What are models of care? A systematic search and narrative review to guide development of care models for premature ovarian insufficiency

Alicia R. Jones, Chau T. Tay, Angela Melder, Amanda J. Vincent, Helena Teede

Research output: Contribution to journalArticleResearchpeer-review

Abstract

No specific model of care (MoC) is recommended for premature ovarian insufficiency (POI), despite awareness that POI is associated with comorbidities requiring multidisciplinary care. This article aims to explore the definitions and central components of MoC in health settings, so that care models for POI can be developed. A systematic search was performed on Ovid Medline and Embase, and including gray literature. Unique definitions of MoC were identified, and thematic analysis was used to summarize the key component of MoC. Of 2,477 articles identified, 8 provided unique definitions of MoC, and 11 described components of MoC. Definitions differ in scope, focusing on disease, service, or system level, but a key feature is that MoC is operational, describing how care is delivered, as well as what that care is. Thematic analysis identified 42 components of MoC, summarized into 6 themes-stakeholder engagement, supporting integrated care, evidence-based care, defined outcomes and evaluation, behavior change methodology, and adaptability. Stakeholder engagement was central to all other themes. MoCs operationalize how best practice care can be delivered at a disease, service, or systems level. Specific MoC should be developed for POI, to improve clinical and process outcomes, translate evidence into practice, and use resources more efficiently.

Original languageEnglish
Pages (from-to)323-330
Number of pages8
JournalSeminars in Reproductive Medicine
Volume38
Issue number4-5
DOIs
Publication statusPublished - 1 Sep 2020

Keywords

  • Care model
  • Healthcare delivery
  • Healthcare systems
  • Premature ovarian insufficiency
  • Quality improvement

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