This paper documents the growing linkages between primary care-centered medical groups and specialists and between physicians and hospitals under managed care.
The paper highlights key trajectories and outcomes of the recent policy developments toward integrated health care delivery systems in Quebec and Ontario in the primary care sector and in the development of regional networks of health and social services.
The purpose of this commentary is to examine integration and consolidation activities in the United States.
A continuing policy challenge has been how to reduce such fragmentation and achieve more ‘integrated’ care, that is, ‘co-ordinated’ care that provides a ‘smooth and continuous’ transition between services, and a ‘seamless’ journey as service users receive health, support, and social welfare services from a range of health and other professionals.
This paper reviews some of the public and private sector literature about mergers and alliances and offers observations on the extent to which collaboration is an emergent process that is responsive to its particular environment and explores power dynamics and how trust and flexibility affect outcomes in a positive or negative sense.
This PowerPoint presentation outlines the results of the first six months of the Better Health Project led by the Rideau Community Health Services (RCHS).
Chapter one of Primary Care in the Driver’s Seat?, a volume that explores the different approaches to primary care found across Europe and examines the success of different strategic alternatives in its design and operation.