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A Conceptual Framework for Integrated Community Care
Yacine Thiam1, Jean-François Allaire1, Paul Morin2,3
1Institut universitaire de première ligne en santé et services sociaux (IUPLSSS) du Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (CIUSSSE-CHUS). Hôpital et centre d'hébergement D'Youville, Sherbrooke, QC, Canada.
Introduction:
The various health and social care services provided in a given local area (i.e., place-based) must not only deliver primary care in proximity to the population, but act upstream on the social determinants of health. This type of care, when provided in a holistic and integrated manner, aims to improve the physical and mental health-but also the well-being and social capital-of individuals, families, groups and communities. This type of approach is known as Integrated Community Care (ICC).
Theory And Methods:
This article was developed from a non-systematic review of scientific and grey literature followed by a qualitative analysis and researcher reflections on ICC.
Results:
The article presents the core concepts of ICC, namely temporality, local area, health care, social care, proximity and integration. These concepts are unpacked and a conceptual diagram is set forth to put the dynamic links between the concepts into perspective.
Discussion And Conclusion:
The purpose of the article is to provide a conceptual clarification of ICC. Three examples of practise (from Switzerland, Quebec [Canada] and Italy) are used as illustrations to provide a better understanding of ICC and to open up horizons.
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