Development of transferability guidance for integrated care models with special focus on Central and Eastern European countries
Croatian Medical Journal , Volume 61 - Issue 3 p. 252- 259
Aim To develop pragmatic recommendations for Central and Eastern European (CEE) policymakers about transfer - ability assessment of integrated care models established in higher income European Union (EU) countries. Methods Draft recommendations were developed based on Horizon 2020-funded SELFIE project deliverables relat - ed to 17 promising integrated care models for multimorbid patients throughout Europe, as well as on an online survey among CEE stakeholders on the relevance of implemen - tation barriers. Draft recommendations were discussed at the SELFIE transferability workshop and finalized together with 22 experts from 12 CEE countries. Results Thirteen transferability recommendations are pro - vided in three areas. Feasibility of local implementation covers the identification and prioritization of implemen - tation barriers and proposals for potential solutions. Per - formance measurement of potentially transferable models focuses on the selection of models with proven benefits and assurance of performance monitoring. Transferability of financing methods for integrated care explores the rel - evance of financing methodologies and planning of ad - equate initial and long-term financing. Conclusions Implementation of international integrated care models cannot be recommended without evidence on its local feasibility or scientifically sound and locally rel - evant performance assessment in the country of origin. However, if the original financing method is not transfer - able to the target region, development of a locally relevant alternative financing method can be considered.
|Croatian Medical Journal|
Kaló, Z, Zemplenyi, A., Rutten-van Molken, M., Looman, W., Huic, M, Hacek, R.T., … Pitter, J.G. (2020). Development of transferability guidance for integrated care models with special focus on Central and Eastern European countries. Croatian Medical Journal, 61(3), 252–259. doi:10.3325/cmj.2020.61.252