L. Wiart and others
Health and Social Care in the Community, vol. 18, 2010, p. 378-388
During the last two decades, paediatric rehabilitation services for children with disabilities have shifted from clinical settings into communities and have expanded beyond health into a variety of service sectors. The involvement of different service sectors (e.g. health, education and social services) and an array of models of care (e.g. acute care, home care, education-based services and specialised tertiary care) make the delivery of paediatric rehabilitation services complex. Navigating these complex service delivery systems is stressful for families, and cross-sectoral collaboration to improve continuity of care is viewed as ideal. This research explored how ministerial cultures, processes and structures influence inter-ministerial collaboration for the purposes of enhancing continuity of care in a Western Canadian province. Fundamental ideological and structural differences were apparent across the three ministries that affected ease of inter-ministerial collaboration.