{"id":"https://openalex.org/W7225408486","doi":"https://doi.org/10.5334/ijic.10232","title":"The Economic Impact of Paediatric Integrated Care in Primary Care: A Rapid Review","display_name":"The Economic Impact of Paediatric Integrated Care in Primary Care: A Rapid Review","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225408486","doi":"https://doi.org/10.5334/ijic.10232","pmid":"https://pubmed.ncbi.nlm.nih.gov/42997374","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13741947"},"language":"en","primary_location":{"id":"doi:10.5334/ijic.10232","doi":"https://doi.org/10.5334/ijic.10232","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.10232","pdf_url":"https://ijic.org/articles/10232/files/6aedba7cef457.pdf","source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://ijic.org/articles/10232/files/6aedba7cef457.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161015848","display_name":"Hamish McCartney","orcid":"https://orcid.org/0009-0009-3700-2441","observed_orcids":["https://orcid.org/0009-0009-3700-2441"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Hamish McCartney","raw_affiliation_strings":["Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia"],"raw_orcid":"https://orcid.org/0009-0009-3700-2441","affiliations":[{"raw_affiliation_string":"Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077418341","display_name":"Sandra K. Davidson","orcid":"https://orcid.org/0000-0002-1432-8600","observed_orcids":["https://orcid.org/0000-0002-1432-8600"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Sandra Davidson","raw_affiliation_strings":["Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia"],"raw_orcid":"https://orcid.org/0000-0002-1432-8600","affiliations":[{"raw_affiliation_string":"Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078371940","display_name":"Ann-Maree Duncan","orcid":"https://orcid.org/0000-0001-5915-9719","observed_orcids":["https://orcid.org/0000-0001-5915-9719"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Ann-Maree Duncan","raw_affiliation_strings":["Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia"],"raw_orcid":"https://orcid.org/0000-0001-5915-9719","affiliations":[{"raw_affiliation_string":"Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065534878","display_name":"Harriet Hiscock","orcid":"https://orcid.org/0000-0003-3017-2770","observed_orcids":["https://orcid.org/0000-0003-3017-2770"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]},{"id":"https://openalex.org/I4210150290","display_name":"Murdoch Children's Research Institute","ror":"https://ror.org/048fyec77","country_code":"AU","type":"nonprofit","lineage":["https://openalex.org/I4210150290"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Harriet Hiscock","raw_affiliation_strings":["Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia","Health Services and Economics, Murdoch Children's Research Institute, Victoria, Australia"],"raw_orcid":"https://orcid.org/0000-0003-3017-2770","affiliations":[{"raw_affiliation_string":"Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]},{"raw_affiliation_string":"Health Services and Economics, Murdoch Children's Research Institute, Victoria, Australia","institution_ids":["https://openalex.org/I4210150290"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001739615","display_name":"Raghu Lingam","orcid":"https://orcid.org/0000-0002-0161-793X","observed_orcids":["https://orcid.org/0000-0002-0161-793X"]},"institutions":[{"id":"https://openalex.org/I31746571","display_name":"UNSW Sydney","ror":"https://ror.org/03r8z3t63","country_code":"AU","type":"education","lineage":["https://openalex.org/I31746571"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Raghu Lingam","raw_affiliation_strings":["School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia"],"raw_orcid":"https://orcid.org/0000-0002-0161-793X","affiliations":[{"raw_affiliation_string":"School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia","institution_ids":["https://openalex.org/I31746571"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018881035","display_name":"Lena Amanda Sanci","orcid":"https://orcid.org/0000-0003-4834-4737","observed_orcids":["https://orcid.org/0000-0003-4834-4737"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Lena Sanci","raw_affiliation_strings":["Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia"],"raw_orcid":"https://orcid.org/0000-0003-4834-4737","affiliations":[{"raw_affiliation_string":"Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5018881035"],"corresponding_institution_ids":["https://openalex.org/I165779595"],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"4","first_page":"8","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.3707999885082245,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.3707999885082245,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.17649999260902405,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.12449999898672104,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.9760000109672546},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8759999871253967},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.8949999809265137},{"id":"https://openalex.org/keywords/multidisciplinary-team","display_name":"multidisciplinary team","score":0.8579999804496765},{"id":"https://openalex.org/keywords/access-barriers","display_name":"access barriers","score":0.7879999876022339},{"id":"https://openalex.org/keywords/economic-evaluation-quality","display_name":"economic evaluation quality","score":0.6930000185966492}],"concepts":[{"id":"https://openalex.org/C2779541514","wikidata":"https://www.wikidata.org/wiki/Q1477478","display_name":"Integrated care","level":3,"score":0.8173999786376953},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6552000045776367},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.6046000123023987},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6003000140190125},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6001999974250793},{"id":"https://openalex.org/C188897","wikidata":"https://www.wikidata.org/wiki/Q5333508","display_name":"Economic impact