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. 2019 May 13;14(5):e0216488. doi: 10.1371/journal.pone.0216488

Table 1. Study characteristics and methodological quality of studies.

Author, Year, Country Aim Sample Methods Theoretical Perspective Quality score (CASP)
Boudioni et al 2015
UK [26]
To explore service users’ and family carers’ perspectives of an integrated care service in London 5 service users with complex health conditions and 5 carers Video stories analysed between researchers and service users, as part of an experience-based co-design evaluation Principles of visual sociology 8.5
Hu (2014)
UK [27]
To examine service users’ views of the impact of an integrated care service in England 100 older care service users surveyed, then 27 older adults aged ≥ 65 years with complex care needs selected Mixed methods: survey then face-to-face interviews with sub-sample of participants Not specified 5.5
Ballie et al (2014)
UK [28]
To investigate service users’ and providers’ perspectives of care transitions in a vertically organised integrated healthcare system 17 providers, including range of acute (N = 8) and community care providers (N = 9) and 4 older adults with frailty aged ≥ 70 years Qualitative case study using face-to-face interviews with key staff and patients, and focus groups with ward staff Ritchie & Spencer’s (1994) five-stage framework analysis 8
Bone et al (2016)
UK [29]
To explore views of service users and other key stakeholders to inform development of a short-term community-based integrated palliative and supportive care intervention for OPF 63 participants (healthcare providers, commissioners, voluntary sector representatives, carers, researchers) took part in stakeholder consultations; 42 participants (providers, carers, researchers) took part in survey; 8 frail older people aged ≥ 75 years and 9 carers Expert stakeholder consultations and follow-up consensus surveys with providers, carers and researchers; focus groups with service users and carers Not specified 10
Sheaff et al (2009)
UK [30]
To elicit service users’, carers’ and providers’ perspectives on the impacts of different case management systems across 9 primary care trusts in England Range of providers working in acute, primary, secondary and community care (N = 70); 72 older people aged ≥ 65 years with range of long term conditions, and 52 informal carers Multiple case study evaluation design; face-to-face interviews, observations of meetings and analysis of key documents Not specified 7
de Stampa et al (2009)
Canada [31]
To examine incentives and barriers among GPs to take part in integrated health services networks (IHSNs) to enable integrated care for frail older adults in Montreal 61 GPs enrolled in an integrated care system for older adults, of which a random sample of 22 GPs actively or non-actively participating in IHSNs recruited Initial mail survey, then subsample of GPs took part in face-to-face interviews Not specified 7.5
Heckman et al (2013)
Canada [32]
To identify providers’, service users’ and carers’ perspectives on improving integration care for frail seniors in Ontario 186 providers in primary, secondary and community care and 29 service users and carers Secondary analysis of 20 focus group discussions Not specified 7
Lafortune et al (2015)
Canada [33]
To explore older adults’, carers’ and providers’ views on improving primary healthcare community services for older adults with long term conditions in an area of Ontario Range of healthcare providers (N = 20); 28 service users aged ≥ 65 with experience of one or more services (e.g. chronic disease management, end of life care) and their informal carers Focus groups with care providers (N = 4) and service users and carers (N = 3), and individual interview with informal carer Not specified 7.5
McAiney et al (2017)
Canada [34]
To examine service users’, carers’ and providers’ perceptions of the impact of an intensive geriatric service worker (IGSW) service in South Ontario 19 providers (IGSW program lead, case manager, nurses, geriatrician); 49 service users aged ≥ 65 with age-related conditions; 25 informal carers Mixed methods design; initial patient satisfaction survey; purposive sample of all stakeholders took part in telephone interviews (N = 93) Not specified 6.5
Spoorenberg et al (2015)
The Netherlands [35]
To examine service users’ views of a community-based integrated care intervention based on the Chronic Care Model 23 older adults aged ≥ 75 years, mostly with frailty or complex needs, sampled from a trial Face-to-face interviews 8–10 months after starting the intervention Grounded theory approach 9
Janssen et al (2015)
The Netherlands [36]
To examine providers’ views of organisational features facilitating implementation of community integrated care for older adults 12 providers (nurses, case managers, GP, nursing home manager, homecare worker, geriatrician) Qualitative case study: face-to-face interviews, observations of team meetings, then focus groups to discuss findings Nomological network of organisational empowerment (Peterson & Zimmerman 2004) 8.5
Metzelthin et al (2013)
The Netherlands [37]
To examine service users’ and providers’ experiences of an interdisciplinary primary care model for OPF, and perceived barriers and enablers to implementation in south Holland 45 care providers (nurses, GPs, allied health providers); 194 service users aged ≥ 70 years scoring ≥ 5 on the Groningen Frailty Indicator. Participants recruited from 6 GP practices Mixed methods process evaluation: quantitative log books and evaluation forms for all service users; interviews with subsample of 13 participants; focus groups (N = 4) and interviews (N = 12) with providers Baranowski and Stables’ (2000) process evaluation model 7.5
Hjelm et al (2015)
Sweden [38]
To explore service users’ experiences of case managers 13 older adults aged ≥ 75 years with ≥ 3 long term conditions who received the case management intervention Focused ethnographic approach including observations of case manager practices and face-to-face interviews Roper & Shapira’s (2000) framework for ethnographic analysis 8
Dunér et al (2011)
Sweden [39]
To examine providers’ views of implementing a new continuum of care model for frail older people 26 providers (upper managers, nurses, allied health providers, social workers, case managers) Repeat face-to-face interviews, as part of a trial of the intervention Lipsky’s (1980) theory of street-level bureaucracy 6
Freij et al (2011)
USA [40]
To examine older adults’ experiences of care coordination services in the New York City area 48 older adults aged ≥ 55 years (majority ≥ 75 years) from multi-ethnic backgrounds, targeting older adults with frailty Face-to-face interviews (N = 25) and focus groups (N = 6) Grounded theory approach 7.5
Keefe et al (2009)
USA [41]
To examine primary care physicians’ and nurses’ views of implementing integrated care for frail older people, and the benefits of social worker integration in primary care teams 25 providers (13 physicians, 11 nurses, 1 nurse practitioner) working in primary care Focus groups (N = 3) conducted at 2 primary care clinics Grounded theory approach 5.5
Busetto et al (2017)
Germany [42]
To explore providers’ views of implementing an integrated care model in a German hospital, as part of a comparative European project 15 MDT care providers (physicians, nurses, allied health providers, psychologists, social workers) Face-to-face interviews Wagner's (1998) Chronic Care Model, Grol and Wensing's (2004) Implementation Model, Realist evaluation approach 8.5
de Stampa et al (2013) Canada/France [43] To understand the clinical collaboration process between primary care physicians (PCPs), case managers and geriatricians in two integrated care systems for frail older adults 46 care providers (35 PCPs, 7 case managers, 4 geriatricians) Face-to-face interviews Grounded theory approach 7.5