Judgment Statement:

• Current service delivery models enable collaboration to a moderate extent, with success in basic coordination but significant limitations in achieving integrated person-centred care.

Successful Coordination:

• Service delivery models effectively enable basic collaboration through established referral systems and shared care arrangements.
• Government health services work with community organisations providing complementary support addressing patient social needs.
• Mental health services collaborate with housing and employment providers creating comprehensive care approaches.
• Care coordination mechanisms enable information sharing between providers ensuring patients receive appropriate support across different service types.
• These models successfully reduce service gaps and improve access for vulnerable populations requiring multiple forms of assistance.

Integration Limitations:

• However, service delivery models show significant limitations in achieving seamless person-centred collaboration.
• Different organisational cultures create communication barriers limiting effective partnership development.
• Separate accountability systems prevent true integration whilst funding constraints limit coordination activities.
• Technology incompatibilities restrict information sharing between sectors affecting care continuity.
• Professional boundaries and varying service standards create inconsistent patient experiences when accessing collaborative programs.

Reaffirmation:

• Evidence demonstrates moderate effectiveness in enabling basic collaboration.
• However, structural barriers significantly limit integrated person-centred care requiring system-wide reforms.

• Different priorities create challenges when organisations collaborate. Government focuses on population health whilst private organisations prioritise profit and community groups focus on specific needs. These goals can conflict during planning.
• Communication problems occur between organisations using different systems. Government services use formal procedures whilst community organisations use informal approaches. This makes coordinating care difficult.
• Funding issues limit collaboration. Government funding has strict rules whilst charitable funding is unpredictable. Different payment systems create service gaps.
• Staff training varies between organisations affecting quality. Government workers follow standardised procedures whilst community staff may lack formal training. This creates inconsistent patient experiences.

• Person-centred care requires shared decision-making between patients, healthcare providers and support services. Government provides clinical services whilst non-government organisations offer peer support and cultural services tailored to individual needs.
• Coordinated care involves multiple organisations working together to address patient needs. This includes government mental health services working with community housing providers and family support groups.
• Patient support combines government funding with non-government delivery ensuring patients understand their options and access appropriate services. Cultural care requires partnerships between mainstream services and community organisations.