Evidence map›Paper›PMID 38370568›Full record

ArticleInternational journal of integrated care

Integrated Community Care Delivered by Public Health-Care and Social-Care Systems: Results from a Realist Synthesis.

Jean-François Allaire, Paul Morin, Chantal Doré, Shelley-Rose Hyppolite, Marie Suzanne Badji, Hervé Tchala Vignon Zomahou

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Jean-François AllaireInstitut universitaire de première ligne en santé et services sociaux (IUPLSSS) du Centre intégré universitaire de santé et de services sociaux de l'Estrie -Centre hospitalier universitaire de Sherbrooke (CIUSSSE-CHUS), Hopital et centre d'hébergement D'Youville, Sherbrooke, QC, Canada.ORCID https://orcid.org/0000-0003-2705-5856
Paul MorinInstitut universitaire de première ligne en santé et services sociaux (IUPLSSS) du Centre intégré universitaire de santé et de services sociaux de l'Estrie -Centre hospitalier universitaire de Sherbrooke (CIUSSSE-CHUS), Hopital et centre d'hébergement D'Youville, Sherbrooke, QC, Canada.ORCID https://orcid.org/0000-0002-4512-0642
Chantal DoréInstitut universitaire de première ligne en santé et services sociaux (IUPLSSS) du Centre intégré universitaire de santé et de services sociaux de l'Estrie -Centre hospitalier universitaire de Sherbrooke (CIUSSSE-CHUS), Hopital et centre d'hébergement D'Youville, Sherbrooke, QC, Canada.
Shelley-Rose HyppoliteCentre intégré universitaire de santé et de services sociaux de la Capitale Nationale, Canada.ORCID https://orcid.org/0000-0002-9834-4308
Marie Suzanne BadjiInstitut universitaire de première ligne en santé et services sociaux (IUPLSSS) du Centre intégré universitaire de santé et de services sociaux de l'Estrie -Centre hospitalier universitaire de Sherbrooke (CIUSSSE-CHUS), Hopital et centre d'hébergement D'Youville, Sherbrooke, QC, Canada.
Hervé Tchala Vignon ZomahouDepartment of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada.ORCID https://orcid.org/0000-0001-6328-5451

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Integrated community care (ICC) is defined as an interweaving of health-care and social-care interventions deployed in spatial and relational proximity using an interdisciplinary and cross-sectoral approach. Consideration of territory scale and time scale are at the center of ICC practices. Its deployment in public health and social care networks (HSCN) can be complex due to their broad mandate, the complexity of their management, and accountability. Therefore, we aimed to describe ICC delivered by public HSCN to determine how, why, for whom, and in what circumstances ICC works and produces outcomes. Methods: A realist synthesis was conducted consisting of five steps consistent with realist synthesis standards (RAMESES projects) to produce configurations of Context - Mechanism - Outcomes (CMOc) and development of a middle-range explanatory theory of why and how the identified outcomes may have occurred. Results: In total, 26 studies were selected and used, as evidence, to support-either partially or fully-the production of CMOc based on the initial program theory. Nine unique CMO configurations were identified based on the data analyses and team discussion. ICC middle-range theory is informed by the CMO configurations identified. Discussion: This realist synthesis allowed us to identify the central mechanisms of ICC delivered by public HSCN and to produce a middle range theory. ICC is based on a specific philosophy and deployed by a professional agency oriented toward a community agency within a local system of interdisciplinary and cross-sectoral action. Conclusion: Our middle-range theory will provide a solid analytical framework as a foundation for ICC implementation and future research.

Indexed as

health careintegrated community carelocal areaproximitypublic servicessocial care

Identifiers

PMID38370568
PMCPMC10870956

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.