{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T01:39:41Z","timestamp":1790386781995,"version":"4.1.0"},"reference-count":100,"publisher":"Ubiquity Press, Ltd.","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Integr Care"],"abstract":"<jats:p>Introduction: Integrated approaches have been promoted as a solution to challenges in delivering high-quality care for aging populations. Despite their theorized benefits, the system-wide influence of integrated home and community care models remains poorly understood.\nMethods: We systematically searched MEDLINE (Ovid), CINAHL (EBSCO) and AgeLine (EBSCO) for studies examining the influence of integrated home and community care programs on outcomes aligned with the Quadruple Aim and Health Equity framework.\nResults: Forty-seven peer-reviewed articles were included, representing five program types: comprehensive coordinated care (n = 6), integrated palliative care (n = 23), preventative care (n = 4), restorative care (n = 3), and transitional care (n = 11). Most studies focused on value outcomes, particularly in hospital (n = 36) and emergency services (n = 22). Patient and caregiver experience was assessed in 11 studies, while provider experience (n = 1), health equity (n = 2) and population health (n = 0) were rarely examined. Eleven studies evaluated system-level influence; 23 focused on community-dwelling care recipients.\nDiscussion: The emphasis on cost-related outcomes reflects prevailing austerity and value-based rhetoric, which may shape research funding, priorities and attention.\nConclusion: Future research should adopt a balanced approach, incorporating all Quadruple Aim and Health Equity domains. A learning health system model, linking data, knowledge and practice, is recommended to enable continuous improvement and resource alignment.<\/jats:p>","DOI":"10.5334\/ijic.9896","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:41:07Z","timestamp":1773920467000},"page":"12","source":"Crossref","is-referenced-by-count":2,"title":["Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System: A Scoping Review"],"prefix":"10.5334","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0901-5148","authenticated-orcid":false,"given":"Margaret E.","family":"Saari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2429-0943","authenticated-orcid":false,"given":"Ryan","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Lauro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4130-5383","authenticated-orcid":false,"given":"Paul","family":"Holyoke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2863-393X","authenticated-orcid":false,"given":"Justine L.","family":"Giosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"issue":"4","key":"key20260319114100_B1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.5334\/ijic.2944","article-title":"Community care for people with complex care needs: bridging the gap between health and social care","volume":"17","year":"2017","journal-title":"Int J Integr Care"},{"issue":"1","key":"key20260319114100_B2","doi-asserted-by":"crossref","first-page":"10","DOI":"10.12927\/hcq.2018.25529","article-title":"Seniors in transition: exploring pathways across the care continuum","volume":"21","year":"2018","journal-title":"Healthc Q"},{"issue":"4","key":"key20260319114100_B3","article-title":"Profiling the medical, functional, cognitive, and psychosocial care needs of adults assessed for home care in Ontario, Canada: the case for long-term \u2018life care\u2019 at home","volume":"19","year":"2024","journal-title":"PLoS One"},{"key":"key20260319114100_B4","article-title":"Fragmentation of care: a major challenge for older people living with multimorbidity","volume":"15","year":"2021","journal-title":"Geriatr Gerontol Aging"},{"issue":"10","key":"key20260319114100_B5","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1136\/bmjqs-2015-004160","article-title":"The Quadruple Aim: care, health, cost and meaning in work","volume":"24","year":"2015","journal-title":"BMJ Qual Saf"},{"issue":"1","key":"key20260319114100_B6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.12927\/hcpap.2021.26645","article-title":"Long-term care\u2019s financial sustainability","volume":"20","year":"2021","journal-title":"Healthc Pap"},{"issue":"4\u20135","key":"key20260319114100_B7","first-page":"5","article-title":"Home care in Canada","volume":"10","year":"1997","journal-title":"Int J Health Care Qual Assur Inc Leadersh Health Serv"},{"issue":"3","key":"key20260319114100_B8","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1097\/00019442-200405000-00002","article-title":"Family caregiving of persons with dementia: prevalence, health effects, and support strategies","volume":"12","year":"2004","journal-title":"Am J Geriatr Psychiatry"},{"issue":"5","key":"key20260319114100_B9","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/s41999-019-00219-8","article-title":"The impact of an ageing population on the required hospital capacity: results from forecast analysis on administrative data","volume":"10","year":"2019","journal-title":"Eur Geriatr Med"},{"key":"key20260319114100_B10","unstructured":"March of Dimes Canada. 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