Related Experiment Videos
Implementing Key Strategies for Successful Network Integration in the Quebec Substance-Use Disorders Programme
Marie-Josée Fleury1, Michel Perreault1, Guy Grenier2
1Department of Psychiatry, McGill University, Montreal, QC, Canada; Douglas Hospital Research Centre, Verdun, QC, Canada.
International Journal of Integrated Care
|September 13, 2016
Summary
Substance-use disorder networks in Quebec implemented six integration strategies, but planning and consolidation are insufficient for a better continuum of care. Further development is needed for effective service integration.
Area of Science:
- Health Services Research
- Public Health
- Addiction Medicine
Background:
- Substance-use disorder treatment networks often suffer from fragmentation and poor coordination.
- System-level integration strategies at administrative and clinical levels can improve service delivery.
- Identifying effective integration strategies is crucial for enhancing care networks.
Purpose of the Study:
- To identify service integration strategies used in Quebec's substance-use disorder networks.
- To evaluate the strengths and limitations of these implemented strategies.
Main Methods:
- Qualitative and quantitative analyses of focus groups and interviews with 105 stakeholders.
- Involved participants from two regions and four local substance-use disorder networks.
Main Results:
- Six types of integration strategies were identified: governance coordination, primary care consolidation, information management tools, service coordination, clinical evaluation tools, and training activities.
- These strategies were implemented to varying degrees across the networks.
Conclusions:
- Quebec has invested in training and standardized clinical evaluation tools for substance-use disorders.
- Current integration strategies are insufficient for successful network implementation and a comprehensive continuum of care.
- Enhanced planning, primary care consolidation, and systematic implementation of integration strategies are necessary.