Development of transferability guidance for integrated care models with special focus on Central and Eastern European countries

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.

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