Table 3.
Characteristic | Number of frameworks (%)* |
---|---|
Developed in the USA | 18 (54.5)3, 11, 13, 16, 20, 22, 23, 25, 28, 30, 32, 35, 36, 40–44 |
Based on VA data or done by VA researchers | 3 (9.1)3, 16, 40 |
Person-centered frameworks (explicitly have “Person” or “Individual” at the center of the framework) | 11 (33.3)1, 14, 17, 21, 25, 26, 30, 32, 35, 39, 40 |
Narrow focus (specific disease or setting, etc.) | 12 (36.4)14, 16, 17, 25, 28, 30, 32–34, 37, 39, 41 |
Frameworks that have led to measures | 13 (39.4)19, 36, 46–56 |
Frameworks with validated measures | 11 (33.3)11, 14, 19, 22, 25, 27, 30, 35, 39–41 |
Frameworks that have led to initiatives† | 2 (6.1)29, 30 |
Frameworks focused on organizing and/or evaluating measure | 3 (9.1)11, 15, 38 |
Addressed concepts at care team level | 29 (87.9)1, 3, 5, 11, 13–17, 21–37, 39–41, 45 |
Addressed concepts at organizational level | 30 (90.9)1, 3, 5, 11, 13–24, 26–30, 32–36, 38–41, 45 |
Addressed concepts at regulatory and market level | 14 (42.4)1, 5, 13, 15, 17, 27, 29, 31, 34–37, 39, 41 |
Addressed concepts at all 3 levels | 12 (36.4)1, 5, 13, 15, 17, 27, 29, 31, 34–36, 39, 41 |
Addressed concepts of service delivery‡ | 32 (97.0)1, 3, 5, 11, 13–15, 17–41 |
Addressed concepts of leadership and governance‡ | 22 (66.7)1, 3, 5, 15–19, 21–23, 27, 29, 31–36, 38–40 |
Addressed concepts of workforce‡ | 24 (72.7)1, 3, 5, 11, 15–19, 21, 22, 24, 26–31, 33, 35–37, 39, 40 |
Addressed concepts of financing‡ | 8 (24.3)1, 5, 14, 17–19, 34, 35 |
Addressed concepts of technologies and medical products‡ | 9 (27.3)1, 5, 14, 21, 26–28, 31 |
Addressed concepts of information and research‡ | 10 (30.3)1, 25, 26, 28, 34–36, 38, 40, 41 |
Addressed ≥ 4/6 SELFIE domains‡ | 14 (42.4)1, 5, 17–19, 21, 26–28, 31, 34–36, 40 |
Addressed all 6 SELFIE domains‡ | 1 (3.0)1 |
Addressed ≥ 10/18 SELFIE sub-domains | 3 (9.1)1, 34, 36 |
*Denominator does not include Alter 1993,42 Klein 2001,43 Nadler 1988,44 or Watzlawick 2000,45 as we were unable to locate full-text articles of these publications (n = 33 frameworks total)
†Only captures initiatives defined in the original framework publication. We did not do a systematic search for initiatives from each framework
‡Based of World Health Organization Key Components of a Well Functioning Health System57