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August 19, 2025International Journal of Integrated CareOpen Access

Neighbourhood Care Team - Integrated care-model for team based primary care and aging at home

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Authors

JCJocelyn CharlesNZNaomi ZieglerSLStacy Landau

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Overview

Outreach-based model shows improved health outcomes in low-income seniors, indicating effective collaboration in healthcare services.

Key Points

  • The neighbourhood care team model leads to significant improvements in health outcomes, including a reduction in emergency department visits to zero this year.
  • Early identification of healthcare needs enhanced access to services, with over 75 seniors connected to primary care, and 95% showing gaps in preventative care.
  • Implemented in five buildings serving over 900 seniors, this model integrates diverse local partners to deliver coordinated care effectively.
  • Highlighting how a community-centered approach can reduce barriers and empower seniors, this framework signals a shift towards holistic healthcare services.

Cite This Study

Charles et al. (2025) studied this question.

synapsesocial.com/papers/68af408ecf1dd9ea359ec171https://doi.org/10.5334/ijic.nacic24120
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Integrating Care and Social Services for Low Income Seniors in Toronto Community Housing: Understanding Barriers and Exploring Solutions2025
  2. 2Seamless Support: Improving Health Outcomes in Long-Term Care Through System Integration and Partnerships2025
  3. 3Health-Bay Kiosks an innovative digital tool to bridge inequities for low-income seniors2025
  4. 4Weaving Networks: How University Health Network’s NIC is supporting aging adults to create helping communities2025
  5. 5House Calls: A person-centered, integrated, home-based care model for successful aging in place2025