Utilizing Population-Based Clinical and Administrative Data to Estimate the Incremental Healthcare Costs of Dementia and Frailty Among Community-Residing Care Recipients
2018
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 […]
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 […]
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 […]
Caregivers Voice
2017
Can Complexity Dynamics Be Harnessed to Improve Integration of Care? the Implementation of the Health Links in Ontario, Canada
2017
Attempts to understand the emergence of integrated care using traditional approaches provide limited insights. Increasingly, scholars are applying complex adaptive systems (CAS) theory to explain the implementation of integrated care policies and interventions. A CAS perspective suggests that integrated care […]
Evaluating the ‘Health Links’: A Case Study of the Role of Organizational Factors in Integrating Care in Ontario, Canada
2017
Adults with multiple chronic illnesses account for more than 75% of health care spending. Many are considered complex due to multimorbidity, high service use, and psychosocial vulnerability.
Low Disability at Admission Predicts Faster Disablement in Long-Term Care Residents
2017
Disablement is when people lose their ability to perform activities of daily living (ADLs) like bathing and dressing over time. This study examines whether high versus low disability, balance impairment, cognitive impairment and pain at admission to long-term care are […]
Validation of Incident Long-Term Care Admissions in Ontario Using Administrative Data
2017