{"title":"Health Quality 5.0: The Counterforce in Advancing Integrated Care - Our Path to Transformation.","authors":"Leslee J Thompson, Jodeme Goldhar","doi":"10.12927/hcq.2025.27582","DOIUrl":null,"url":null,"abstract":"<p><p>Fragmented care remains a critical issue in health systems, leading to significant gaps and poor outcomes. This article highlights real-world consequences and the inefficacy of current patchwork solutions, exposing the gap between policy intent and practical impact. An urgent shift to integrated, people-centred care is needed, embracing social determinants of health, learning health systems and collective leadership. While pockets of excellence exist, sustainable transformation requires valuing and investing in the counterforce: co-creation, relational reciprocity and radical collaboration. This is our path to transformation - supporting the necessary conditions and capabilities for whole systems change.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"47-52"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare quarterly (Toronto, Ont.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12927/hcq.2025.27582","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Fragmented care remains a critical issue in health systems, leading to significant gaps and poor outcomes. This article highlights real-world consequences and the inefficacy of current patchwork solutions, exposing the gap between policy intent and practical impact. An urgent shift to integrated, people-centred care is needed, embracing social determinants of health, learning health systems and collective leadership. While pockets of excellence exist, sustainable transformation requires valuing and investing in the counterforce: co-creation, relational reciprocity and radical collaboration. This is our path to transformation - supporting the necessary conditions and capabilities for whole systems change.