Sookatagaing (Working Together) for Care: Innovative Development of Integrated Care in Northwestern Ontario through Collaboration
Notice bibliographique
Résumé
BACKGROUND: The Noojmawing Sookatagaing (Healing Working Together) Ontario Health Team (OHT) is developing new methodologies for developing integrated care, and pathways, in an area marked by its vast and diverse geography. Spanning approximately 03,000 square kilometers, the OHT area includes the District and City of Thunder Bay, encompassing rural, fly-in, First Nation, and urban communities. These unique conditions necessitate adaptable, community-specific integrated care pathways (ICPs). Two of the four OHTs in Northwestern Ontario received funding to develop pathways specifically for COPD and heart failure. Recognizing the number of people who must travel for services in the northwest, it was important for Noojmawing Sookatagaing and All Nations Health Partners (ANHP) to involve the two non-accelerated OHTs in the region to foster a regional approach to equitable access. The projects involve clinicians, service providers, and individuals with lived experience including patients, families, and caregivers who provided information on the current healthcare landscape. Through design sprints, these stakeholders co-created and validated prototypes for integrated care pathways, ensuring they are tailored to local needs. APPROACH: Our first ministry-funded Integrated Care Pathways (ICPs) provided the information and experiences needed to develop future processes for integrated care in our OHT. We subsequently developed a framework for integrated care that ensures that Indigenous culturally-safe care is the foundation of our work, and that our principles of equity, person-centred care, collaboration, and continuous improvement drive everything we do. It also ensures our seven priorities: meaningful partnership with Indigenous communities, consensus decision-making, mental and substance use health, people-centred leadership, primary care, digital health, and Francophone needs are represented in the work we do. Additionally, the values of Noojmawing Sookatagaing, as determined by our Collaboration Council, serve as the foundation for all future work. RESULTS: An Integrated Care Framework was subsequently developed at the Noojmawing Sookatagaing OHT level, emphasizing co-design with service providers, First Nation communities, and individuals with lived experience at every stage from inception to ongoing monitoring and evaluation. This framework promotes a holistic vision of care, recognizing the importance of spiritual and emotional health alongside physical and mental well-being. At the core of this framework are the OHT priorities and values developed through co-design by the Collaboration Council partners that make up the consensus-based decision-making group for Noojmawing Sookatagaing OHT. IMPLICATIONS:This presentation will share key lessons learned, highlight the significance of building strong relationships, and discuss the Integrated Care Framework developed through this collaborative effort. Our findings demonstrate the critical role of inclusive, region-specific planning in creating effective, integrated healthcare systems that meet the diverse needs of Northwestern Ontario communities. KEYWORDS: integrated care pathways, integrated care, Ontario Health Team, co-design, Northwestern Ontario, equitable healthcare, holistic health, frameworks, integrated care framework.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,020 | 0,011 |
| Communication savante | 0,007 | 0,004 |
| Science ouverte | 0,003 | 0,019 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».