Background The concept of “mechanism” is central to realist approaches to research, yet
research teams struggle to operationalize and apply the concept in empirical research. Our …

Methods: This qualitative descriptive study entailed 1–1 interviews with older adults with
multimorbidity receiving community based primary health care in Canada and New Zealand …

Background Information communication technology (ICT) is a critical enabler of integrated
models of community-based primary health care; however, little is known about how existing …

ABSTRACT Background Practice Nurses (PN) play an increasing role in chronic disease
management, however, this role is poorly defined. Question How do Practice Nurses in New …

Background There is growing reliance on unpaid caregivers to provide support to people
with care needs. Integrated care approaches that aim to coordinate primary care with …

Results: While patients/caregivers were mostly concerned by their unmet individual needs,
policymakers, managers and providers were concerned by structural barriers to integrating …

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 …

Health and social care systems across western developed nations are being challenged to
meet the needs of an increasing number of people aging with multiple complex health and …

Digital health technologies hold significant promise to advance both functional and
normative health and social care integration. The COVID-19 pandemic has created a …

Purpose Models of integrated care are prime examples of complex interventions,
incorporating multiple interacting components that work through varying mechanisms to …