Carolyn Steele Gray
Datos Biográficos
| ID | 149198 |
|---|---|
| NOMBRE | Carolyn Steele Gray |
| NOMBRES | Carolyn Steele |
| APELLIDO | Gray |
| FIRMA | GRAY C S |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0002-2146-0001 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 60 |
| TOTAL DE CITAS | 57 |
| TOTAL COMO AUTOR | 60 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2003 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Exploring Patient and Caregiver Work and Continuity of Care During Hospital‐to‐Home Transitions of Care in the Canadian Context
BACKGROUND: Patients and caregivers are expected to engage in work that involves both physical and cognitive tasks to manage their care and well-being during hospital-to-home transitions. Patient and caregiver work is defined as the health-related tasks they must manage, as well as the physical and cognitive effort required to complete those tasks. When continuity of care is well-supported, work for patients and caregivers may be reduced or bette…
Aligning technology to values through strategic implementation
Background: Digital health solutions and services are recognized as critical to achieve person-centred integrated health and social care (IC). The Value Aligned Digital Health Consortium (established in 2023) is a multi-disciplinary and multi-perspective group including researchers, providers, systems leaders, industry representatives as well as community partnership ensuring representation of diverse patients, caregivers and community members. T…
Goal-Oriented Care in Action
Background: Healthcare systems globally are shifting towards person-centred integrated care (PC-IC) to better support individuals with complex, long-term needs. Goal-oriented care (GOC), which aligns care with patients' personal goals and preferences, is one approach to care delivery which can support person-centred integrated care. However, applying GOC in practice requires interprofessional primary care teams to adopt new routines and skills. T…
The Digital Future of Integrated Care
Background: Digital Health and Data Enabling Integrated Care SIG members have been working together on the priority area of interoperability for the last 3 years through meeting at ICIC and NACIC conferences and building partnerships. In these meetings members of the SIG have joined the co-leads to share and advance knowledge regarding translational challenges of interoperability (ICIC23), how to ensure interoperable efforts remain person-centred…
The landscape of family medicine in India – A cross-sectional survey study
Family medicine was recognized as a distinct specialty in India in the early 1980s, but it is at an early stage of implementation. There are few training programs, and little is known about family physicians’ training, perceptions, and current practices. This paper describes the findings from the first national survey of family medicine in India. We administered the Landscape of Family Medicine in India survey to members of the Academy of Family …
Navigating digital health solutions across organizations in the context of care transitions
Background: Integrated care solutions often require the use of digital tools to support information sharing, communication, collaboration, and patient engagement. Implementing digital tools at different organizations and settings require thoughtfully considering how novel tools may interact with existing technology and workflows. Using a multi-site digitally enabled care transition intervention as a case example, we present an approach of how to …
Creating Health and Wellbeing through Integrated Care
The International Foundation for Integrated Care Canada (IFIC Canada) will be hosting the second North American Conference on Integrated Care in Canada in October 2024 (NACIC24). The goal for the conference is to advance the knowledge and capability around four strategic themes to advance health and wellbeing through the advancement of integrated care. In this 90-minute workshop, we will explore and co-design the themes for the NACIC24 conference…
Person-Centred Interoperability
Introduction: Members of the Digital Health and Data Enabling Integrated Care Special Interest Group came together at ICIC23 to discuss priority issues around interoperability and information data sharing. This year we will advance this conversation by focusing on how we can embed interoperable digital solutions and data systems into caring communities of patients, caregivers, and and decision merks in a way that maximizes fit for purpose and ult…
Key features of programs that integrate informal care
Background: Formal health care systems alone are insufficient to address patients needs for overall health and wellness over the life course. Over 90% of the care people receive is informal. Gaps of most concern include practical support, self-care, social relationships, and activities. Therefore, to scale solutions at a population level, there is a need to understand key features that support integrating informal and formal care across social, m…
Digital Medicines – Digital tools and data supporting improvements in medication prescribing and therapy in a complex world
Digital tools and data play a key role in achieving more effective and safe prescribing and pharmacotherapy. But when comparing the situation across many different countries, there is still considerably room for improvement when it comes to large-scale implementation of digitally supported care processes or even to the systematic exchange of experience. Promising examples of the integration of digital tools and data into prescribing and pharmacot…
Behavioural Change in Practice
