Table 4 Data extraction of the included articles
Study ID | Location | Periodyears | Integrationtype | Subjects | Measurement tool(s) | Measurement dimensions |
|---|---|---|---|---|---|---|
Quantitative studies | ||||||
Farrar et al. (2001) | Canada | 2001 | horizontal | Family physicians | Self-designed questionnaire | The benefit to patients; disruption to office routines due to the presence of team members; the role of counselors and psychiatrists clinically and as educational resources; effects of the team on physicians' understanding of community resources, counseling techniques, diagnostic and treatment approaches |
Jia et al. (2014) | China | 2014 | vertical | PCPs | Self-designed questionnaire | Current position; compensation and benefits; training and learning and personal growth; recognition and appreciation; working conditions; teamwork; organization and management |
Poot et al. (2016) | Netherlands | 2016 | horizontal | GPs | Self-designed questionnaire | General satisfaction with General Practitioner care; Satisfaction about specific aspects of integrated care of GP care in General Practitioners: information exchange; coherence of care; multidisciplinary working |
Waddimba et al. (2016) | USA | 2016 | vertical | Rural physicians and mid-level practitioners | Self-designed questionnaire | Self-reported satisfaction with Practice; needs(assess gratification of needs for autonomy and relatedness); work Meaningfulness; tolerance of uncertainty/ambiguity (the uncertainty of patient care); workload |
Walter et al.(2019) | USA | 2019 | horizontal | Behavioral Health Integration Program(BHIP) Providers | Adapted questionnaires for self-efficacy and satisfaction [28] | Self-efficacy (Level of confidence in completing tasks); the comfort of teamwork; the effectiveness of teamwork; the medical treatment intention of patients and their family members increase access to quality BH services; get professional satisfaction |
Selamu et al. (2019) | Ethiopia | 2019 | horizontal | Primary healthcare workers | Maslach Burnout Inventory (MBI); Job Satisfaction Questionnaire (JSQ) | Overall satisfaction: the application of personal expertise and interests and their suitability, as well as learning opportunities and job security Internal satisfaction: salary and benefits, promotion and development, reputation brought by work, etc External satisfaction: working environment and relationship with superiors and colleagues |
Wu et al. (2021) | China | 2021 | vertical | PCPs | Self-designed questionnaire | Satisfaction with various work of medical consortium construction; satisfaction with the environment; satisfaction with treatment, performance distribution, and opportunities for further study |
He et al. (2021) | China | 2021 | vertical | PCPs | Self-designed questionnaire | Leader/Colleague relationships; Doctor sinking from the superior hospital(helping effect of superior doctors); Working conditions and equipment configuration; Training opportunities; Training content; Ability improvement; Opportunity to use ability; Promotion opportunities; career development prospects; performance appraisal system; welfare benefits; Income level; Management status; Cultural atmosphere |
Chen et al. (2021) | China | 2021 | vertical | County, township, and village medical personnel | Self-designed questionnaire | Working environment and conditions; management system of the medical community; personal career development; colleague relationship; social recognition |
Haag et al. (2021) | USA | 2021 | horizontal | Physicians working in primary care clinics | Self-designed questionnaire | Workload and job demand; services efficiency and resources (services utilization, knowledge and education); meaning in work (patient care and professional development); social support and community at work (team support) |
Sheehan et al. (2013) | Canada | 2022 | horizontal | Healthcare providers within primary care | Self-designed questionnaire | Expansion of knowledge and skills; reduction in professional isolation; addressing learning needs; recommendation of the session to others; overall satisfaction; learning and self-efficacy; performance |
Dong et al. (2022) | China | 2022 | vertical | County-level and community-level medical personnel | Self-designed questionnaire | Working pressure; professional ability; salary package |
Zhou et al. (2022) | China | 2022 | vertical | County, township, and community medical personnel | Self-designed questionnaire | Workload; skill level improvement, work pressure; professional level (service quality); work enthusiasm; working hours; career development prospects; doctor–patient relationship; changes in income; opportunities for further study and training; reasonable distribution of remuneration |
Wang et al. (2023) | China | 2023 | vertical | Leading and member hospital medical staff | Self-designed questionnaire | Operating mechanism; medical level; the sense of achievement; working hours and workload; job pressure; income; internal performance incentive |
Qualitative study | ||||||
Mutemwa et al. (2013) | Kenya | 2013 | vertical | Healthcare providers in hospitals, sub-district hospitals, and health centers | Interviews to explore provider experiences with integration to ascertain their significance to the performance of integrated health facilities | Summary of benefits and challenges of integration reported by providers |