analysis","level":2,"score":0.5611000061035156},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.51419997215271},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.48399999737739563},{"id":"https://openalex.org/C2776125615","wikidata":"https://www.wikidata.org/wiki/Q18391886","display_name":"Economic evaluation","level":2,"score":0.47189998626708984},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4327000081539154},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4246000051498413},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.3937999904155731},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3716000020503998},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3327000141143799},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.28940001130104065},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.28679999709129333},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.28630000352859497},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.27459999918937683},{"id":"https://openalex.org/C3019080777","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost effectiveness","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.2727999985218048},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.26989999413490295},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2597000002861023},{"id":"https://openalex.org/C119693030","wikidata":"https://www.wikidata.org/wiki/Q2180497","display_name":"Economic model","level":2,"score":0.25769999623298645},{"id":"https://openalex.org/C111874474","wikidata":"https://www.wikidata.org/wiki/Q6005872","display_name":"Impact assessment","level":2,"score":0.2572999894618988},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.25279998779296875}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.5334/ijic.10232","doi":"https://doi.org/10.5334/ijic.10232","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.10232","pdf_url":"https://ijic.org/articles/10232/files/6aedba7cef457.pdf","source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"},{"id":"pmid:42997374","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997374","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of integrated care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13741947","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13741947/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Integr Care","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.5334/ijic.10232","doi":"https://doi.org/10.5334/ijic.10232","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.10232","pdf_url":"https://ijic.org/articles/10232/files/6aedba7cef457.pdf","source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225408486.pdf","grobid_xml":"https://content.openalex.org/works/W7225408486.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W2017895186","https://openalex.org/W2075922892","https://openalex.org/W2287239627","https://openalex.org/W2522166326","https://openalex.org/W2558276410","https://openalex.org/W2755295049","https://openalex.org/W2991288690","https://openalex.org/W3005547544","https://openalex.org/W3010415156","https://openalex.org/W3033656110","https://openalex.org/W3105295392","https://openalex.org/W3216953461","https://openalex.org/W4200098535","https://openalex.org/W4206608028","https://openalex.org/W4220954328","https://openalex.org/W4387784449"],"related_works":["https://openalex.org/W4327918439","https://openalex.org/W3037656320","https://openalex.org/W2111929907","https://openalex.org/W1579843192","https://openalex.org/W2997659903","https://openalex.org/W2439059854","https://openalex.org/W2610423973","https://openalex.org/W6962950419","https://openalex.org/W4220954328","https://openalex.org/W7213620469"],"abstract_inverted_index":{"Background:":[0],"Health":[1],"systems":[2],"face":[3],"mounting":[4],"pressure":[5],"to":[6,27,55,179],"deliver":[7],"equitable,":[8],"cost-effective":[9],"care":[10,34,38,85,110,117,159,162],"amid":[11],"rising":[12],"disease":[13],"burden":[14],"and":[15,24,60,70,121,138,152,199],"healthcare":[16],"costs.":[17],"Escalating":[18],"paediatric":[19,42,83,157],"out":[20],"of":[21,81,186,196,201],"pocket":[22],"costs":[23],"other":[25],"barriers":[26],"access,":[28],"highlight":[29],"the":[30,99,146,183,187,194],"need":[31],"for":[32,41,94,149],"innovative":[33],"models.":[35],"While":[36],"integrated":[37,84],"shows":[39],"promise":[40],"condition":[43],"management,":[44],"economic":[45,132,150,197,205],"evidence":[46,148],"remains":[47],"limited.":[48],"Methods:":[49],"Searches":[50],"were":[51,73,92],"conducted":[52],"between":[53],"2010":[54],"2025":[56],"on":[57],"MEDLINE,":[58],"EMBASE":[59],"CINAHL":[61],"using":[62,98],"search":[63],"terms":[64],"\"integrated":[65],"care\",":[66],"\"paediatrics\",":[67],"\"primary":[68],"care\"":[69],"\"cost-effectiveness\".":[71],"Studies":[72,91],"included":[74],"if":[75],"they":[76,176],"reported":[77,129],"a":[78,82,130],"cost-related":[79],"outcome":[80,133],"program":[86],"delivered":[87],"in":[88],"primary":[89,158],"care.":[90],"assessed":[93],"methodological":[95],"reporting":[96],"quality":[97,195],"CHEERS":[100],"guideline.":[101],"Results:":[102],"Nine":[103],"studies":[104,128],"met":[105],"inclusion":[106,200],"criteria.":[107],"Interventions":[108],"comprised":[109],"coordination":[111,143,163],"models":[112,123,144],"(n":[113,118,124],"=":[114,119,125],"4),":[115],"MDT-based":[116],"3)":[120],"co-consultation":[122],"2).":[126],"Seven":[127],"favourable":[131],"with":[134],"six":[135],"being":[136],"cost-effective,":[137],"one":[139],"showing":[140],"cost-savings.":[141],"Care":[142],"showed":[145],"strongest":[147],"impact":[151],"clinical":[153],"effectiveness.":[154],"Conclusion:":[155],"Integrated":[156],"models,":[160,164],"particularly":[161],"are":[165,177],"economically":[166],"favourable.":[167],"Complex":[168],"systems-level":[169],"interventions":[170],"show":[171],"limited":[172],"financial":[173],"benefits;":[174],"however,":[175],"difficult":[178],"evaluate":[180],"without":[181],"understanding":[182],"local":[184],"context":[185],"intervention.":[188],"Future":[189],"research":[190],"should":[191],"prioritise":[192],"improving":[193],"evaluations":[198],"societal":[202],"perspectives":[203],"into":[204],"evaluation.":[206]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-07T00:00:00"}