References
- Manning E, Gagnon M. The complex patient: a concept clarification. Nursing and Health Sciences. 2017;19(1):13–21. DOI: 10.1111/nhs.12320
- Bender D, Holyoke P. Why some patients who do not need hospitalization cannot leave: a case study of reviews in 6 Canadian hospitals. Healthcare Management Forum. 2018;31(4):121–25. DOI: 10.1177/0840470418755408
- Canadian Institute for Health Information. Patient days in Alternate Level of Care (percentage). [webpage on the internet]. [cited 2025 Mar 12]; 2024 Dec]. Available from:
https://www.cihi.ca/en/indicators/patient-days-in-alternate-level-of-care-percentage - Afilalo M, Xue X, Soucy N, Colacone A, Jourdenais E, Boivin JF. Patient needs, required level of care, and reasons delaying hospital discharge for nonacute patients occupying acute hospital beds. The Journal for Healthcare Quality. 2017;39(4):200–10. DOI: 10.1111/jhq.12076
- Sutherland JM, Crump RT. Alternative level of care: Canada’s hospital beds, the evidence and options. Healthcare Policy. 2013;9(1):26–34. DOI: 10.12927/hcpol.2013.23480
- Maisonnave M, Rajabi E, Taghavi M, VanBerkel P. Alternate Level of Care patients in Canada: a scoping review. Canadian Geriatrics Journal. 2024;27(4):
519 . DOI: 10.5770/cgj.27.755 - Health Quality Ontario. Measuring Up. Health Quality Ontario; 2019. [cited 2023 Aug 23]. Available from:
http://www.hqontario.ca/System-Performance/Yearly-Reports/Measuring-Up-2019 . - Patrick J. Access to long-term care: the true cause of hospital congestion? Production and Operations Management. 2011;20(3):347–58. DOI: 10.1111/j.1937-5956.2011.01229.x
- Lim Fat GJ, Gopaul A, Pananos AD, Taabazuing MM. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriatrics. 2022;8;7(4):
81 . DOI: 10.3390/geriatrics7040081 - Coffey A, Leahy-Warren P, Savage E, Hegarty J, Cornally N, Day MR, Liew A. Interventions to promote early discharge and avoid inappropriate hospital (re) admission: a systematic review. International Journal of Environmental Research and Public Health. 2019;16(14):
2457 . DOI: 10.3390/ijerph16142457 - Nolte E, Pitchforth E. What is the evidence on the economic impacts of integrated care? World Health Organization; 2014. [cited 2025 Mar 19]. Available from:
https://lshtm-eprints-repo-prod.lshtm-eprints.cdl.cosector.com/id/eprint/2530944/1/What-is-the-evidence-on-the-economic-impacts-of-integrated-care.pdf - Ontario Ministry of Health. Ontario Health Teams. [webpage on the internet]. [cited 2023 August 10]; 2023 May]. Available from:
https://www.ontario.ca/page/ontario-health-teams - Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, Moore L, O’Cathain A, Tinati T, Wight D, Baird J. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350:
h1258 . DOI: 10.1136/bmj.h1258 - Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM, Boyd KA, Craig N, French DP, McIntosh E, Petticrew M. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ. 2021;374:
n2061 . DOI: 10.1136/bmj.n2061 - The Pulse. North York CARES: Providing customized health and social care at home. [webpage on the internet]. [cited 2022 August 23]; updated 2021 29 Mar]. Available from:
https://www.nygh.on.ca/newsroom/north-york-cares-providing-customized-health-and-social-care-home - Ridde V, Robert E, Guichard A, Blaise P, Van Olmen J. L’approche Realist à l’épreuve du réel de l’évaluation des programmes. The Canadian Journal of Program Evaluation. 2012;26(3):37–59. DOI: 10.3138/cjpe.0026.005
- WK Kellogg Foundation. Logic model development guide. WK Kellogg Foundation; 2004 Jan. [cited 2023 Aug 28]. Available from:
https://wkkf.issuelab.org/resource/logic-model-development-guide.html - Rohwer A, Pfadenhauer L, Burns J, Brereton L, Gerhardus A, Booth A, Oortwijn W, Rehfuess E. Logic models help make sense of complexity in systematic reviews and health technology assessments. Journal of Clinical Epidemiology. 2017;83:37–47. DOI: 10.1016/j.jclinepi.2016.06.012
- Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology. 2021 Jul 3;18(3):328–52. DOI: 10.1080/14780887.2020.1769238
- Kaushik V, Walsh CA. Pragmatism as a research paradigm and its implications for social work research. Social Sciences. 2019;8(9):
255 . DOI: 10.3390/socsci8090255 - Best A, Greenhalgh T, Lewis S, Saul JE, Carroll S, Bitz J. Large-system transformation in health care: a realist review. The Milbank Quarterly. 2012;90(3):421–56. DOI: 10.1111/j.1468-0009.2012.00670.x
- Lewis RQ, Checkland K, Durand MA, Ling T, Mays N, Roland M, Smith JA. Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes? International Journal of Integrated Care. 2021;21(4):
5 ,1–10. DOI: 10.5334/ijic.5631 - Chui A, Sedig K, Dainty KN. Provider, caregiver, and patient experiences of an integrated care program for older adults designated as Alternate Level of Care: a qualitative case study. International Journal of Integrated Care. 2025;25(1):
12 . DOI: 10.5334/ijic.7629 - Turner S, Ramsay A, Perry C, Boaden R, McKevitt C, Morris S, Pursani N, Rudd A, Tyrrell P, Wolfe C, Fulop N. Lessons for major system change: centralization of stroke services in two metropolitan areas of England. Journal of Health Services Research & Policy. 2016;21(3):156–65. DOI: 10.1177/1355819615626189
- Greenhalgh T, Humphrey C, Hughes J, Macfarlane F, Butler C, Pawson RAY. How do you modernize a health service? A realist evaluation of whole-scale transformation in London. The Milbank Quarterly. 2009;87(2):391–416. DOI: 10.1111/j.1468-0009.2009.00562.x
- Evans RE, Moore G, Movsisyan A, Rehfuess E, ADAPT Panel. How can we adapt complex population health interventions for new contexts? Progressing debates and research priorities. Journal of Epidemiology in Community Health. 2021;75:40–5. DOI: 10.1136/jech-2020-214468
- Kokorelias KM, DasGupta T, Hitzig SL. Designing the ideal patient navigation program for older adults with complex needs: a qualitative exploration of the preferences of key informants. Journal of Applied Gerontology. 2022;41(4):1002–10. DOI: 10.1177/07334648211059056
- Nadal IP, Cliffton C, Tolani E, Achilleos S, Winkley K, Chamley M, Gaughran F, Kottegoda R, Gallo F, Ismail K. Eliciting the mechanisms of action of care navigators in the management of type 2 diabetes in people with severe mental illness: a qualitative study. Diabetic Medicine. 2022;39(10):
e14894 . DOI: 10.1111/dme.14894 - Kastner M, Hayden L, Wong G, Lai Y, Makarski J, Treister V, Chan J, Lee JH, Ivers NM, Holroyd-Leduc J, Straus SE. Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review. BMJ Open. 2019;9(4):
e025009 . DOI: 10.1136/bmjopen-2018-025009
