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Connecting Health and Social Services for Patients with Complex Care Needs: A Pan-Canadian Comparative Policy
Jeannie Haggerty1, Catherine M Scott2, Yves Couturier3
1McGill Research Chair in Family and Community Medicine, McGill University and St. Mary's Hospital Research Centre, Montréal, QC.
Healthcare Policy = Politiques De Sante
|October 18, 2023
Summary
Canada
Area of Science:
- Health Services Research
- Public Policy Analysis
- Integrated Care Models
Background:
- Comprehensive primary healthcare is vital for patients with complex needs.
- Integration across health, social, and community services is essential.
- Focus on vulnerable populations: children, youth, and older adults with high functional needs.
Purpose of the Study:
- To examine progress toward integrated comprehensive care in Canada.
- To analyze service needs for children, youth, and older adults with high functional needs.
- To identify challenges and successes in integrated service delivery.
Main Methods:
- Descriptive comparative policy research.
- Analysis of publicly available documents.
- Informant interviews across five projects.
Main Results:
- Canada operates multiple, distinct health systems.
- Numerous integrated service delivery solutions are being tested.
- Most integrated solutions primarily focus on medical services.
Conclusions:
- Engaging physicians and their associations in integration remains a significant challenge for health ministries.
- Progress in comprehensive care integration is ongoing but faces systemic hurdles.
- Further research needed on non-medical integration aspects for complex care.
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