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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Inconsistent Governance Structures for Health and Social Services Limit Service Integration for Patients with Complex

Catherine M Scott¹, Jeannie Haggerty², Yves Couturier³

¹Adjunct Professor, University of Calgary and University of British Columbia-Okanagan, Executive Coach and Knowledge Mobilisation Consultant, K2A Consulting, Calgary, AB.

Healthcare Policy = Politiques De Sante

|October 18, 2023

Summary

This summary is machine-generated.

Canadian health and social services governance varies significantly by province. Despite pandemic-driven integration needs, coordinated care remains unrealized, necessitating action on community-based care recommendations.

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Area of Science:

Health Services Research
Public Health Policy
Healthcare Management

Background:

Examined the governance and organization of health and social services in Canada for two distinct patient populations.
Highlighted significant variations in governance structures and proximity between primary care and essential health/social services across Canadian provinces.

Purpose of the Study:

To analyze the landscape of health and social service governance and organization in Canada.
To identify disparities in integrated service delivery across different provincial healthcare systems.

Main Methods:

Comparative analysis of governance configurations and inter-service proximity.
Review of organizational structures for health and social services delivery.

Main Results:

Governance models and the integration between primary care and priority health/social services differ substantially among provinces.
Despite the recognized importance of integrated care, especially post-COVID-19, Canada's healthcare systems struggle with coordinated service delivery.

Conclusions:

Current healthcare systems in Canada have not effectively translated the need for integrated service delivery into coordinated care.
Urgent implementation of policy recommendations for comprehensive, community-based care is required to improve service integration.