Vickers et al. (2013) | USA | 2013 | vertical | PCPs | Interviews to elicit opinions about mental health services before on-site system and resource changes occurred and repeated following changes that were intended to improve access to on-site mental health care | Opinions of mental health services after the resource and system changes: access to care domain and Referrals for care domain |
Rodríguez et al. (2018) | USA | 2018 | vertical | Social workers, psychiatrists, and primary care providers | Interviews to learn about providers’ experiences to implement the program, and their recommendations for its sustainability | Providers described interdisciplinary integration arising from the program, with accompanying benefits and challenges |
Mixed-methods study | ||||||
Kool et al. (2008) | Netherlands | 2008 | vertical | Employees working at the integrated emergency post | A specially developed survey based on a validated questionnaire; interview to explore staff’s idea of IEPs | Autonomy; clarity about their tasks staffing; patient care; use of personal capacities; social climate; information; culture work and organization |
Wang (2017) | China | 2017 | vertical | County and township medical staff | Self-designed questionnaire; interviews to learn the achievements, problems, and countermeasures of such a policy | Career development; salary work pressure; the sense of achievement |
Purcell et al. (2018) | USA | 2018 | vertical | PCPs, other primary care team members, and organizational stakeholders | Self-designed questionnaire; interview to elicit interviewees’ perspectives on the perceived effectiveness of the chronic pain care provided to their patients; job satisfaction, stress level, and burnout; confidence in and comfort and whether and how the implementation of Integrated Pain Team affected each of these | Perceived effectiveness of chronic pain care; providers confidence and skill in providing chronic pain care; satisfaction, stress, and burnout for providers and other team members |
Zhou et al. (2018) | China | 2018 | vertical | Medical staff in district hospitals and community health management centers | Self-designed questionnaire; interviews to understand the changes in their organization and their work before and after the reform, their job satisfaction, and their opinions and suggestions for the reform | Work itself; interpersonal relationships; hospital development |
Ma et al. (2018) | China | 2018 | vertical | The medical staff of community health centers | Self-designed questionnaire | Salary level; distribution system; working conditions; performance appraisal scheme; professional training; personal ability to play a platform; interpersonal relationship; overall satisfaction |
Lin (2018) | China | 2018 | vertical | County and township medical personnel | Self-designed questionnaire; interviews to deeply understand the implementation of relevant measures in County Yigongti as well as their interest demands, cognition of the policy, work enthusiasm, and the confusion and problems existing in the actual operation | Personal income; personal working ability; working conditions; training opportunities; obtaining a higher degree |
Jin et al. (2019) | China | 2019 | horizontal | PCPs | Self-designed questionnaire; interviews to better understand the expanded roles of PCPs and their influences on job satisfaction from the perspectives of administrators and service providers | Workload; income level; work autonomy |
Ti (2019) | China | 2019 | vertical | Medical staff at county, township, and village levels | Self-designed questionnaire; interviews to learn the operation status, achievements, difficulties, and problems encountered in the reform, and improvement suggestions of the Yigongti | Income; benefits; distribution system; working environment; training opportunities; performance appraisal |
Kaitz et al. (2021) | UK | 2020 | vertical | Psychologists and primary care physicians | Self-designed questionnaire; interview to explore providers' experiences working in their particular work setting and their collaboration with interdisciplinary providers | Level of administrative support; satisfaction with inter-professional collaboration; job satisfaction; provider holistic beliefs |
Deng (2021) | China | 2021 | vertical | Medical staff in community health service centers | Self-designed questionnaire; interviews to learn the employees' satisfaction, opinions, and suggestions on the operation and management of the medical group | Working environment, management level; workload; salary level; career prospects; work status |
Zhang et al. (2022) | China | 2022 | vertical | Rural doctor | Perceived organizational support Scale; interviews to better understand Village doctors' views on the "rural integration" reform, and their feelings on the changes in various aspects of township health centers after the implementation of the "rural integration" management | Organizational support; emotional support; organizational reward; procedural fairness; superior support |
Zhang (2022) | China | 2022 | vertical | The medical staff of higher and primary medical institutions | Self-designed questionnaire; interviews to better understand the implementation and effectiveness of such policies, as well as the cognitive satisfaction of medical workers with such policies | Cognition and evaluation; willingness to work in the medical alliance; work experience |