Figure 1
Hollander and Prince framework.
Table 1.
Summary table of shared project features, outcomes
| Outcomes | Features in common | Projects and country | Comments |
| Reduction in hospital use | • Case management • Facilitated access to range of health and social services | Hospital Admission Risk Program Australia [7] SIPA3, Canada [3] PACE United States [8] Integrated Care, Italy [9] | SIPA, PACE and Integrated Care (Italy) all included active physician involvement and multidisciplinary case management team. |
| Reduced use of nursing homes/long-term care homes | • Case management • Multidisciplinary team • Active physician involvement • Access to range of health and social services | SIPA, Canada [3] PACE, United States [8] SHMO, United States [10, 11] Integrated Care, Italy [9] | PACE and SHMO use capitation payment. SIPA planned to evolve to capitation payment. |
| Cost-effectiveness or cost savings | • Case management • Facilitated access to range of health and social services | Hospital Admission Risk Program, Australia [7] SIPA, Canada [3] Integrated Care, Italy [9] | There were indications of cost-effectiveness in the Coordinated Care Trials, Round 2. |
| Increased client satisfaction, quality of life | • Case management • Facilitated access to range of health and social services | SIPA, Canada [3] PACE, United States [8] SHMO, United States [10, 11] SA HealthPlus (Coordinated Care Trials, Round 1), Australia [12] | SIPA involved no additional cost to informal caregivers. |
Table 3.
Nursing home (NH) bed supply7
| BC | AB | SK | MB | ON | QC/RHA | NB | NS | PE | NL | |
| No. of seniors8 (000’s) | 617.8 | 361.9 | 148.3 | 160.8 | 1685.7 | 47.9 | 108.6 | 138.4 | 20.1 | 70.6 |
| No. of NH* beds (000s) | 29.6 | 14.0 | 8.6 | 9.8 | 75.9 | 1.5 | 4.4 | 5.9 | 1.0 | 2.7 |
| Beds per 1000 65+ pop. | 47.9 | 38.7 | 58.0 | 60.9 | 45.0 | 31.3 | 40.5 | 42.6 | 50.0 | 38.2 |
| Planning to build more NH beds | Yes | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes |
Table 5.
Provincial implementation summary assessment
| Framework | Provincial progress | Comments |
| Philosophical and policy prerequisites | Strong | Provinces generally support the prerequisites |
| Administrative features | Mixed | Some best practice features have been implemented |
| Clinical features | Quite strong | A number of best practice features have been implement |
| Linkage Mechanisms across Population Groups | Weak | Few best practice features have been implemented |
| Linkages with Primary Health Care | Weak | Few best practice features have been implemented |
| Linkages with Hospitals | Weak | Few best practice features have been implemented |
| Linkages with Other Social and Human Services | Mixed | Few best practice features have been implemented |