Skip to main content
Have a personal or library account? Click to login
Supporting Aging in Place: A Relational and Preventive Approach to Integrated Care in Naturally Occurring Retirement Communities Cover

Supporting Aging in Place: A Relational and Preventive Approach to Integrated Care in Naturally Occurring Retirement Communities

Open Access
|Oct 2026

References

  1. Navaneetham K, Arunachalam D. Global population aging, 1950–2050. In Handbook of aging, health and public policy: perspectives from Asia. Singapore: Springer Nature Singapore; 2025. pp. 99–116. DOI: 10.1007/978-981-99-7842-7_154
  2. National Institute on Ageing and Environics Institute for Survey Research. Perspectives on Growing Older in Canada: The 2022 NIA Ageing in Canada Survey. Toronto, ON: National Institute on Ageing, Toronto Metropolitan University; 2022.
  3. National Institute on Ageing and NORC Innovation Centre. It’s Time to Unleash the Power of Naturally Occurring Retirement Communities in Canada. Toronto, ON: National Institute on Ageing, Toronto Metropolitan University and NORC Innovation Centre, University Health Network; 2022.
  4. Hunt ME, Gunter-Hunt G. Naturally Occurring Retirement Communities. Journal of Housing For the Elderly. 1986;3(3–4):3–22. DOI: 10.1300/J081V03N03_02
  5. Vladdek, F. A special report from United Hospital Fund A good place to grow old. 2004. https://media.uhfnyc.org/filer_public/ab/ae/abae5a7f-7b3f-43a2-a534-87298fe42086/goodplace.pdf
  6. Savage R, et al. A portrait of older adults in naturally occurring retirement communities in Ontario, Canada: A population-based study. Journal of the American Geriatrics Society. 2024. DOI: 10.1111/jgs.19278
  7. Brown K, Mayer J. A blueprint for promoting equitable health and health care through community-led initiatives. Urban Institutes. 2024.
  8. World Health Organization. Community-centered design of integrated social and health care services that address the social determinants of health equity. n.d.
  9. Hughes G, Shaw SE, Greenhalgh T. Rethinking integrated care: a systematic hermeneutic review of the literature on integrated care strategies and concepts. The Milbank Quarterly. 2020;98(2):446–492. DOI: 10.1111/1468-0009.12459
  10. Rocks S, Berntson D, Gil-Salmerón A, Kadu M, Ehrenberg N, Stein V, Tsiachristas A. Cost and effects of integrated care: a systematic literature review and meta-analysis. The European Journal of Health Economics. 2020;21(8):1211–1221. DOI: 10.1007/s10198-020-01217-5
  11. City of Toronto. Toronto Seniors Strategy 2.0. 2018. https://www.toronto.ca/wpcontent/uploads/2019/02/93cd-CoT-seniors-strategy2.pdf.
  12. NORC Innovation Centre. Naturally Occurring Retirement Communities in Ontario: Fact Book. Toronto, ON: NORC Innovation Centre, University Health Network; 2026.
  13. Liu KJ, Hatzifilalithis S, Recknagel J, Bibi Ali Yar D, Pedulla J, Brunner K, Meschino L, Hahn-Goldberg S, Matai L, Boblitz A, Bruner K, Rochon PA, Savage RD. A Site Selection Process for Enhanced Programming in Naturally Occurring Retirement Communities and Social Housing: An Equity- and Data-Driven Methodology. Can J Aging. 2026 Jun;45(2):273–280. PMID: 41693524. DOI: 10.1017/S0714980826100543
  14. Godfrey L, St-Amant A, Premji K, Fitzsimon J. Impact of changes in primary care attachment: a scoping review. Family Medicine and Community Health. 2025;13(1):e003115. DOI: 10.1136/fmch-2024-003115
  15. Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217–226. PMID: 22310560; PMCID: PMC3731143. DOI: 10.1097/MLR.0b013e3182408812
  16. Mulligan K, MacDonald T, Hahn-Goldberg S, Recknagel J, Jeganathan L. Toward a community health GPS: Developing and field-testing guidance for policy and systems through common evaluation in community health. Unpublished manuscript, SSM Health Systems (2025). n.d.
  17. Murray B, McCrone S. An integrative review of promoting trust in the patient–primary care provider relationship. Journal of Advanced Nursing. 2015;71(1):3–23. DOI: 10.1111/jan.12502
  18. Townsend, BG, Chen JT-H, Wuthrich VM. Barriers and Facilitators to Social Participation in Older Adults: A Systematic Literature Review. Clinical Gerontologist. 2021;44(4):359–380. DOI: 10.1080/07317115.2020.1863890
  19. Allana A, Kuluski K, Tavares W, Pinto AD. Building integrated, adaptive and responsive healthcare systems–lessons from paramedicine in Ontario, Canada. BMC health services research. 2022;22(1):595. DOI: 10.1186/s12913-022-07856-z
  20. Colón-Emeric CS, McDermott CL, Lee DS, Berry SD. Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults: A Review. JAMA. 2024 Apr 23;331(16):1397. DOI: 10.1001/jama.2024.1416
  21. Fernandes J, Fernandes S, Almeida A, Vareta D, Miller C. Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy. J Pers Med. 2021 May 23;11(6):450. DOI: 10.3390/jpm11060450
  22. Chan NC, Pedulla J, Remark A, Bartleman S, Macpherson A, Abrams H, et al. Breaking the Inverse Care Law for Fall Prevention Programs: A Collaborative and Community-led Approach. Can Geriatr J. 2025 Mar 5;28(1):103–104. DOI: 10.5770/cgj.28.799
  23. Sadaqa M, Németh Z, Makai A, Prémusz, V, Hock M. Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: a systematic review with narrative synthesis. Frontiers in public health. 2023;11:1209319. DOI: 10.3389/fpubh.2023.1209319
  24. Tse MM, Wan VT, Ho SS. Physical exercise: does it help in relieving pain and increasing mobility among older adults with chronic pain? Journal of clinical nursing. 2011;20(5–6):635–644. DOI: 10.1111/j.1365-2702.2010.03548.x
  25. Mounier-Jack S, Mayhew SH, Mays N. Integrated care: learning between high-income, and low-and middle-income country health systems. Health policy and planning. 2017;32(suppl_4):iv6–iv12. DOI: 10.1093/heapol/czx039
  26. Sacks E, Morrow M, Story WT, Shelley KD, Shanklin D, Rahimtoola M, … Sarriot E. Beyond the building blocks: integrating community roles into health systems frameworks to achieve health for all. BMJ global health. 2019;3(Suppl 3):e001384. DOI: 10.1136/bmjgh-2018-001384
DOI: https://doi.org/10.5334/ijic.10601 | Journal eISSN: 1568-4156
Language: English
Page range: 4 - 4
Submitted on: Feb 1, 2026
Accepted on: Oct 12, 2026
Published on: Oct 23, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Shoshana Hahn-Goldberg, Jen Recknagel, Melissa Chang, Cecile Raymond, Kathrin Brunner, Miao-Ying Huang, Paulina Bleah, Ana Macpherson, Alicia Remark, Leslie Williams, Rachelle Patille, Sandra Yue, Howard Abrams, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.