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- Title
Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study.
- Authors
Goudet, Anna; Doré, Chantal; Hyppolite, Shelley-Rose; Lévesque, Nancy; Joseph, Jean-Alex; Maltais, Danielle; Bourque, Denis; Maillet, Lara
- Abstract
Integrated Place-Based Primary Interventions (IPPIs) are considered an innovative response to the challenges and complex issues faced in disadvantaged areas where traditional institutional services have difficulty reaching people in vulnerable situations. IPPIs are an innovative approach to the delivery of in services, conceived as an original community-based local care and service pathways. However, these intervention practices require adaptive modes of governance. In this article, we explore how and to what extent the mode of governance of IPPIs influences the performance of community-integrated pathways. To this end, using a qualitative exploratory multiple-case study design (observation and semi-structured interviews), we describe 4 IPPIs in 3 territories in Quebec. This includes an examination of the levers of action and tensions related to their governance and the performance levels of the community-integrated pathways. We conclude that collaborative and shared multilevel governance, despite its demanding nature, appears to contribute to the longevity of the actions and benefits of IPPIs and could prevent their relevance from being questioned.
- Subjects
QUEBEC (Province); COMMUNITY health services; HEALTH services accessibility; INTERPROFESSIONAL relations; AT-risk people; CLINICAL governance; INTERVIEWING; POVERTY areas; JUDGMENT sampling; CONCEPTUAL structures; RESEARCH methodology; CASE studies; DATA analysis software
- Publication
Health Services Insights, 2024, p1
- ISSN
1178-6329
- Publication type
Article
- DOI
10.1177/11786329241234997