Bounding systems: A qualitative study exploring healthcare coordination between the emergency youth shelter system and health system in Toronto, Canada
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View abstract on PubMed
Summary
This summary is machine-generated.Emergency youth shelters (EYS) and health systems often work in silos, leading to fragmented care for youth experiencing homelessness (YEH). This study highlights the need for better coordination between these systems to improve health outcomes for YEH.
Area Of Science
- Public Health
- Health Systems Research
- Social Work
Background
- Youth experiencing homelessness (YEH) in Toronto face challenges with uncoordinated healthcare.
- Emergency youth shelters (EYS) and health systems operate in silos, hindering effective care coordination.
- A systems thinking approach is crucial for understanding and improving healthcare coordination for YEH.
Purpose Of The Study
- To analyze the structural and functional roles of EYS and health systems in coordinating healthcare for YEH.
- To identify how healthcare coordination can be strengthened through a framework for transformative system change.
Main Methods
- Analysis of 46 documents and 24 semi-structured interviews.
- Constant comparative analysis to understand system layers, niches, organizations, and actors.
- Exploration of healthcare coordination within and between EYS and health systems for YEH.
Main Results
- EYS and health systems have distinct mandates, layers, and organizations for YEH healthcare coordination.
- Multiple governmental, research, and community efforts aim to improve coordination, with some system overlap.
- EYS staff are more actively involved in care coordination for YEH than health system staff.
Conclusions
- A complex network of organizations and actors within EYS and health systems work both independently and collaboratively for YEH healthcare.
- Ongoing efforts focus on bridging systemic gaps to enhance healthcare coordination and improve youth health outcomes.
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