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Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand: Describing Nine Cases Cover

Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand: Describing Nine Cases

Open Access
|Jun 2017

Abstract

The aim of this paper is to set the foundation for subsequent empirical studies of the “Implementing models of primary care for older adults with complex needs” project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on “meso level” integration. Meso level integration is represented by organizational and professional elements of the Rainbow Model, which are of particular interest in our nine case studies. Each of the three cases in Ontario and three in New Zealand are different and described separately. In Quebec, a local health services network model is presented across the three cases studied with variations in the way it is implemented. The three cases selected in the three jurisdictions under study were not chosen to be representative of wider practice within each country, but rather represent interesting and unique models of community-based primary healthcare integration. Similarities and variations in the integrated care models, context and dimension of integration offer insights regarding core component of integration of services, offering a foundational understanding of the cases on which future analysis will be based. 

DOI: https://doi.org/10.5334/ijic.2506 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jul 13, 2016
Accepted on: Jan 7, 2017
Published on: Jun 27, 2017
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Mylaine Breton, Carolyn Steele Grey, Nicolette Sheridan, Jay Shaw, John Parsons, Paul Wankah, Timothy Kenealy, Ross Baker, Louise Belzile, Yves Couturier, Jean-Louis Denis, Walter P. Wodchis, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.