ArticleInternational journal of integrated care2019
Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec.
Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Stakeholder insights into hospital-home transitions for older adults in a decentralised health system: a qualitative study.BMC health services research · 2026Article
- Key Motivators and Framework for Integrated Care by Family Physician Team Members in Urban China.International journal of health policy and management · 2025Article
- Stakeholder perspectives on the barriers and facilitators to integrating cardiovascular disease and diabetes management at primary care in Kenya.PLOS global public health · 2025Article
- How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring.International journal of health policy and management · 2024Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Socio-Organizational Dimensions: The Key to Advancing the Shared Care Record Agenda in Health and Social Care.Journal of medical Internet research · 2023Article
- Effect of COVID-19 on health system integration in the Netherlands: a mixed-methods study.Journal of the American College of Emergency Physicians open · 2021Article
- Relationships Among Structures, Team Processes, and Outcomes for Service Users in Quebec Mental Health Service Networks.International journal of integrated care · 2020Article
- Comparing International Models of Integrated Care: How Can We Learn Across Borders?International journal of integrated care · 2020Article
- Values Underpinning Integrated, People-Centred Health Services: Similarities and Differences among Actor Groups Across Europe.International journal of integrated careArticle
- What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium.International journal of integrated careArticle
- Acute Practitioners' Experiences of Implementing Frailty Same Day Emergency Care: A Researcher-in-Residence Study.International journal of integrated careArticle
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Authors and funding
7 authors.
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Abstract
introductionIntegrated care models for older adults are increasingly utilised in healthcare systems to overcome fragmentations. Several groups of stakeholders are involved in the implementation of integrated care. The aim of this study is to identify the main concerns, convergences and divergences in perspectives of stakeholders involved in the implementation of a centralised system-wide integrated care model for older adults in Quebec. THEORY AND
methodsQualitative multiple-case study. Semi-structured interviews of key stakeholders: policymakers (n = 11), providers (n = 29), managers (n = 34), older adult patients (n = 14) and caregivers (n = 9), including document analysis. Thematic analysis of the views of stakeholders along the lines of the six dimensions of the Rainbow Model of Integrated Care.
resultsWhile patients/caregivers were mostly concerned by their unmet individual needs, policymakers, managers and providers were concerned by structural barriers to integrating care. Stakeholders' diverse perspectives indicated implementation gaps in a top-down implementation context.
conclusionMandated system-wide integration appears to have structural, organizational, functional, and normative transformations, but its clinical changes are more uncertain in view of the observed divergent perspectives of actors. It will be interesting to explore if the systemic changes are precursors of clinical changes or, on the contrary, explains the lack of clinical changes.
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