Assessing Readiness and Sustainability for Integrated Care in Ontario, Canada with the Integrated Care Leadership Survey.

IF 2.6 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Integrated Care Pub Date : 2025-08-01 eCollection Date: 2025-07-01 DOI:10.5334/ijic.7539

Ruth E Hall, Kevin Walker, Nusrat S Nessa, Walter P Wodchis

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Abstract

Introduction: Ontario, Canada, is shifting to a more integrated healthcare delivery system through the Ontario Health Team (OHT) initiative. The extent to which OHTs have the capabilities to engage in integrated care is unknown and important to designing implementation supports. This article describes the development and psychometric testing of the Ontario Integrated Care Leadership Survey (OICLS), in 30 OHTs. The OICLS was informed by the Context and Capabilities for Integrated Care framework (CCIC).

Methods: The 42-item survey was distributed electronically to 765 eligible leaders across 30 OHTs; 480 (63%) responded representing approximately 600 organizations. Item analyses and scale psychometric analyses were undertaken to reduce the number of items in the CCIC survey tool while maintaining validity and reliability.

Results: The OICLS survey is comprised of 10 domains covering 12 of 17 capabilities identified in the CCIC. In the total sample, Cronbach's alpha exceeded 0.7 for nine of the ten domains. Descriptive responses to each of the 39 OICLS closed-ended survey questions illustrate the areas of strength and weakness and where supports are warranted to advance the formation of integrated care delivery systems.

Conclusion: The OICLS offers a brief and valid assessment of foundational aspects of multi-organizational integrated care initiatives.

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评估准备和可持续性综合护理在安大略省，加拿大与综合护理领导调查。

简介：加拿大安大略省正在通过安大略健康小组（OHT）计划向更加综合的医疗保健提供系统转变。OHTs在多大程度上有能力参与综合护理是未知的，这对设计实施支持很重要。本文描述了安大略省综合护理领导调查（OICLS）的发展和心理测量测试，在30个OHTs。OICLS由综合护理框架（CCIC）的背景和能力通知。方法：采用电子方式对30家门诊医院的765名合格领导进行问卷调查；480个（63%）代表大约600个组织作出回应。在保持CCIC调查工具的效度和信度的同时，进行了项目分析和量表心理测量分析，以减少CCIC调查工具的项目数量。结果：OICLS调查由10个领域组成，涵盖了CCIC中确定的17个能力中的12个。在整个样本中，十个域中有九个域的Cronbach's alpha超过0.7。对39个OICLS封闭式调查问题中的每个问题的描述性回答说明了优势和劣势领域，以及需要支持的地方，以促进综合护理服务系统的形成。结论：OICLS提供了一个简短而有效的评估基础方面的多组织综合护理倡议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.80

自引率

8.30%

发文量

887

审稿时长

>12 weeks

期刊介绍： Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).