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Conference Abstracts

Critical integration factors and contextual forces in integrated health and social care: Collective case study in three Canadian provinces

Authors:

Siu Mee Cheng ,

Ryerson, Canada, CA
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Cristina Catallo

Ryerson, Canada
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Abstract

Integrated health and social care (IHSC) is the next frontier in healthcare.  It is a relatively young phenomenon, the extant literature shows the phenomenon continues to evolve.  It is important to determine how contextual factors may influence how IHSC may occur. Objectives: A multiple case study of integrated health and social services initiatives in three Canadian provinces, Ontario, Alberta and Nova Scotia was undertaken to explore the factors that support successful services integration among different healthcare and social services organizations serving older adults. Three voluntarily driven community-based IHSC initiatives were selected: geriatric assessment program collaboratory in Camrose, AB; a day program situated in Toronto, Healthy at Home; and an award-winning integrated care program, the Middleton Day Program situated in the Annapolis Valley, NS.  Methods:  Data was collected and analyzed based on key informant interviews and focus groups for each case.  Results:  It was discovered that there were nine common critical inter- organizational factors that support integration among all three cases, despite the variation in contextual factors. These included shared vision and goals, culture, leadership, dedicated funding and resources, team-based approaches, communication, information sharing, champions, pre-existing relationships and role clarity. Despite differences in urban/rural geographic location and governing healthcare systems, the cases shared six common contextual factors influenced integration: governance authorities, government policies and agendas, working within a not-for-profit context, aging populations, geography, transportation, and a close sense of community.  Conclusion:  The three cases show that voluntary collaboratively-based integrated health and social care can occur successfully in Canada.

How to Cite: Cheng SM, Catallo C. Critical integration factors and contextual forces in integrated health and social care: Collective case study in three Canadian provinces. International Journal of Integrated Care. 2022;22(S3):201. DOI: http://doi.org/10.5334/ijic.ICIC22097
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Published on 04 Nov 2022.

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