Connecting with Canadians

Research Report:

Frameworks of Integrated Care for the Elderly: A Systematic Review

by Margaret MacAdam


In Frameworks of Integrated Care for the Elderly:  A Systematic Review, a literature review prepared for the Ontario Ministry of Health and Long-Term Care, Margaret MacAdam examines articles and papers that study comprehensive models of integrated or coordinated care.  She identified that some models of integrated health and social care can result in improved outcomes, client satisfaction and/or cost savings or cost-effectiveness.  MacAdam identifies four frameworks with common interventions that must be structured to support each other.  These key elements are:  umbrella organizational structures to guide integration of strategic, managerial and service delivery levels; multidisciplinary case management for effective evaluation and planning of client needs; organized provider networks; and financial incentives to promote prevention, rehabilitation and the downward substitution of services, as well as to enable service integration and efficiency.

Release Date: 1 May 2008
Number of pages: 35
Document number: 49813