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Layani G, Tremblay A, Lussier MT, Godbout I, Bihan H, Gosselin C, Pierre M, Motulsky A, Brault I, Rodrigues I, Kaczorowski J, Vanier MC, Yapi SM. Cross-Sector Collaboration to Improve Access to Community Services for People Living With Diabetes: Contributions From Actor-Network Theory. Health Serv Insights 2024; 17:11786329231222408. [PMID: 38288094 PMCID: PMC10823851 DOI: 10.1177/11786329231222408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 12/07/2023] [Indexed: 01/31/2024] Open
Abstract
Diabetes is a global public health issue. The Public Health Agency of Canada published a Diabetes Framework 2022 which recommends collaborative work across sectors to mitigate the impact of diabetes on health and quality of life. Since 2020, the INMED-COMMUNITY pathway has been implemented in Laval, Québec developing collaboration between healthcare and community sectors through a participatory action research approach. The aim of this article is to gain a better understanding of the INMED-COMMUNITY pathway implementation process, based on the mobilization of network actor theory. Qualitative analysis of semi-structured interviews conducted from January to March 2023 with 12 participants from 3 different sectors (community, health system, research), were carried out using actor-network theory. The results explored the conditions for effective intersectoral collaboration in a participatory action research approach to implement the INMED-COMMUNITY pathway. These were: (1) contextualization of the project, (2) a consultation approach involving various stakeholders, (3) creation of new partnerships, (4) presence of a project coordinator, and (5) mobilization of stakeholders around a common definition of diabetes. Mediation supported by a project coordinator contributed to the implementation of an intersectoral collaborative health intervention, largely due to early identification of controversies.
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Affiliation(s)
- Géraldine Layani
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montreal, Montreal, QC, Canada
- Research Centre of the University of Montreal, Montréal, QC, Canada
- Pôle 1, Centre de recherche des pratiques cliniques et organisationnelles du Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | | | - Marie-Thérèse Lussier
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montreal, Montreal, QC, Canada
- Research Centre of the University of Montreal, Montréal, QC, Canada
| | | | - Hélène Bihan
- Avicenne hospital, Bobigny, France
- Health Education and Practices Laboratory, Université Paris 13, Paris, France
- Faculty of Pharmacy, Université de Montréal, Montreal, QC, Canada
| | - Claire Gosselin
- Research Centre of the University of Montreal, Montréal, QC, Canada
| | - Mégane Pierre
- Research Centre of the University of Montreal, Montréal, QC, Canada
| | - Aude Motulsky
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada
- Department of Management, School of Public Health, Université de Montréal, Montreal, QC, Canada
| | - Isabelle Brault
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada
- Department of Management, School of Public Health, Université de Montréal, Montreal, QC, Canada
| | - Isabel Rodrigues
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montreal, Montreal, QC, Canada
- Pôle 1, Centre de recherche des pratiques cliniques et organisationnelles du Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | - Janusz Kaczorowski
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montreal, Montreal, QC, Canada
- Research Centre of the University of Montreal, Montréal, QC, Canada
| | - Marie-Claude Vanier
- Pôle 1, Centre de recherche des pratiques cliniques et organisationnelles du Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
- Health Education and Practices Laboratory, Université Paris 13, Paris, France
- Faculty of Pharmacy, Université de Montréal, Montreal, QC, Canada
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