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Intervention

Organisational Intervention: Formal integration of services

Definition

Bringing together of services across sectors or teams or the organisation of services to bring all services together at one time

Effectiveness

One high quality review (Harkness) was identified. Formal integration of services was found to be generally effective for improving cost containment outcomes, but produced mixed effects for improving appropriate choice of drugs.

Summary of Overall Findings from Reviews

4 reviews that examined the effectiveness of formal integration of services were identified. Of these, 1/1 high quality/key reviews with a sufficient number of studies to draw conclusions found this intervention to be generally effective.

Summary of Findings Related to Prescribing

1/1 high quality/key reviews with a sufficient number of studies to draw conclusions found this intervention to be generally effective for improving prescribing outcomes.

Reviews listed as "Summary Pending" will be analyzed, summarized and reported at a later date.

The findings will then be incorporated in the overall evidence summaries of the interventions they address.

Reviews Addressing This Intervention Quality Assessment Tool:
AMSTAR Score (of 11 points)
Harkness EF, Bower PJ. On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers. Cochrane Database of Systematic Reviews 2009 1:CD000532. 8 (High)
Smolders M, Laurant M, Roberge P, van Balkorn A, van Rijswijk E, Bower P, Grol R. Knowledge transfer and improvement of primary and ambulatory care for patients with anxiety. Canadian Journal of Psychiatry 2008 53 (5):277-93. 7 (Medium)
McDonnell A, Nicholl J, Read SM. Acute pain teams and the management of postoperative pain: a systematic review and meta-analysis. Journal of Advanced Nursing 2003 41 (3):261-73. 5 (Medium)
Wong WC, Luk CW, Kidd MR. Is there a role for primary care clinicians in providing shared care in HIV treatment? A systematic literature review. Sexually Transmitted Infections 2012 88 (2):125-31. 5 (Medium)