Reflective practice is vital for aligning PCPs' behaviour with GOC. Involvement of all colleagues and dedicated time for reflection promote team alignment and consistency in achieving patients' personal goals
Eco-Mapping Considerations for Informing Integrated Systems and Services
Eco-mapping considerations for strengthening integrated systems and health services are essential in designing and implementing efficient and effective health systems and services. This may require health services to understand and have the ability to intervene at an individual and/or community level to address people's complex health and social issues. This is imperative in meeting people’s multidimensional needs, which underlies the gap between…
Archetypes of Integrated Care
Background: A synthesis of integrated care models classified by their aims and central characteristics does not yet exist, but its development may contribute to a shared language within the field of integrated care, facilitate model comparison, and identify gaps in the healthcare system. Approach: We present a collection of five archetypes of integrated care, defined by their aims, to facilitate model comparison and dialogue. We used a purposive …
Reflections From Participants Who Participated in a Photovoice Study
Participant feedback can help researchers identify aspects to consider and improve in the design of future studies. In this study, we explored the experiences and perceptions of participants who participated in a photovoice study, and their thoughts on how the study could be improved to enhance participant experiences, accessibility and inclusivity. Fourteen racialized individuals impacted by stroke, including individuals who have experienced a s…
Exploring the Poststroke Experiences and Needs of South Asian Communities Living in High-Income Countries
Exploring the Landscape of Eco‐Mapping in Health Services Research
Health services research is important in improving health systems’ and providers’ efficiency and effectiveness. This may require health services to intervene at an individual and community level to address people’s complex social issues. An important issue is social connections, which have been identified as a social determinant of health and can help buffer stressful life events. Social support networks can be visualized using eco‐maps, a tool t…
The Integrated Care World is a Stage
Among the challenges in delivering integrated health and social care services is the need to attend to the coordination of tasks, roles, activities, and operations, while considering how these efforts are experienced by patients, carers and communities. The literature has noted an important disconnect between how providers and leaders view their efforts to coordinate service delivery, and how patients perceive these efforts on the receiving end. …
Digitally mediated relationships
Stroke Experiences and Unmet Needs of Individuals of African Descent Living in High-Income Economy Countries
Background Stroke service disparities experienced by individuals of African descent highlight the need to optimize services. While qualitative studies have explored participants' unique experiences and service needs, a comprehensive synthesis is lacking. To address current knowledge gaps, this review aimed to synthesize existing literature on the experiences of individuals of African descent impacted by a stroke living in high-income economy coun…
Strategies used throughout the scaling-up process of eConsult – Multiple case study of four Canadian Provinces
BACKGROUND: eConsult is a model of asynchronous communication connecting primary care providers to specialists to discuss patient care. This study aims to analyze the scaling-up process and identify strategies used to support scaling-up efforts in four provinces in Canada. METHODS: We conducted a multiple case study with four cases (ON, QC, MB, NL). Data collection methods included document review (n = 93), meeting observations (n = 65) and semi-…
Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study
India has one of the most unequal healthcare systems globally, lagging behind its economic development. Improved primary care and primary health care play an integral role in overcoming health disparities. Family medicine is a subset of primary care—delivered by family physicians, characterized by comprehensive, continuous, coordinated, collaborative, personal, family and community-oriented services—and may be able to fill these gaps. This resear…
The emergence of family medicine in India–A qualitative descriptive study
Countries globally are introducing family medicine to strengthen primary health care; however, for many, that process has been slow. Understanding the implementation of family medicine in a national context is complex but critical to uncovering what worked, the challenges faced, and how the process can be improved. This study explores how family medicine was implemented in India and how early cohort family physicians supported the field’s emergen…
The Translational Work of Interoperability
Introduction: Members of the Digital Health and Data Enabling Integrated Care Special Interest Group came together at ICIC22 to discuss priority issues. One critical international struggle is the challenge of interoperability to support information and data sharing and communication as cornerstones of integrated health and social care systems. Aims and Objectives: The emphasis of SIG work in 2023-2024 will be to deeply engage with the critical ch…
Digitizing Integrated Care – Aligning technology to values
Introduction: This workshop will build on an international integrated knowledge translation project that seeks to advance meaningful adoption of digital health services to enable delivery of high-quality and equitable person-centred integrated care. Problem: Digital health solutions and services are recognized as critical to achieve person-centred integrated health and social care. To date work in this area has focused on the development and adop…
