the underlying values of integrated care. Values theory was used as a theoretical framework for the analysis.Results:This study identified 23 values in the current body of knowledge. The most frequently identified values are ‘collaborative’, ‘co-ordinated’, ‘transparent’, ‘empowering’, ‘comprehensive’, ‘co-produced’ and ‘shared responsibility and accountability’.Discussion and conclusion:The set of values is presented as a potential basis for a values-driven approach to integrated care. This approach enables better understanding of the behaviours and collaboration in integrated care and may also be used to develop guidance or governance in this area. The practical application of the values and their use at multiple levels is discussed. The consequences of different stakeholder perceptions on the values is explored and an agenda for future research is proposed.
Highlights
Substantial generic knowledge about integrated care has been developed, b etter understanding of the factors that drive behaviour, decision-making, collaboration and governance p rocesses in integrated care networks is needed to take integrated care forward
This study focuses on values, which can be defined as meaningful beliefs, principles or standards of behaviour, referring to desirable goals that motivate action [30, 31]
More attention is being paid to values in integrated care, this topic has not been systematically studied until now
Summary
Substantial generic knowledge about integrated care has been developed, b etter understanding of the factors that drive behaviour, decision-making, collaboration and governance p rocesses in integrated care networks is needed to take integrated care forward. Discussion and conclusion: The set of values is presented as a potential basis for a values-driven approach to integrated care This approach enables better understanding of the behaviours and collaboration in integrated care and may be used to develop guidance or governance in this area. Because people are living longer with more chronic conditions, the number of people with multiple health and social care needs is growing [1] To meet these complex needs, knowledge and skills are required which span multiple disciplines in various sectors, for instance primary care, long-term care and social care. These developments put pressure on the delivery, management and funding of care services. Integrated care aims to contribute towards improving population health, improving individual experiences of care, and reducing costs of care per capita, known as the Triple Aim objectives [7]
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