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Evaluating the Performance of Integrated Care Services

In: Handbook of Health Services Evaluation

Author

Listed:
  • Oliver Groene

    (OptiMedis and University of Witten/Herdecke)

  • Nicolas Larrain

    (University of Hamburg)

Abstract

Countries enact healthcare reforms for integrated care services. Evaluating their impact and setting performance indicators is crucial yet challenging. This chapter outlines principles for evaluation. Designs must define goals, identify value-creating mechanisms, select indicators, and aid improvement plans. Integrated services aim for the “triple aim”: better population health, patient/carer experience, and cost reduction. Evaluators must also consider structural factors like political support, governance, and value creation mechanisms, such as health intelligence and system coordination. Contextual factors like population size and initiative scale matter too. Various data sources are needed, but challenges include complexity and limited trial designs. Drawing from experience, this chapter offers insights for assessing integrated care system performance, aiding healthcare stakeholders.

Suggested Citation

  • Oliver Groene & Nicolas Larrain, 2025. "Evaluating the Performance of Integrated Care Services," Springer Books, in: Axel Kaehne & Julie Feather (ed.), Handbook of Health Services Evaluation, pages 435-448, Springer.
    • Handle: RePEc:spr:sprchp:978-3-031-87869-5_23
    DOI: 10.1007/978-3-031-87869-5_23
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