Evidence map›Paper›PMID 32089655›Full record

ArticleInternational journal of integrated care2020

Collaborative Governance for Integrated Care: Insights from a Policy Stakeholder Dialogue.

Dara Gordon, Sandra McKay, Gregory Marchildon, R Sacha Bhatia, James Shaw

Abstract read
In one paragraph

Article in International journal of integrated care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  17. Towards an Integrated Care Organisation from a CEO Perspective.International journal of integrated care · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dara GordonInstitute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Ontario, CA.
Sandra McKayResearch & Education Department, VHA Home HealthCare, CA.
Gregory MarchildonNorth American Observatory on Health Systems and Policies, CA.
R Sacha BhatiaInstitute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Ontario, CA.
James ShawInstitute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Ontario, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntegrated care is a goal of many health care systems. However, operationalizing and implementing integrated care remains challenging especially in continuously evolving policy environments. We report on a policy symposium held in 2017 focused on operationalizing a particular integrated care policy in the context of policy evolution in Ontario, Canada. METHODOLOGY: Forty-five participants attended the symposium including government employees, health care leaders, researchers, clinicians, and patient representatives. The symposium included presentations from representatives of each group and breakout sessions. Two trained observers recorded observational field notes.

resultsWe report four recommendations and fourteen sub-recommendations which arose regarding the implementation of the policy. We highlight four important tensions which characterize challenges regarding its implementation, and discuss the recommendations in the context of Collaborative Governance. DISCUSSION: We outline how the recommendations could be strengthened by collaborative governance and identify where this framework could support governance and leadership challenges associated with implementing integrated care. We describe the unique challenges posed by working towards these goals in an evolving policy environment.

conclusionWe draw on collaborative governance to generate insights for leaders implementing integrated care and conclude by addressing the importance of maintaining collaborative governance initiatives under circumstances of unstable policy environments.

Indexed as

collaborative governancehealth care managementimplementation scienceintegrated care

Identifiers

PMID32089655
PMCPMC7019202

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.