New Voices, New Power, New Ways of Working: Bringing Integrated Care to the National Health Service in England.
2019
his issue of Healthcare Quarterly features the third and final instalment in a three-part series developed by Ontario’s The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. […]
Rapid Synthesis: Creating a Rapid-learning Health System in Ontario
2018
Success Strategies for Linguistically Competent Healthcare: The Magic Bullets and Cautionary Tales of the Active Offer of French-Language Health Services in Ontario
2018
An active offer of French-language health services (FLHS) was introduced in several Canadian provinces to help create an environment that will anticipate the needs of Francophones in their community and will stimulate the demand for services in French. For the […]
Distributed Versus Centralized Leadership in the Implementation of a Canadian Integrated Care Initiative
2017
Traditional notions of leadership involve more centralized power at the senior levels, with the expectation that vision and strategy will trickle down to operational levels. This type of leadership may work well in smaller organizations, but the complexity of integrated […]
The Generation of Integration: The Mechanisms and Challenges of Implementing Healthcare Integration Across Ontario, Canada
2017
Faced with rising healthcare costs and inefficiencies in the healthcare system, the Ministry of Health and Long-Term Care invited proposals for integrated funding models (IFMs) across the province of Ontario, Canada. Six pilot programs were selected, each of which included […]
Understanding the Sustainability of Cross-Sectoral Care Coordination: An Exploration of Two Approaches to Coordinating Mental and Physical Health Services
2017
Coordinated health services are required for complex patients with comorbid mental and physical health conditions. Health Links (HL) is an initiative in Ontario, Canada promoting integration across the mental and physical health sectors. Collaborative structures in HLs were determined by […]
Operationalizing Patient-Centered Integrated Care: The Gap between Discourse and Action
2017
Complex patients have multiple chronic conditions, often compounded by psychosocial challenges They require a mix of services delivered by multiple providers across settings, which are optimally coordinated through integrated care models. A key success factor of these models is patient-centeredness […]
Barriers and Facilitators to Implementing Family Support and Education in Early Psychosis Intervention Programmes: A Systematic Review
2017
Family support is a core component of the Early Psychosis Intervention (EPI) model, yet it continues to have relatively low rates of implementation in practice. This paper reports results of a literature review on facilitators and barriers to delivering family […]
The Provider Perspective: Investigating the Effect of the Electronic Patient-Reported Outcome (ePRO) Mobile Application and Portal on Primary Care Provider Workflow
2017
Aim This qualitative study investigates how the Electronic Patient-Reported Outcome (ePRO) mobile application and portal system, designed to capture patient-reported measures to support self-management, affected primary care provider workflows. Background The Canadian health system is facing an ageing population that […]
What works in implementation of integrated care programs for older adults with complex needs? A realist review
2017