scholarly journals Developing an ‘integrated health system’: the reform of health and social services in Quebec

2008 ◽  
Vol 8 (5) ◽  
Author(s):  
David Levine
Keyword(s):  
Health System ◽  
Social Services ◽  
Health And Social Services ◽  
Integrated Health

scholarly journals Adapting a Complex, Integrated Health and Social Services Intervention in Two Communities

2020 ◽  
Vol 55 (S1) ◽  
pp. 111-112
Author(s):  
L. Nichols ◽  
A. Knighton ◽  
K. Brunisholz ◽  
R. Elbel ◽  
G. Smith ◽  
...  
Keyword(s):  
Social Services ◽  
Health And Social Services ◽  
Integrated Health

Du Rapport Castonguay Au Rapport Rochon: Le Developpement Du Systeme De Sante Au Quebec

1990 ◽  
Vol 9 (1) ◽  
pp. 143-154
Author(s):  
Jean-Pierre Belanger
Keyword(s):  
Health Services ◽  
Health System ◽  
Social Services ◽  
Social Evolution ◽  
Health Management ◽  
Social Health ◽  
Health And Social Services ◽  
Official Report ◽  
Critical Account ◽  
New Challenges

The present article is a critical account of the official report from the Commission of Inquiry on Health and Social Services in Quebec (la Commission Rochon). This report is first examined in light of the socio-political context of Quebec society in the '80s with a particular emphasis on factors which directly influenced the development of the Commission's work. The author then presents the main elements of the report. He stresses the quality and appropriateness of studies bearing on Quebec social evolution during the last 20 years and on the identification of health and social problems in the present time. He reminds us of the radical diagnosis made on the organization of health services. The principal options for more adequate health system orientations are then studied in the context of debates following the report publication, two years ago, particularly concerning issues of regional decentralization and financing. The author finally stresses the new challenges of today in social health management, while showing the profound continuity existing between the Commission's works and those of the Castonguay Commission, at the beginning of the '70s.

Case definition for health and social care services integrated initiatives

2019 ◽  
Vol 27 (4) ◽  
pp. 264-275 ◽  
Author(s):  
Siu Mee Cheng ◽  
Cristina Catallo
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Literature Search ◽  
Social Care ◽  
Case Definition ◽  
Content Type ◽  
Health And Social Services ◽  
Care Integration ◽  
Health And Social Care ◽  
Integrated Health

Purpose The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives. Design/methodology/approach A limited search was undertaken of both scientific and gray literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted integrated healthcare and social services models that reflect collaborations from healthcare and social services organizations that support older adults was also used to develop the case definition. Findings The case definition is as follows: healthcare organizations from across the continuum of care working together with social services organizations, so that services are complementary and coordinated in a seamless and unified system, with care continuity for the patient/client in order to achieve desired health outcomes within a holistic perspective; the initiatives comprise at least one healthcare organization and one social care organization; and these initiatives possess 18 characteristics, grouped under 9 themes: patient care approach; program goals; measurement; service and care quality; accountability and responsibility; information sharing; culture; leadership; and staff and professional interaction. Research limitations/implications A limitation of this study is that the characteristics are based on a limited literature search. The quality of some of the literature both gray and published was not definitive: information on how they undertook the literature search was not provided; exclusion and inclusion criteria were not included; and there was insufficient detail on the design of the studies included. Furthermore, the literature reviews are based on integrated initiatives that target both seniors and non-senior’s based services. The cross-section of initiatives studied is also different in scale and type, and these differences were not explored. Practical implications The case definition is a useful tool in aiding to further the understanding of integrated health and social care initiatives. The number of definitions that exist for integrated health and social care initiatives can make it confusing to clearly understand this field and topic. The characteristics identified can assist in providing greater clarity and understanding on health and social care integration. Originality/value This study provides greater coherence in the literature on health and social care integration. It aids in better framing the phenomenon of healthcare and social services integration, thereby enhancing understanding. Finally, the study provides a very useful and concrete list of identifying characteristics, to aid in identifying integrated health and social care initiatives that serve older adults.

Community Participation in Quebec's Health System: A Strategy to Curtail Community Empowerment?

1992 ◽  
Vol 22 (2) ◽  
pp. 287-301 ◽  
Author(s):  
Michel O'Neill
Keyword(s):  
Health Services ◽  
Health System ◽  
Public Participation ◽  
Community Participation ◽  
Social Services ◽  
Community Empowerment ◽  
Health And Social Services ◽  
System A ◽  
Major Reform ◽  
Current Reform

Since the beginning of the 1970s, the province of Quebec has undergone a major reform of its health and social services system. Following this reform, the state has become a major protagonist, and the participation of the population is a built-in element in the system, guaranteed by law. Now, about 20 years later, there is a major effort to reorganize health services, in the wake of a “dewelfarization” mood that has reached Canada and Quebec. This article reviews the successes and pitfalls of public participation in Quebec's health system, presents the way in which participation is dealt with in current reform proposals, and draws lessons for people in many countries who have recently been encouraged to jump onto the bandwagon of participation as a strategy to promote the health of populations.

Tu1703 DIAGNOSIS OF HEPATOPULMONARY SYNDROME IN A LARGE INTEGRATED HEALTH SYSTEM

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  
Keyword(s):  
Health System ◽  
Hepatopulmonary Syndrome ◽  
Integrated Health
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