Background: Interventions aimed at integrating care have become widespread in
healthcare; however, there is significant variability in their success. Differences in …

Background Readiness is a critical precursor of successful change; it denotes whether those
involved in the change are motivated and empowered to participate in the change …

Complex adaptive systems (CAS) theory views healthcare as numerous sub-systems
characterized by diverse agents that interact, self-organize, and continuously adapt. We …

Background: The NHS policy of constructing multispecialty community providers (MCPs)
rests on a complex set of assumptions about how health systems can replace hospital use …

In this paper, we discuss the processes of policy layering as they relate to health care
reform. We focus on efforts to achieve systems of coordinated primary care, and demonstrate …

Person-centred care is becoming a key component of quality in health systems worldwide.
Although the term can mean different things, it typically entails paying attention to the needs …

There has been increased policy discourse urging a “rebalancing” of health systems from
institutionally-based to community-based approaches. This paper offers an analysis of the …

As the research evidence on integrated care has evolved over the past two decades, so too
has the critical role leaders have for the implementation, effectiveness and sustainability of …

Although implementation models broadly recognize the importance of social relationships,
our knowledge about applying social network analysis (SNA) to formative, process, and …

Objectives Coordinated care plans (CCPs) for high-cost health care system users aim to
improve system-level performance. We evaluated health care resource use and costs …