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Although fixed models may not apply to new contexts, some of the evidence-informed design principles from this project converge with findings from other jurisdictions and have broad implications for policies promoting universal, integrated service systems for early childhood.
Continuity is a quality dimension essential to integrated service systems, especially for vulnerable older adults [ 7, 21].
To our knowledge, previous reports on validation of indicators for transfer between countries [ 4, 18, 19] do not specifically consider integrated service systems.
This research aims at evaluating the quality of health care and services provided to vulnerable older adults within integrated service systems [ 14].
This research on quality assessment for vulnerable older adults in integrated service systems is guided by a conceptual framework to ensure a meaningful and rigorous quality evaluation and improvement [ 20].
In this study, panellists judged the face and content validity of a large majority (88%) of the translated PQIs appropriate for use in clinical context within integrated service systems in Quebec, Canada.
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The indicators can be used to evaluate care and services for vulnerable older adults affected by cognitive impairment or dementia within an integrated service system in Quebec, Canada.
The research team selected PQIs for vulnerable older adults affected by cognitive impairment/dementia and being treated in an integrated service system.
According to a variety of demonstration projects [ 9- 11] the main features of an effective integrated service system for vulnerable older adults are a single point of entry into the system, case management, geriatric assessment and a multidisciplinary care team [ 12].
The multidisciplinary selection and evaluation of face/content validity of the PQIs allowed to take into account the vision of quality of care of all health and social care professions involved in the integrated service system.
Since continuity of care is a specific goal of an integrated service system, the final set of 82 PQIs included 23 PQIs for follow-up care, most of them (21) from ACOVE.
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integrated service networks
integrated health systems
integrated eCR systems
integrated service contracts
integrated transit systems
integrated phone systems
integrated security systems
integrated farming systems
integrated service routers
integrated weight systems
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integrated recording systems
integrated energy systems
integrated storage systems
integrated service providers
integrated delivery systems
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