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- Title
Cross-Sector Collaboration to Improve Access to Community Services for People Living With Diabetes: Contributions From Actor-Network Theory.
- Authors
Layani, Géraldine; Tremblay, Alexandre; Lussier, Marie-Thérèse; Godbout, Isabelle; Bihan, Hélène; Gosselin, Claire; Pierre, Mégane; Motulsky, Aude; Brault, Isabelle; Rodrigues, Isabel; Kaczorowski, Janusz; Vanier, Marie-Claude; Yapi, Sopie Marielle
- Abstract
Diabetes is a global public health issue. The Public Health Agency of Canada published a Diabetes Framework 2022 which recommends collaborative work across sectors to mitigate the impact of diabetes on health and quality of life. Since 2020, the INMED-COMMUNITY pathway has been implemented in Laval, Québec developing collaboration between healthcare and community sectors through a participatory action research approach. The aim of this article is to gain a better understanding of the INMED-COMMUNITY pathway implementation process, based on the mobilization of network actor theory. Qualitative analysis of semi-structured interviews conducted from January to March 2023 with 12 participants from 3 different sectors (community, health system, research), were carried out using actor-network theory. The results explored the conditions for effective intersectoral collaboration in a participatory action research approach to implement the INMED-COMMUNITY pathway. These were: (1) contextualization of the project, (2) a consultation approach involving various stakeholders, (3) creation of new partnerships, (4) presence of a project coordinator, and (5) mobilization of stakeholders around a common definition of diabetes. Mediation supported by a project coordinator contributed to the implementation of an intersectoral collaborative health intervention, largely due to early identification of controversies.
- Subjects
QUEBEC (Province); DIABETES prevention; RESEARCH; HEALTH policy; HEALTH services accessibility; MATHEMATICAL models; INFORMATION services; RESEARCH methodology; STAKEHOLDER analysis; ORGANIZATIONAL structure; COMMUNITY health services; INTERVIEWING; COMMUNITY support; HUMAN services programs; QUALITATIVE research; INTERPROFESSIONAL relations; QUALITY assurance; THEORY; ACTION research; MEDICAL referrals; FIELD notes (Science); DESCRIPTIVE statistics; JUDGMENT sampling; THEMATIC analysis; COMMITMENT (Psychology); HEALTH care rationing
- Publication
Health Services Insights, 2024, p1
- ISSN
1178-6329
- Publication type
Article
- DOI
10.1177/11786329231222408