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. 2021 Feb 10;21(1):5.
doi: 10.5334/ijic.5555.

A Conceptual Framework for Integrated Community Care

Affiliations

A Conceptual Framework for Integrated Community Care

Yacine Thiam et al. Int J Integr Care. .

Abstract

Introduction: The various health and social care services provided in a given local area (i.e., place-based) must not only deliver primary care in proximity to the population, but act upstream on the social determinants of health. This type of care, when provided in a holistic and integrated manner, aims to improve the physical and mental health-but also the well-being and social capital-of individuals, families, groups and communities. This type of approach is known as Integrated Community Care (ICC).

Theory and methods: This article was developed from a non-systematic review of scientific and grey literature followed by a qualitative analysis and researcher reflections on ICC.

Results: The article presents the core concepts of ICC, namely temporality, local area, health care, social care, proximity and integration. These concepts are unpacked and a conceptual diagram is set forth to put the dynamic links between the concepts into perspective.

Discussion and conclusion: The purpose of the article is to provide a conceptual clarification of ICC. Three examples of practise (from Switzerland, Quebec [Canada] and Italy) are used as illustrations to provide a better understanding of ICC and to open up horizons.

Keywords: community based; health care; integrated care; proximity; social care; temporality.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Figure 1
Figure 1
Conceptualisation of integrated community care.
Figure 2
Figure 2
ICC concepts in action – the Geneva CAMSCO mobile outpatient community-care consultation case.
Figure 3
Figure 3
ICC concepts in action – Sherbrooke neighbourhood intervention case.
Figure 4
Figure 4
ICC concepts in action – Trieste’s micro-territories for equity case.

References

    1. Morin P, Ducreux E, Allaire J-F, Bossé P-L, Gagné A-A, Côté I. Évaluation du déploiement des intervenants dédiés et des changements associés au sein de l’équipe quartier [Evaluation of the deployment of dedicated workers and associated changes within the neighbourhood intervention team]. Institut universitaire de première ligne en santé et care sociaux du Centre intégré universitaire en santé et care sociaux de l’Estrie – Centre hospitalier universitaire de Sherbrooke; 2017.
    1. Bricocoli M, Marchigiani E. Growing Old in Cities. Council Housing Estates in Trieste as Laboratories for New Perspectives in Urban Planning. European Spatial Research and Policy [Internet]. 2012. January 1 [cited 2020 Apr 21]; 19(1). Available from: http://content.sciendo.com/view/journals/esrp/19/1/article-p49.xml DOI: 10.2478/v10105-012-0005-8 - DOI
    1. Caplain R, Yacoubou I, Adedemy D, Sani A, Takam S, Desplats D. Promouvoir des soins de proximité en Afrique : l’exemple de la médecine générale communautaire au Bénin [Promotion of community-based care in Africa: an example of community general practise in Benin]. Sante Publique. 2014; 26(1 Suppl): S59–65. DOI: 10.3917/spub.140.0059 - DOI - PubMed
    1. Morin P,Benoît M, Dallaire N, Doré C, LeBlanc J. L’intervention de quartier à Sherbrooke, ou quand le CLSC s’installe à la porte d’à côté [Neighbourhood intervention in Sherbrooke, or when the CLSC moves next door]. nps. 2013; 26(1): 102–17. DOI: 10.7202/1024982ar - DOI
    1. Crimeen A, Bernstein M, Zapart S, Haigh F. Place-based Interventions: ARealist Informed Literature Review Australia: Liverpool: Centre for Heath Equity Training, Research and Evaluation (CHETRE), South Western Sydney Local Health District and UNSW; 2017.

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