IFIC Annual Survey 2023

Are we there yet?

People´s views on how far we have advanced in providing continuous and coordinated care

Authors: Dr Arturo Alvarez-Rosete, Dr Edelweiss Aldasoro, Alejandro Gil-Salmerón, Dr Pilar Gangas, Dr Niamh Lennox-Chhugani.

IFIC has conducted its second annual survey on integrated care, with a specific emphasis on collecting the experiences of our network regarding how coordinated and continuous care is today in different contexts, countries and from various stakeholder viewpoints. See below for the Full Report and Executive Summary

Key messages

The 2023 IFIC Survey got views across three different stakeholder groups on how they see continuity and coordination of care happening in their own settings.

People see small and moderate advances, but effective continuity and coordination of care are not yet fully established.
Service users have a more negative perception than health and care providers, who see improvements at the organisational level rather than the system level.
People have more positive views and care continuity over time than coordination of care across multiple settings.
Changes are still “embryonic’, local, and not consistent across countries. There is still progress to be made.

IFIC Annual Survey

In 2022, IFIC ran the first annual survey on integrated care by asking to our network:

What features of integrated care matter to the policymakers, practitioners, researchers, patients and caregivers with experience of integrated care in different countries/ systems today?

This year in 2023 we asked:

How far have we advanced in providing continuous and coordinated care?

Who did we ask?

The online survey was distributed to IFIC’s global network, which encompasses more than 23,000 people that were in the IFIC database and distribution list when the survey was launched. We got a total of 662 valid responses.

We segmented the population into the three stakeholder groups and asked several questions common for all three groups but will also ask particular questions for each group. The survey had 662 valid responses from across IFIC’s international network.

Response came from three groups:

Users of health and care services (patients and care givers)

Practitioners (health and care professionals and managers)

Policymakers and academics (researchers or teachers working at universities or think tanks)

What did we find?

Service users, care providers and policymakers see small and moderate advances, “signs of a new culture of integration” visible through experiments and local initiatives.

But we are not there yet: effective continuity and coordination of care is not yet fully established.

In general, people have more positive views about achievements with care continuity over time than with coordination of care across multiple providers and settings.

Service users have a more negative perception than providers of the degree to which care services are done with continuity and in a coordinated manner.

Health and care providers see improvements happening at the organisational level rather than at the system level.

There is a sense of optimism from policymakers and researchers regarding advances in care continuity and coordination over the past years, although improvements are not consistent across the sectors or in countries.

However, “changes are still embryonic”, local and not consistent within and across countries. There is still much progress to be made.

Download the survey reports

Survey Reflections with Prof Anne Hendry

Contact us

To discuss the results and methods of our survey or to learn more about our work, contact Dr Arturo Alvarez at arturoalvarez@integratedcarefoundation.org.