A Research Program on Implementing Integrated Care for Older Adults with Complex Health Needs (iCOACH): An...

Area of Science:

• Health Services Research
• Gerontology
• Public Health Policy

Background:

• Western health and social care systems face challenges with aging populations and complex needs.
• Community-based primary health care (CBPHC) offers potential for equitable access, improved outcomes, and cost reduction.
• Implementing CBPHC models effectively presents significant challenges.

Purpose of the Study:

• To understand the steps required for scaling up and spreading innovative integrated community-based primary health care (ICBPHC) models.
• To address the health and social needs of older adults with complex care requirements.
• To develop a comprehensive guide for designing, implementing, and scaling ICBPHC models.

Main Methods:

• A three-phase research program involving an international, multidisciplinary team.
• Phase 1: Identifying and describing exemplar ICBPHC models and their policy contexts in New Zealand and Canada (Ontario, Québec).
• Phase 2: Theory-informed, mixed-methods case studies to develop a conceptual framework for ICBPHC implementation.
• Phase 3: Translating research into practice by identifying emerging models and informing policymakers.

Main Results:

• The research aims to identify key attributes and implementation strategies of successful ICBPHC models.
• A conceptual framework will be developed to guide the understanding of ICBPHC implementation.
• The program will culminate in practical guidance for policymakers and practitioners.

Conclusions:

• Successful scaling and spread of ICBPHC models require a systematic, evidence-based approach.
• Understanding the interplay between model attributes, context, and implementation is crucial.
• This research will provide actionable insights for enhancing integrated primary health care for older adults with complex needs.