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Integrated care: Weaving a seamless web

Lee Fairclough

Moving away from a fragmented and siloed health care system to one that seamlessly connects patients to the services that they need is currently driving health care reform in Ontario.
How will this look for patients?

If you’re a patient with chronic knee pain, in most cases you will be seen and assessed by a family physician. However, in some cases you may be assessed at a rapid access clinic and, if you need surgery, seeing an orthopedic surgeon in a timely manner and having knee replacement surgery. After the operation, it means that you and your family work with health care professionals, so your needs and wishes are met when being discharged from hospital. When discharged you will have a transition plan that has been developed in collaboration with you and shared with your primary care provider. You will receive post-operative rehabilitation, education and training about self-care, and you will have a clear sense of the steps needed to ensure your recovery.

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