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Collective case study: integrated health and social care for older adults within a Canadian context

Siu Mee Cheng (Faculty of Arts, Toronto Metropolitan University, Toronto, Canada)
Cristina Catallo (Faculty of Community Services, Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 12 June 2023

Issue publication date: 10 August 2023




Canada's population is aging and there are concerns that the welfare system may not support the increased demands on it. Integrated health and social care (IHSC) produces positive health and system outcomes but it needs to be better understood within a Canadian context. The purpose of this collective case study of three IHSC initiatives in Alberta, Ontario and Nova Scotia was to determine the factors that support successful services integration among different healthcare and social services organizations serving older adults within a Canadian context.


This study used the Cheng and Catallo (2020) IHSC conceptual framework (CF) to guide the research. Primary data were based on key informant interviews of representatives from organizations that comprised each case and focus groups. A cross-case analysis was undertaken to determine common themes.


The cross-case analysis revealed that the three cases shared common integration and external influence factors based on the Cheng and Catallo (2020) CF. Some new factors were identified.


The study revealed that the Canadian context was important in influencing integration in the three cases and that there is a unique Canadian aspect to IHSC. The study offers up practical insights for government leaders and service administrators to improve IHSC for older adults. The study also identifies how the Cheng and Catallo (2020) IHSC CF can be enhanced and points to research opportunities to test the framework.



Funding: This study is supported in part by funding from the Social Sciences and Humanities Research Council.


Cheng, S.M. and Catallo, C. (2023), "Collective case study: integrated health and social care for older adults within a Canadian context", Journal of Integrated Care, Vol. 31 No. 3, pp. 171-181.



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