Ten key principles for successful health systems integration

Healthc Q. 2009;13 Spec No(Spec No):16-23. doi: 10.12927/hcq.2009.21092.


Integrated health systems are considered part of the solution to the challenge of sustaining Canada's healthcare system. This systematic literature review was undertaken to guide decision-makers and others to plan for and implement integrated health systems. This review identified 10 universal principles of successfully integrated healthcare systems that may be used by decision-makers to assist with integration efforts. These principles define key areas for restructuring and allow organizational flexibility and adaptation to local context. The literature does not contain a one-size-fits-all model or process for successful integration, nor is there a firm empirical foundation for specific integration strategies and processes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Canada
  • Continuity of Patient Care / organization & administration*
  • Decision Making, Organizational
  • Delivery of Health Care, Integrated
  • Evidence-Based Practice
  • Health Care Reform / organization & administration*
  • Health Plan Implementation / organization & administration*
  • Health Planning Guidelines*
  • Humans
  • Information Systems
  • Models, Organizational
  • National Health Programs / organization & administration*
  • Patient Care Team
  • Patient-Centered Care / organization & administration
  • Philosophy, Medical
  • Practice Guidelines as Topic
  • Systems Integration*

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