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Using More Equitable Integrated Care Programs to Reduce Fragmentation in Home Care.

Krystal Kehoe MacLeod^1,2

¹Carleton University, Ottawa, Ontario, Canada.

International Journal of Integrated Care

|October 10, 2022

Summary

Integrated care programs can improve fragmented home care for older adults. Policy changes promoting equitable processes and outcomes are key to their effectiveness in community settings.

Keywords:

equity fragmentation home care integrated care neoliberalism older adults

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Area of Science:

Health Services Research
Sociology of Health
Public Policy Analysis

Background:

Community-dwelling older adults require integrated care to address complex needs.
The home care sector faces fragmentation, exacerbated by neoliberal policies.
Existing integrated care models aim to bridge gaps in service delivery.

Purpose of the Study:

To investigate the utilization of integrated care programs in addressing fragmentation within the Canadian home care sector.
To analyze how neoliberalism has reshaped the home care landscape and its impact on service delivery.
To identify policy techniques that enhance the effectiveness of integrated care programs.

Main Methods:

Qualitative research design utilizing thematic analysis.
Data collected through 118 key informant interviews across five Canadian integrated care programs.
Feminist Political Economy framework informed the interpretation of findings.

Main Results:

Integrated care programs are a potential solution to home care fragmentation.
The effectiveness of these programs is contingent on specific policy approaches.
Equitable processes and outcomes are crucial for successful integrated care implementation.

Conclusions:

Integrated care programs can mitigate fragmentation in home care services for older adults.
Policy interventions must prioritize equity to maximize the utility of integrated care.
Further research should explore the practical application of equitable policy techniques in integrated care settings.