Integrated Healthcare Homes & Neighbourhoods: Governance, Clinical, Managerial & Evaluation Matters

Background : Persisting systems gaps and fragmented care within and between primary and secondary healthcare teams are key national and international issues. For patients, this fragmentation is compounded by poor communication. Continuity and coordination of patient-centred care requires effective communication, coordination, teamwork, and judicious use of eHealth tools within a medical home and across the health neighbourhood. This Integrated Healthcare Homes and Neighbourhood (IHHN business model and sustainability; multiple ethical perspectives; and cognitive load on patients and clinicians from managing multi-morbidity. Conclusion u0026 recommendations : IHHu0026N and integrated care requires integrated health data and systems, with local customisations and a sociotechnical approach to implementation. Governance, clinical, managerial and evaluation matters must be addressed through partnerships of local health districts, primary health networks and academic institutions.