L’intervention de proximité

Doré, Chantal; Lévesque, Nancy; Hyppolite, Shelley-Rose; Maillet, Lara; Bourque, Denis; Maltais, Danielle; Goudet, Anna; Joseph, Jean-Alex; Morin, Paul; Michaud, Maxime

doi:10.7202/1095939ar

Cited by 2 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even more broadly, scientific research into cross-sectoral and cross-organizational initiatives generally overlooks governance structures and processes; this is particularly the case in the fight against homelessness in Quebec and internationally. 15 Yet, during a study on accountability provisions for 4 IPPIs in Quebec, 8 governance emerged as a central issue, particularly the types of governance and the context in which they are integrated. This article considers the following question: to what extent does the type of governance of the IPPIs influence their performance in terms of community-integrated pathways?…”

Section: Introductionmentioning

confidence: 99%

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Goudet,

Doré,

Hyppolite

et al. 2024

Health�Serv�Insights

Self Cite

View full text Add to dashboard Cite

Integrated Place-Based Primary Interventions (IPPIs) are considered an innovative response to the challenges and complex issues faced in disadvantaged areas where traditional institutional services have difficulty reaching people in vulnerable situations. IPPIs are an innovative approach to the delivery of in services, conceived as an original community-based local care and service pathways. However, these intervention practices require adaptive modes of governance. In this article, we explore how and to what extent the mode of governance of IPPIs influences the performance of community-integrated pathways. To this end, using a qualitative exploratory multiple-case study design (observation and semi-structured interviews), we describe 4 IPPIs in 3 territories in Quebec. This includes an examination of the levers of action and tensions related to their governance and the performance levels of the community-integrated pathways. We conclude that collaborative and shared multilevel governance, despite its demanding nature, appears to contribute to the longevity of the actions and benefits of IPPIs and could prevent their relevance from being questioned.

show abstract

Section: Introductionmentioning

confidence: 99%

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Goudet,

Doré,

Hyppolite

et al. 2024

Health�Serv�Insights

Self Cite

View full text Add to dashboard Cite

show abstract

Integrated Community Care Delivered by Public Health-Care and Social-Care Systems: Results from a Realist Synthesis

Allaire,

Morin,

Doré

et al. 2024

International Journal of Integrated Care

View full text Add to dashboard Cite

Introduction: Integrated community care (ICC) is defined as an interweaving of health-care and social-care interventions deployed in spatial and relational proximity using an interdisciplinary and cross-sectoral approach. Consideration of territory scale and time scale are at the center of ICC practices. Its deployment in public health and social care networks (HSCN) can be complex due to their broad mandate, the complexity of their management, and accountability. Therefore, we aimed to describe ICC delivered by public HSCN to determine how, why, for whom, and in what circumstances ICC works and produces outcomes. Methods: A realist synthesis was conducted consisting of five steps consistent with realist synthesis standards (RAMESES projects) to produce configurations of Context – Mechanism – Outcomes (CMOc) and development of a middle-range explanatory theory of why and how the identified outcomes may have occurred. Results: In total, 26 studies were selected and used, as evidence, to support—either partially or fully—the production of CMOc based on the initial program theory. Nine unique CMO configurations were identified based on the data analyses and team discussion. ICC middle-range theory is informed by the CMO configurations identified. Discussion: This realist synthesis allowed us to identify the central mechanisms of ICC delivered by public HSCN and to produce a middle range theory. ICC is based on a specific philosophy and deployed by a professional agency oriented toward a community agency within a local system of interdisciplinary and cross-sectoral action. Conclusion: Our middle-range theory will provide a solid analytical framework as a foundation for ICC implementation and future research. Résumé Introduction: Les interventions en santé et services sociaux intégrées en proximité des communautés (IIPC) sont définies comme une imbrication d’interventions de soins de santé et de services sociaux à l’échelle du territoire et considérant la temporalité, déployées dans une proximité spatiale et relationnelle au moyen d’une approche interdisciplinaire et intersectorielle. Son déploiement dans les réseaux publics de santé et de soins sociaux (RSSS) peut s’avérer complexe en raison de l’étendue de leur mandat, de la complexité de leur gestion et de leur responsabilité. C’est pourquoi nous avons cherché à décrire les IIPC dispensées par les RSSS publics afin de déterminer comment, pourquoi, pour qui et dans quelles circonstances les IIPC fonctionnent et produisent des résultats. Méthodes utilisées: Une synthèse réaliste a été réalisée en cinq étapes conformes aux normes de synthèse réaliste (projet RAMESES) afin de produire des configurations Contexte – Mécanisme – Effets (CMOc) et de développer une théorie explicative de moyenne portée sur le pourquoi et le comment des résultats identifiés. Résultats: Au total, 26 études ont été sélectionnées et utilisées comme preuves pour étayer – partiellement ou totalement – la production de CMOc sur la base de la théorie initiale de programme. Neuf configurations uniques CMO ont été identifiées sur la base des analyses de données et des discussions de l’équipe. La théorie de moyenne portée des IIPC s’appuie sur les configurations CMO identifiées. Discussion: Cette synthèse réaliste nous a permis d’identifier les mécanismes centraux des IIPC déployées par les RSSS publics et de produire une théorie de moyenne portée. Les IIPC sont fondées sur une philosophie et le développement d’une capacité d’agir professionnelle mise en action vers le renforcement de la capacité d’agir de la communauté au sein d’un système local d’action interdisciplinaire et intersectoriel. Conclusion: L’utilisation de notre théorie de moyenne portée pour la mise en œuvre d’IIPC fournira un cadre analytique solide comme base pour des implantations ou des recherches futures. Mots clés: Interventions en santé et services sociaux intégrées en proximité des communautés; soins de santé; soins sociaux; services publics; proximité; territoire

show abstract

L’intervention de proximité

Cited by 2 publications

References 18 publications

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Integrated Community Care Delivered by Public Health-Care and Social-Care Systems: Results from a Realist Synthesis

Contact Info

Product

Resources

About