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. Author manuscript; available in PMC: 2019 Jun 2.
Published in final edited form as: Med Care Res Rev. 2017 Dec 12;76(6):807–829. doi: 10.1177/1077558717745936

Table 1.

Singer et al.’s Framework for Measuring Integrated Patient Care.a

Construct Description
1. Coordinated within care team The individual providers (which may include physicians, nurses, other clinicians, support staff, and administrative personnel who routinely work together to provide medical care for a specified group of patients; hereafter the “care team”) deliver consistent and informed patient care and administrative services for individual patients, regardless of the care team member providing them.
2. Coordinated across care teams All care teams that interact with patients, including specialists, hospital personnel, and pharmacies and deliver consistent and informed patient care and administrative services, regardless of the care team providing them.
3. Coordinated between care teams and community resources Care teams consider and coordinate support for patients by other teams offered in the community (e.g., Meals on Wheels).
4. Continuous familiarity with patient over time Clinical care team members are familiar with the patient’s past medical condition and treatments; administrative care team members are familiar with patient’s payment history and needs.
5. Continuous proactive and responsive action between visits Care team members reach out and respond to patients between visits; patients can access care and information 24/7.
6. Patient centered Care team members design care to meet patients’ (also family members and other informal caregivers’) needs and preferences; processes enhance patients’ engagement in self-management.
7. Shared responsibility Both the patient and his or her family and care team members are responsible for the provision of care, maintenance of good health, and management of financial resources.
a

This table to display Singer et al.’s Framework for Measuring Integrated Patient Care first appeared as Table 2 in the original article: Singer, S. J., Burgers, J., Friedberg, M., Rosenthal, M. B., Leape, L., & Schneider, E. (2011). Defining and measuring integrated patient care: Promoting the next frontier in health care delivery. Medical Care Research and Review, 68(1), 112–127.