The soft side of integration

By Dr. Joshua Tepper Health care systems across the country and in many places around the world are increasingly turning to integration as the next frontier in health system restructuring and modernization. In Ontario alone, a recent call for expressions of interest to create integrated Ontario Health Teams is rumoured to have had more than 150 respondents representing a few hundred service providers across all sectors (with no sticks or carrots offered to motivate the applicants). It is hoped that a well integrated health system will tick all four boxes of the quadruple aim: improved population health, improved patient experience, improved provider experience and better value. The exact structure and vision for integration is variable and what these models are called varies even more widely. In almost all

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