IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v166y2026ics0168851025002805.html

Integrated care in the Baltic countries over a five-year period: an expert-informed cross-country analysis of progress, challenges and future directions

Author

Listed:
  • Shuftan, Nathan
  • Scarpetti, Giada
  • Polin, Katherine
  • Kasekamp, Kaija
  • Behmane, Daiga
  • Murauskiene, Liubove
  • Struckmann, Verena

Abstract

In Estonia, Latvia, and Lithuania, the push for care integration has gained momentum, being seen as an innovative approach to allocate resources more efficiently and improve patient outcomes.

Suggested Citation

  • Shuftan, Nathan & Scarpetti, Giada & Polin, Katherine & Kasekamp, Kaija & Behmane, Daiga & Murauskiene, Liubove & Struckmann, Verena, 2026. "Integrated care in the Baltic countries over a five-year period: an expert-informed cross-country analysis of progress, challenges and future directions," Health Policy, Elsevier, vol. 166(C).
    • Handle: RePEc:eee:hepoli:v:166:y:2026:i:c:s0168851025002805
    DOI: 10.1016/j.healthpol.2025.105526
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851025002805
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2025.105526?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Rijken, Mieke & Hujala, Anneli & van Ginneken, Ewout & Melchiorre, Maria Gabriella & Groenewegen, Peter & Schellevis, Franζois, 2018. "Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe," Health Policy, Elsevier, vol. 122(1), pages 44-52.
    2. World Bank & Organisation for Economic Co-operation and Development, 2016. "Integrating Human Rights into Development," World Bank Publications - Books, The World Bank Group, number 25859, April.
    3. Stokes, Jonathan & Struckmann, Verena & Kristensen, Søren Rud & Fuchs, Sabine & van Ginneken, Ewout & Tsiachristas, Apostolos & Rutten van Mölken, Maureen & Sutton, Matt, 2018. "Towards incentivising integration: A typology of payments for integrated care," Health Policy, Elsevier, vol. 122(9), pages 963-969.
    4. Habicht, Triin & Kasekamp, Kaija & Webb, Erin, 2023. "30 years of primary health care reforms in Estonia: The role of financial incentives to achieve a multidisciplinary primary health care system," Health Policy, Elsevier, vol. 130(C).
    5. Carmen Rodriguez-Blazquez & Maria João Forjaz & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Beatriz Poblador-Plou & Sara Pilar Luengo-Broto & Inmaculada Guerrero-Fernández de Alba & Ana Maria Carriazo, 2020. "Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    6. Csanádi, Marcell & Kaló, Zoltán & Rutten-van Molken, Maureen & Looman, Willemijn & Huic, Mirjana & Ercevic, Darija & Atanasijevic, Dragana & Lorenzovici, László & Petryszyn, Paweł & Pogány, Gábor & Pi, 2022. "Prioritization of implementation barriers related to integrated care models in Central and Eastern European countries," Health Policy, Elsevier, vol. 126(11), pages 1173-1179.
    7. Webb, Erin & Winkelmann, Juliane & Scarpetti, Giada & Behmane, Daiga & Habicht, Triin & Kahur, Kristiina & Kasekamp, Kaija & Köhler, Kristina & Miščikienė, Laura & Misins, Janis & Reinap, Marge & Slap, 2022. "Lessons learned from the Baltic countries’ response to the first wave of COVID-19," Health Policy, Elsevier, vol. 126(5), pages 438-445.
    8. Sidorova E.A., 2016. "The integration and investment potential of BRICS," World of economics and management / Vestnik NSU. Series: Social and Economics Sciences, Socionet, vol. 16(2), pages 111-122.
    9. Salomon, Markus & Schmid, Elisabeth & Volkens, Annette & Hey, Christian & Holm-Müller, Karin & Foth, Heidi, 2016. "Towards an integrated nitrogen strategy for Germany," Environmental Science & Policy, Elsevier, vol. 55(P1), pages 158-166.
    10. Struckmann, Verena & Leijten, Fenna R.M. & van Ginneken, Ewout & Kraus, Markus & Reiss, Miriam & Spranger, Anne & Boland, Melinde R.S. & Czypionka, Thomas & Busse, Reinhard & Rutten-van Mölken, Mauree, 2018. "Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review," Health Policy, Elsevier, vol. 122(1), pages 23-35.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Looman, Willemijn & Struckmann, Verena & Köppen, Julia & Baltaxe, Erik & Czypionka, Thomas & Huic, Mirjana & Pitter, Janos & Ruths, Sabine & Stokes, Jonathan & Bal, Roland & Rutten-van Mölken, Maureen, 2021. "Drivers of successful implementation of integrated care for multi-morbidity: Mechanisms identified in 17 case studies from 8 European countries," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Litchfield, Ian & Kingston, Beth & Narga, Dee & Turner, Alice, 2022. "The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK," Health Policy, Elsevier, vol. 126(8), pages 777-785.
    3. Csanádi, Marcell & Kaló, Zoltán & Rutten-van Molken, Maureen & Looman, Willemijn & Huic, Mirjana & Ercevic, Darija & Atanasijevic, Dragana & Lorenzovici, László & Petryszyn, Paweł & Pogány, Gábor & Pi, 2022. "Prioritization of implementation barriers related to integrated care models in Central and Eastern European countries," Health Policy, Elsevier, vol. 126(11), pages 1173-1179.
