Prioritization of implementation barriers related to integrated care models in Central and Eastern European countries

Marcell Csanádi, Zoltán Kaló*, Maureen Rutten-van Molken, Willemijn Looman, Mirjana Huic, Darija Ercevic, Dragana Atanasijevic, László Lorenzovici, Paweł Petryszyn, Gábor Pogány, János Pitter, Antal Zemplényi

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)
28 Downloads (Pure)


The importance of integrated care will increase in future health systems due to aging populations and patients with chronic multimorbidity, however, such complex healthcare interventions are often developed and implemented in higher income countries. For Central and Eastern European (CEE) countries it is important to investigate which integrated care models are transferable to their setting and facilitate the implementation of relevant models by identifying barriers to their implementation. This study investigates the relative importance of integrated care models and the most critical barriers for their implementation in CEE countries. Experts from Croatia, Hungary, Poland, Romania and Serbia were invited to complete an online survey within the SELFIE H2020 project. 81 respondents completed the survey. Although experts indicated that some integrated care models were already being implemented in CEE countries, the survey revealed a great need for further improvement in the integration of care, especially the managed care of oncology patients, coordinated palliative care of terminally ill patients, and nursing care of elderly with multimorbidity. Lack of long-term financial sustainability as well as of dedicated financing schemes were seen the most critical implementation barriers, followed by the lack of integration between health and social care providers and insufficient availability of human resources. These insights can guide future policy making on integrated care in CEE countries.

Original languageEnglish
Pages (from-to)1173-1179
Number of pages7
JournalHealth Policy
Issue number11
Early online date24 Aug 2022
Publication statusPublished - Nov 2022

Bibliographical note

The SELFIE project has received funding from the European Union's Horizon 2020 research and innovation program under grant agreement #634288. The content of this paper reflects only the SELFIE group's views and the European Commission is not liable for any use that may be made of the information contained herein.

Copyright © 2022. Published by Elsevier B.V.


Dive into the research topics of 'Prioritization of implementation barriers related to integrated care models in Central and Eastern European countries'. Together they form a unique fingerprint.

Cite this