Integrating Care in Scotland
2018
This issue of Healthcare Quarterly includes the second of 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. Part 1 featured […]
Effective Approaches to Integrating Care: A Three-Part Series
2018
Health systems across Canada are increasingly focused on the gaps and discontinuity in care that contribute to ongoing problems for so many people, particularly those who are chronically ill or otherwise vulnerable. It is generally acknowledged that the system needs […]
‘Complexity-Compatible’ Policy for Integrated Care? Lessons From the Implementation of Ontario’s Health Links
2018
Complex adaptive systems (CAS) theory views healthcare as numerous sub-systems characterized by diverse agents that interact, self-organize, and continuously adapt. We apply this complexity science perspective to examine the extent to which CAS theory is a useful lens for designing […]
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 […]
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 […]
What Works in Implementation of Integrated Care Programs for Older Adults With Complex Needs? A Realist Review
2017
PURPOSE: A realist review of the evaluative evidence was conducted on integrated care (IC) programs for older adults to identify key processes that lead to the success or failure of these programs in achieving outcomes such as reduced healthcare utilization, […]
What works in implementation of integrated care programs for older adults with complex needs? A realist review
2017
Community Care for People With Complex Care Needs: Bridging the Gap Between Health and Social Care
2017
Introduction: A growing number of people are living with complex care needs characterized by multimorbidity, mental health challenges and social deprivation. Required is the integration of health and social care, beyond traditional health care services to address social determinants. This study […]
Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives
2017
Introduction: The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in […]
Organizational Factors in Integrated Healthcare Delivery Models: A Review of Measurement Tools
2016