Equity Promoting Integrated Care
Over the last three decades, integrated care has emerged as an important health system strategy to improve population health while addressing the unique needs of structurally marginalised communities. However, less attention has been given to the role of integrated care in addressing issues related to inequities in health and health care. In this commentary we introduce the concept of Equity Promoting Integrated Care (EPIC) that situates integrat…
Complexity-compatible' policy for integrated care? Lessons from the implementation of Ontario's Health Links
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 and implementing health policies. We present the case of Health Links, a "low rules" policy intervention in Ontario, Canada aimed at stimulating the development of vol…
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand
The aim of this paper is to set the foundation for subsequent empirical studies of the "Implementing models of primary care for older adults with complex needs" project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on "meso level" integration. Meso level integration is…
Organizational Context Matters
The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail
The Millennium Dome
Management of the problems associated with the Millennium Dome through the use of quangos allowed governments the chance to resolve the crisis by effectively doing nothing. While the issues involved in this case were exaggerated by the media, there were serious managerial and financial concerns that needed to be dealt with. By avoiding these issues altogether, government was able to escape demands for accountability and responsibility. The specif…
Shifting paradigms
Frameworks for understanding integrated care risk underemphasizing the complexities of the development of integrated care in a local context. The objectives of this article are to (1) present a novel strategy for conceptualizing integrated care as developing through a series of milestones at the organizational level, and (2) present a typology of milestones empirically generated through the analysis of four cases of integrated community-based pri…
Comparing International Models of Integrated Care
There is value to using a common template to provide guidance in international comparison of models of integrated care. We discuss the applicability of the approach to support scale and spread of integrated care internationally
Methodological Insights From a Virtual, Team-Based Rapid Qualitative Method Applied to a Study of Providers' Perspectives of the Covid-19 Pandemic Impact on Hospital-To-Home Transitions
Background During the COVID-19 pandemic, rapid virtual qualitative methods have gained attention in applied health research to produce timely, actionable results while complying with the pandemic restrictions. However, rigour and analytical depth may be two areas of concern for rapid qualitative methods. Methods In this paper, we present an overview of a virtual team-based rapid qualitative method within a study that explored health care provider…
Goal-Oriented Care
By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to support this shift
Managerial strategies for integrated care
Introduction: The implementation of integrated care involves efforts to engage health care providers in a vision of health care delivery that includes coordination and collaboration for the care of individual clients. The processes by which health care providers engage with an organizational vision for integrated care, and the challenges associated with encouraging health care providers to adopt integrated practices remain under-explored in the r…
The Integrated Care World is a Stage
Among the challenges in delivering integrated health and social care services is the need to attend to the coordination of tasks, roles, activities, and operations, while considering how these efforts are experienced by patients, carers and communities. The literature has noted an important disconnect between how providers and leaders view their efforts to coordinate service delivery, and how patients perceive these efforts on the receiving end. …
Digitally mediated relationships
Stroke Experiences and Unmet Needs of Individuals of African Descent Living in High-Income Economy Countries
Background Stroke service disparities experienced by individuals of African descent highlight the need to optimize services. While qualitative studies have explored participants' unique experiences and service needs, a comprehensive synthesis is lacking. To address current knowledge gaps, this review aimed to synthesize existing literature on the experiences of individuals of African descent impacted by a stroke living in high-income economy coun…
Equity Promoting Integrated Care
Over the last three decades, integrated care has emerged as an important health system strategy to improve population health while addressing the unique needs of structurally marginalised communities. However, less attention has been given to the role of integrated care in addressing issues related to inequities in health and health care. In this commentary we introduce the concept of Equity Promoting Integrated Care (EPIC) that situates integrat…
Goal-oriented care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Provider values in the adoption of goal-oriented care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Mapping for Conceptual Clarity
This work represents a first step towards development of a fully formed conceptual framework that includes key domains, concepts, and mechanisms of implementing integrated community-based primary health care
