Community-informed, integrated, and coordinated care through a community-level model: A narrative synthesis on community hubs

Abstract

We identify the core services included in a community hub model of care to improve the understanding of this model for health system leaders, decision-makers in community-based organizations, and primary healthcare clinicians. We searched Medline, PubMed, CINAHL, Scopus, Web of Science, and Google from 2000 to 2020 to synthesize original research on community hubs. Eighteen sources were assessed for quality and narratively synthesized (n = 18). Our analysis found 4 streams related to the service delivery in a community hub model of care: (1) Chronic disease management; (2) mental health and addictions; (3) family and reproductive health; and (4) seniors. The specific services within these streams were dependent upon the needs of the community, as a community hub model of care responds and adapts to evolving needs. Our findings inform the work of health leaders tasked with implementing system-level transformations towards community-informed models of care.

Older adults’ experiences of a community wellness program (Connect 60+) that focused on physical activity and social connections: a qualitative exploratory study

“…Older adults are much more likely to continue with, and make social connections, in a physical activity program they enjoy (Creighton et al 2022). In a synthesis of research on community hubs performed between 2000 and 2020, it was found that community hubs offer a range of services throughout the community; however, of the 18 studies reviewed, six of these were aimed at social care for older adults with chronic illness or disability, and none of them included physical activity (Manis et al 2022). Another review suggested that physical activity was particularly good for vulnerable older people, as it improved their functional ability; however, it also noted that physical activity alone did not reduce loneliness (Shvedko et al 2018).…”

Participant Perspectives on Community Health Workers' Critical Role in Their Experience of the Pathways Program to Address Complex Needs

“…One model of care coordination is the community hub model. This model focuses on community connection and community-informed service delivery, creating a network of providers that have a shared vision and goals related to medical care and integrating health and social care to ensure access to services and supports for individuals (Banarsee et al, 2018; Davidson et al, 2018; Evans et al, 2017; Manis et al, 2022). This model of care can enhance experience, satisfaction, and the efficiency of how care is delivered, particularly for those who have complex and intersecting needs (Shaw et al, 2017).…”