The Nine Pillars of Integrated Care, Revisited

When the International Foundation for Integrated Care (IFIC) first published the Nine Pillars of Integrated Care in 2020, the world was in the early months of the COVID-19 pandemic.The framework, conceived as a Call to Action to accelerate the global shift to integrated care, articulated nine conditions that any health and care system needs in place for integration to sustain and scale [1].The Pillars rapidly found resonance with policymakers, system leaders and practitioners across IFIC's international network, and became a reference point for IFIC when organising conferences, structuring evaluations and informing system reform.Six years on, three realities had made revision not just advisable but necessary.The Nine Pillars were never formally tested or validated; the language was tied to a specific moment in time and limited the framework's generalisability across contexts and over time; and the wider field of integrated care had continued to develop, adding to the already extensive body of frameworks, models and taxonomies that have emerged over the past fifteen years [2].The revision and validation work undertaken between 2024 and 2025 set out to address each of these limitations

Health care · Healthcare system · Integrated care · Managed care · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Interprofessional Education and Collaboration

• Defining consensus

  Open Access•Ivan R Diamond, Robert C Grant et al.•Journal of Clinical Epidemiology•2014

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• A scoping review of rapid review methods

  Open Access•Andrea C Tricco, Jesmin Antony et al.•BMC Medicine•2015

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