Skip to main content

Primary care integration strategies for adults with chronic health conditions: a systematic review

Study Lead
Study Lead
Professor | Site Director, ICES-Queen’s
Julia Lukewich, RN PhD, Assistant Professor Memorial University of Newfoundland School of Nursing
Amanda Ross-White, Queen's University Clinical Outreach Services Librarian
Megan Kirkland, Memorial University of Newfoundland
Jennifer Ritonja, Queen's University
Marie-Elaine Delvin, Queen's University
Dana Edge, Associate Professor, Queen's School of Nursing
Elizabeth VanDenKerkhof, Professor Emerita, Queen's School of Nursing
Richard Birthwhistle, Professor, Queen's Department of Family Medicine and Community Health and Epidemiology
Knowledge Users
Paul Huras, CEO South East Local Health Integration Network
Shabnam Ashgari, Assistant Professor, Memorial University of Newfoundland Faculty of Medicine
Thomas Custer, Ontario Ministry of Health and Long-Term Care, Health System Accountability & Performance
Project Manager
Geneviève Paré, Research Coordinator, Queen's University School of Nursing

What? Primary health care reform has included the implementation of organizational system changes to support the integration of care across health care settings, particularly for patients with chronic health conditions. These reforms have met with some success, however, providers and patients continue to report challenges and gaps related to achieving effective coordinated and comprehensive care.


Why? The overall goal of this research is to review and synthesize the available research evidence in order to determine the characteristics of services and programs that optimize integration of care and good outcomes for persons with chronic conditions.


How? To address this goal, we are conducting a systematic review of the literature and will use a variety of techniques to synthesize and interpret the literature findings. We will identify the critical organizational attributes of integration strategies that are associated with good patient care.


Our research team, consisting of patient representatives, decision makers, knowledge users, and researchers will review and further interpret the synthesized findings within the context of current provincial performance frameworks.


Impact of findings: This research project will provide new information to support evidence-based primary health care planning and evaluation.


Funded By
CIHR Pan-Canadian SPOR Network in Primary & Integrated Health Care Innovations - Knowledge Synthesis
Judith Mackenzie, Community Representative, Advisory Council, Centre for Studies in Primary Care, Queen's University
Carolyn Hamilton-Kuby, Morningstar Leadership Development