    4. Agnes Nakakawa & Esteban Manuel Keenoy & Ane Fullaondo Zabala & Dolores Verdoy Berastegui & Jon Txarramendieta Suarez, 2024. "Strategic Objectives for Aligning Healthcare and IT Practices in Providing Integrated Care for Multimorbid Patients: A Soft Systems Methodology Perspective," Systemic Practice and Action Research, Springer, vol. 37(1), pages 59-80, February.
    5. Gaal, Peter Andras & Evetovits, Tamas & Sinko, Eszter & Davidovics, Krisztina & Lam, Judit, 2025. "Evaluation of the implementation experiences of the Hungarian integrated care coordination pilot," Health Policy, Elsevier, vol. 160(C).
    6. Smith, Peter C. & Sagan, Anna & Siciliani, Luigi & Figueras, Josep, 2023. "Building on value-based health care: Towards a health system perspective," Health Policy, Elsevier, vol. 138(C).
    7. Anelli, Debora & Tajani, Francesco, 2023. "Spatial decision support systems for effective ex-ante risk evaluation: An innovative model for improving the real estate redevelopment processes," Land Use Policy, Elsevier, vol. 128(C).
    8. Fadumo Noor & Gabriel Gulis & Leena Eklund Karlsson, 2022. "Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark," Societies, MDPI, vol. 12(5), pages 1-19, September.
    9. Stoop, Annerieke & de Bruin, Simone R. & Wistow, Gerald & Billings, Jenny & Ruppe, Georg & Leichsenring, Kai & Obermann, Konrad & Baan, Caroline A. & Nijpels, Giel, 2019. "Exploring improvement plans of fourteen European integrated care sites for older people with complex needs," Health Policy, Elsevier, vol. 123(12), pages 1135-1154.
    10. Simmons, Cassandra & Pot, Mirjam & Lorenz-Dant, Klara & Leichsenring, Kai, 2024. "Disentangling the impact of alternative payment models and associated service delivery models on quality of chronic care: A scoping review," Health Policy, Elsevier, vol. 143(C).
    11. Jules Le Lay & Edgar Alfonso-Lizarazo & Vincent Augusto & Bienvenu Bongue & Malek Masmoudi & Xiaolan Xie & Baptiste Gramont & Thomas Célarier, 2022. "Prediction of hospital readmission of multimorbid patients using machine learning models," PLOS ONE, Public Library of Science, vol. 17(12), pages 1-15, December.
    12. Thomas Reindersma & Isabelle Fabbricotti & Kees Ahaus & Sandra Sülz, 2022. "Integrated Payment, Fragmented Realities? A Discourse Analysis of Integrated Payment in the Netherlands," IJERPH, MDPI, vol. 19(14), pages 1-14, July.
    13. Miguel Ángel Hernández-Rodríguez & Ermengol Sempere-Verdú & Caterina Vicens-Caldentey & Francisca González-Rubio & Félix Miguel-García & Vicente Palop-Larrea & Ramón Orueta-Sánchez & Óscar Esteban-Jim, 2021. "Drug Prescription Profiles in Patients with Polypharmacy in Spain: A Large-Scale Pharmacoepidemiologic Study Using Real-World Data," IJERPH, MDPI, vol. 18(9), pages 1-10, April.
    14. Elton Beqiraj & Giovanni Di Bartolomeo & Marco Di Pietro & Carolina Serpieri, 2024. "An integrated Bayesian-principal component approach to macroeconomic resilience: the case of the Central Europe and Baltic macro-region," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 52(5), pages 843-858, August.
    15. Antonio Sarría-Santamera & Alua Yeskendir & Tilektes Maulenkul & Binur Orazumbekova & Abduzhappar Gaipov & Iñaki Imaz-Iglesia & Lorena Pinilla-Navas & Teresa Moreno-Casbas & Teresa Corral, 2021. "Population Health and Health Services: Old Challenges and New Realities in the COVID-19 Era," IJERPH, MDPI, vol. 18(4), pages 1-5, February.
    16. Byrne, John-Paul & Humphries, Niamh & McMurray, Robert & Scotter, Cris, 2023. "COVID-19 and healthcare worker mental well-being: Comparative case studies on interventions in six countries," Health Policy, Elsevier, vol. 135(C).
    17. Yordanov, Dimitar & Oxholm, Anne Sophie & Prætorius, Thim & Kristensen, Søren Rud, 2024. "Financial incentives for integrated care: A scoping review and lessons for evidence-based design," Health Policy, Elsevier, vol. 141(C).
    18. Gilbert Abotisem Abiiro, 2024. "Regaining policy attention for a health insurance capitation payment reform in Ghana: A prospective policy analysis," PLOS Global Public Health, Public Library of Science, vol. 4(5), pages 1-18, May.
    19. Agnes Nakakawa & Esteban Manuel Keenoy & Ane Fullaondo Zabala & Dolores Verdoy Berastegui & Jon Txarramendieta Suarez, 2024. "Mutual Adoption of Soft Systems Methodology, Co-Creation, Enterprise Architecture, and Balanced Scorecard for Continuous Assessment and Improvement of Programmes on Integrated Care for Multimorbid Patients," Systemic Practice and Action Research, Springer, vol. 37(4), pages 351-386, August.
    20. Maria Gabriella Melchiorre & Giovanni Lamura & Francesco Barbabella & on behalf of ICARE4EU Consortium, 2018. "eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-26, November.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:166:y:2026:i:c:s0168851025002805. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.