Effectiveness and cost-effectiveness of proactive and multidisciplinary integrated care for older people with complex problems in general practice: An individual participant data meta-analysis
- Blom, J. W.
- van den Hout, W. B.
- den Elzen, W. P. J.
- Drewes, Y. M.
- Bleijenberg, N.
- Fabbricotti, I. N.
- Jansen, A. P. D.
- Kempen, G. I. J. M.
- Koopmans, R.
- Looman, W. M.
- Melis, R. J. F.
- Metzelthin, S. F.
- Moll van Charante, E. P.
- Muntinga, M. E.
- Numans, M. E.
- Ruikes, F. G. H.
- Spoorenberg, S. L. W.
- Stijnen, T.
- Suijker, J. J.
- de Wit, N. J.
- Wynia, K.
- Wind, A. W.
- Gussekloo, J.
DOIAbstract
Purpose: to support older people with several healthcare needs in sustaining adequate functioning and independence, more proactive approaches are needed. This purpose of this study is to summarise the (cost-) effectiveness of proactive, multidisciplinary, integrated care programmes for older people in Dutch primary care. Methods design: individual patient data (IPD) meta-analysis of eight clinically controlled trials. Setting: primary care sector. Interventions: combination of (i) identification of older people with complex problems by means of screening, followed by (ii) a multidisciplinary integrated care programme for those identified. Main outcome: activities of daily living, i.e. a change on modified Katz-15 scale between baseline and ...
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