Shearkhani Sara, Plett Donna, Powis Jeff, Yu Catherine, McCready Janine, Lau Lucy, Anthony Phillip, Mason Kate, Foley Kathleen, Petkovski Denny, Callahan James, Bourne Laurie, Klassen Wolf, Wojtak Anne
Michael Garron Hospital, CA.
East Toronto Health Partners, CA.
Int J Integr Care. 2023 Jun 22;23(2):31. doi: 10.5334/ijic.7014. eCollection 2023 Apr-Jun.
East Toronto Health Partners (ETHP) is a network of organizations that serve residents of East Toronto, Ontario, Canada. ETHP is a newly formed integrated model of care in which hospital, primary care, community providers and patients/families work together to improve population health. We describe and evaluate the evolution of this emerging integrated care system as it responded to a global health crisis.
This paper begins by describing ETHP's pandemic response mapping out over two years of data. To evaluate the response, semi-structured interviews were conducted with 30 decision makers, clinicians, staff, and volunteers who were part of the response. The interviews were thematically analyzed, and emergent themes mapped onto the nine pillars of integrated care.
The ETHP pandemic response evolved rapidly. Early siloed responses gave way to collaborative efforts and equity emerged as a central priority. New alliances formed, resources were shared, leaders emerged, and community members stepped forward to contribute. Interviewees identified positives as well as many opportunities for improvement post-pandemic.
The pandemic was a catalyst for change in East Toronto that accelerated existing initiatives to achieve integrated care. The East Toronto experience may serve as a useful guide for other emerging integrated care systems.
东多伦多健康伙伴组织（ETHP）是一个服务于加拿大安大略省东多伦多居民的组织网络。ETHP是一种新形成的综合护理模式，医院、初级护理、社区服务提供者以及患者/家庭共同努力以改善人群健康。我们描述并评估了这个新兴的综合护理系统在应对全球健康危机时的演变过程。
本文首先描述了ETHP在两年多时间里应对疫情的数据情况。为了评估应对措施，我们对参与应对的30名决策者、临床医生、工作人员和志愿者进行了半结构化访谈。对访谈进行了主题分析，并将浮现出的主题映射到综合护理的九个支柱上。
ETHP对疫情的应对迅速演变。早期各自为政的应对方式让位于合作努力，公平成为核心优先事项。新的联盟形成，资源得以共享，领导者涌现，社区成员挺身而出做出贡献。受访者既指出了积极方面，也提出了疫情后许多有待改进的机会。
疫情是东多伦多变革的催化剂，加速了实现综合护理的现有举措。东多伦多的经验可能为其他新兴的综合护理系统提供有益的指导。