The Millennium Dome
Management of the problems associated with the Millennium Dome through the use of quangos allowed governments the chance to resolve the crisis by effectively doing nothing. While the issues involved in this case were exaggerated by the media, there were serious managerial and financial concerns that needed to be dealt with. By avoiding these issues altogether, government was able to escape demands for accountability and responsibility. The specif…
Navigating the Challenges of Building Integrated Care Models
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
We know what to do, but how do we do it? A metanarrative review of implementation frameworks to guide the iCoach project
Understanding the Attributes of Implementation Frameworks to Guide the Implementation of a Model of Community-based Integrated Health Care for Older Adults with Complex Chronic Conditions
Managerial strategies for integrated care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Using Information Communication Technology in Models of Integrated Community-Based Primary Health Care
Introduction: Information and communication technology (ICT) is a promising enabler to support delivery of integrated care by inter-disciplinary teams by supporting information sharing across professional and organizational boundaries; arguably a crucial aspect of successful models of integrated care. The literature suggests that there are core components of ICT functionality such as interoperability between systems, supported chronic disease man…
EHealth advances in support of people with complex care needs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Can complexity dynamics be harnessed to improve integration of care? The implementation of the Health Links in Ontario, Canada
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Managerial strategies for integrated care
Introduction: The implementation of integrated care involves efforts to engage health care providers in a vision of health care delivery that includes coordination and collaboration for the care of individual clients. The processes by which health care providers engage with an organizational vision for integrated care, and the challenges associated with encouraging health care providers to adopt integrated practices remain under-explored in the r…
Organizational Context Matters
The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail
Mapping for conceptual clarity
Background: Studying implementation of integrated models of community-based primary health care takes a “whole systems” multidisciplinary approach to capture micro (patient/carer and provider), meso (organization) and macro (system/policy) factors. In new research studying the implementation of these integrated models intended to improve care for older adults with complex care needs, our project team adopted four theoretical perspectives to captu…
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand
The aim of this paper is to set the foundation for subsequent empirical studies of the "Implementing models of primary care for older adults with complex needs" project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on "meso level" integration. Meso level integration is…
Assessing Factors that Influence the Implementation of Technologies Enabling Integrated Care Delivery for Older Adults with Complex Needs
Mapping for Conceptual Clarity
This work represents a first step towards development of a fully formed conceptual framework that includes key domains, concepts, and mechanisms of implementing integrated community-based primary health care
Too complex to test? Using exploratory trials to identify relevant contexts and mechanisms prior to larger scale evaluations
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Adaptation and standardization of integrated care practices to facilitate scale-up and spread
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Complexity-compatible' policy for integrated care? Lessons from the implementation of Ontario's Health Links
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 and implementing health policies. We present the case of Health Links, a "low rules" policy intervention in Ontario, Canada aimed at stimulating the development of vol…
Realist-informed rapid-cycle evaluations for integrated care programs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Provider values in the adoption of goal-oriented care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
User-centred co-design with multiple user groups
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Macro-level institutional entrepreneurship in the implementation of integrated care models for older adults in a top-down and bottom-up context
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Designing a survey assessing the scale and spread of integrated care in the iCoach project
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Engaging in international case comparison
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Comparing International Models of Integrated Care
There is value to using a common template to provide guidance in international comparison of models of integrated care. We discuss the applicability of the approach to support scale and spread of integrated care internationally
Goal-Oriented Care
By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to support this shift
Health care (36 obras) · Political science (36 obras) · Computer Science (35 obras) · Integrated care (31 obras) · Interprofessional Education and Collaboration (24 obras) · Medicine (24 obras) · Knowledge management (16 obras) · Business (15 obras) · Field (mathematics (15 obras) · Nursing (15 obras)