From the Bottom Up and Other Lessons from Down Under

Leggat, Sandra G.; Walsh, Michael

doi:10.12927/hcpap.2000.17217

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…Before being implemented in the health sector, service integration was introduced in other sectors of the economy where, as Leggatt and Walsh indicate, “There are also less integrated service offerings for those consumers who desire greater control, choice or flexibility” [ 54 ]. Based on the texts we have gathered, that would be the case for women experiencing a pregnancy without complications, particularly those who opt for the services of a midwife.…”

Section: Discussion: Integrated Perinatal Care: Why How With What Results?mentioning

confidence: 99%

A literature review on integrated perinatal care

Rodríguez¹,

Rivières-Pigeon²

2007

Int J Integr Care

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Context: The perinatal period is one during which health care services are in high demand. Like other health care sub-sectors, perinatal health care delivery has undergone significant changes in recent years, such as the integrative wave that has swept through the health care industry since the early 1990s.Purpose: The present study aims at reviewing scholarly work on integrated perinatal care to provide support for policy decisionmaking.Results: Researchers interested in integrated perinatal care have, by assessing the effectiveness of individual clinical practices and intervention programs, mainly addressed issues of continuity of care and clinical and professional integration.Conclusions: Improvements in perinatal health care delivery appear related not to structurally integrated health care delivery systems, but to organizing modalities that aim to support woman-centred care and cooperative clinical practice.

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Section: Discussion: Integrated Perinatal Care: Why How With What Results?mentioning

confidence: 99%

A literature review on integrated perinatal care

Rodríguez¹,

Rivières-Pigeon²

2007

Int J Integr Care

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show abstract

“…Studies in the United States suggest that a minimum of 1,000,000 clients are needed to support the development of efficient integrated delivery systems (Shamian and LeClair 2000). Only in Canada's most populous areas is this patient base achievable; this type of integration is difficult or indeed impossible to achieve in the rural and remote northern areas (Leggat and Walsh 2000). Further research on rostering and geographic coverage is needed to better understand how it works in the Canadian context.…”

Section: Geographic Coverage and Rosteringmentioning

confidence: 99%

Ten Key Principles for Successful Health Systems Integration

Suter¹,

Oelke²,

Adair³

et al. 2009

hcq

353

479

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Integrated health systems are considered part of the solution to the challenge of sustaining Canada's healthcare system. This systematic literature review was undertaken to guide decisionmakers and others to plan for and implement integrated health systems.This review identified 10 universal principles of successfully integrated healthcare systems which may be used by decision-makers to assist with integration efforts. These principles define key areas for restructuring and allow organizational flexibility and adaptation to local context. The literature does not contain a one-size-fits-all model or process for successful integration, nor is there a firm empirical foundation for specific integration strategies and processes.

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“…Integration of health delivery systems has received a great deal of local, national, and international attention. [4][5][6][7][8][9] It is seen as a way to build an efficient and effective healthcare system that meets the needs of the populations. While there are many definitions of integration, the one adopted for this study is "An integrated healthcare system combines physicians, hospitals and other medical services within a health plan… to provide the com-Abstract Over the past decade, provincial governments have embarked on ambitious plans to better integrate their healthcare systems, through the introduction of regional governance and management structures.…”

Section: Introductionmentioning

confidence: 99%

Physicians' Perceptions of Integration in Three Western Canada Health Regions

Triska

Church

Wilson³

et al. 2005

Healthc Manage Forum

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Over the post decade, provincial governments have embarked on ambitious plans to better integrate their healthcare systems, through the introduction of regional governance and management structures. The objective of this study was to examine physicians' perceptions of the current level and facilitators/barriers to integration in three Western Canada Health Regions. Three approaches to integration were investigated: functional, clinical services, and physician system integration. Physicians perceived that functional integration within each region was questionable. Clinical services were the least integrated approach. Physician system integration was rated highest of the approaches, particularly adherence to clinical practice guidelines usage. Physicians' perspectives of integrated health delivery systems do not appear to be influenced by regional size, maturity, urbanicity or facilities. Facilitators of integration were communication among health professionals and service providers, and using a multi-disciplinary team approach in delivery of healthcare in both regions. Barriers to integration were organizational culture, access to specialists and clinical services, and health information records. On a scale of 1-5, all three regions are at the beginning of an integrated health delivery system. Three global suggestions were provided to further integration of health delivery services: physicians should be involved in decision-making process at the Board level, clinical services should be patient-centred, and physicians endorsed the use of multi-disciplinary teams.

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From the Bottom Up and Other Lessons from Down Under

Cited by 8 publications

References 17 publications

A literature review on integrated perinatal care

A literature review on integrated perinatal care

Ten Key Principles for Successful Health Systems Integration

Physicians' Perceptions of Integration in Three Western Canada Health Regions

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