A Scoping Review of Literature on Different Models of Allocating Funds to Facilitate Integrated Care


Nominated Principal Applicant: Pierre-Gerlier Forest (University of Calgary)

Applicants from Alberta: Akram Khayatzadeh Mahani, Gail MacKean (University of Calgary)

                                      Judy Seidel, Richard Lewanczuk, Anderson Chuck

                                                                                                      (Alberta Health Services)

                                      Justin Riemer, Shannon Berg (Alberta Health)

                                      Judy Birdsell (IMAGINE Citizens)

                                      Andrew Neuner (Health Quality Council of Alberta)


Lay Summary


Integrated care is viewed widely as a potential solution to overcome some of the major
challenges faced by health and social care systems, such as those posed by service
duplication, fragmentation, and poor care coordination, and associated impacts on the
quality and cost of services. Fragmented models of allocating funds to and across sectors,
programmes and providers are frequently cited as major barriers for the implementation
of integrated care. Countries are increasingly experimenting with new models of
allocating funds to incentivize care integration and to reduce ineffective care and avoid
costly adverse events. This scoping review aims to assess published international
experiences of different models of allocating funds to facilitate care integration and the
evidence on their impacts.


At the conclusion of this project, we will have achieved the following objectives: map
existing knowledge and the main sources and types of evidence about different models of
allocating funds to and across sectors, programs and providers to facilitate care
integration; develop a conceptual framework that classifies identified models; explore the
range of policy objectives driving the development or adoption of identified models;
investigate potential barriers and facilitators to implementation of diverse models of
allocating funds to facilitate care integration; explore the impact and degree of success
for identified models; and draw out policy opportunities and lessons learned that can be
applied to the Canadian context.


The Alberta SPOR PIHCIN will provide support for this project in the following areas:

  • Access to networking support in Alberta and nationally through the SPOR PIHCIN network of networks;
  • Methodology development support through the Alberta SPOR PIHCIN Coordinator and Tripartite Leads; 
  • Networking connections to the Strategic Clinical Networks (SCNs) and relevant primary health care and public health networks in Alberta;
  • Provide patient feedback on the LOI that was submitted in development of the grant proposal;
  • Facilitate any requested expertise from the seven Alberta SPOR SUPPORT Unit Platforms to ensure that integration from research into care has a significant positive impact for patients and the health care system. 

Conference presentation: (to be updated)

Publication: (to be updated)


Contact information:

Dr. Akram Khayatzadeh Mahani

Research Associate, Social Policy and Health Program

The School of Public Policy

University of Calgary

906-8th Avenue SW

Calgary, Alberta T2P 1H9

T: +1- 403-220-5972

E: akram.mahani@ucalgary.ca