Health Quality 5.0: The Counterforce in Advancing Integrated Care - Our Path to Transformation.

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.