Shifting paradigms
Developmental milestones for integrated care
Dados Bibliográficos
| ID | 4746002 |
|---|---|
| Autores | James C Shaw (University of Toronto, autor correspondente), James Shaw (0000-0002-9522-0756, Women's College Hospital, autor correspondente), Jennifer Gutberg (0000-0002-2045-4929, University of Toronto), Paul Wankah (0000-0002-2779-9209, Université de Sherbrooke), Mudathira Kadu (0000-0002-0007-4590, University of Toronto), Paul Wankah-Nji, Carolyn Steele Gray (0000-0002-2146-0001, Lunenfeld-Tanenbaum Research Institute), Ann Mckillop (0000-0002-7832-7631, University of Auckland), G Ross Baker (0000-0002-4107-7114, University of Toronto), Mylaine Breton (0000-0001-5713-9618, Université de Sherbrooke), Walter P Wodchis (0000-0003-2494-7031, Trillium Health Centre) |
| Ano | 2022 |
| Volume | 22 |
| Fascículo | S2 |
| Páginas | 132-132 |
| Data de publicação | 2022-05-16 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | International Journal of Integrated Care (JOURNAL) |
| Identificadores do periódico | ISSN: 1568-4156 • E-ISSN: 1568-4156 |
| Editora | Ubiquity Press (PUBLISHER • GB) |
| DOI | 10.5334/ijic.icic21237 |
| PMID | 35461081 |
| OpenAlex | W4280595498 |
| Idioma | EN |
| Citações recebidas | 4 |
| Referências citadas | 40 |
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 primary health care (ICBPHC) in Canada and New Zealand. Our paper reports on an analysis of 4 specific organizational case studies within a large dataset generated for an international multiple case study project of exemplar models of ICBPHC. Drawing on earlier analyses of 359 qualitative interviews with patients, caregivers, health care providers, managers, and policymakers, in this article we present a detailed analysis of 28 interviews with managers and leaders of local models of integrated care. We generated a detailed timeline of the development of integrated care as expressed by each participant, and synthesized themes across timelines within each case to identify specific milestone events. We then synthesized across cases to generate the broader milestone categories to which each event belongs. We generated 5 milestone categories containing 12 more specific milestone events. The milestone categories include (1) strategic relational, (2) strategic process change, (3) internal structural, (4) inter-organizational structural, and (5) external milestones. We propose a comprehensive framework of developmental milestones for integrated care. Milestones represent a compelling strategy for conceptualizing the development of integrated care. Practically, policymakers and health care leaders can support the implementation of integrated care by examining the history and context of a given model of care and identifying strategies to achieve milestones that will accelerate integrated care. Further research should document additional milestone events and advance the development of dynamic frameworks for integrated care
Best practice · Context (archaeology · Data science · Developmental Milestone · Field (mathematics · Health care · Integrated care · Library science · Milestone · Political science · Process management · Sociology · Timeline · Typology · Computer Science · Engineering · Healthcare Systems and Technology · Interprofessional Education and Collaboration · Primary Care and Health Outcomes · Psychology
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| Obras citantes distintas | 4 |
|---|---|
| Citações por ano | 1,33 |
| Intervalo de citações | 2023 - 2025 (3) |
| Velocidade de citação | recent |
| Altamente citado | Não |
| Tipos de citação | Neutras: 4 |