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Paper text:
since 2004 , the province of quebec has devoted significant efforts to unify the governance of the main health and social care organizations of its various territories . notwithstanding
the uniformity of the national plan s prescription , the territorial integration modalities greatly vary across the province .
this research is based upon a conceptual model of integration that comprises six components : inter - organizational partnership , case management , standardized assessment , a single entry point , a standardized service planning tool and a shared clinical file .
we conducted an embedded case study in six contrasted sites in terms of their level of integration .
interestingly however , no link seems to exist between the quality of local prescriptions and the level of integration achieved in each site .
this finding leads us to hypothesize that the variable quality of the operational accompaniment offered to implement these prescriptions is a variable in play .
purposeservices integration comprises organizational , normative , economic , informational and clinical dimensions . 
 since 2004 , the province of quebec has devoted significant efforts to unify the governance of the main health and social care organizations of its various territories . notwithstanding 
 the uniformity of the national plan s prescription , the territorial integration modalities greatly vary across the province.theorythis research is based upon a conceptual model of integration that comprises six components : inter - organizational partnership , case management , standardized assessment , a single entry point , a standardized service planning tool and a shared clinical file.methodswe conducted an embedded case study in six contrasted sites in terms of their level of integration . 
 all documents prescribing the implementation of integration were retrieved and analyzed.results and conclusionsthe analyzed documents demonstrate a growing local appropriation of the current integrative reform . 
 interestingly however , no link seems to exist between the quality of local prescriptions and the level of integration achieved in each site . 
 this finding leads us to hypothesize that the variable quality of the operational accompaniment offered to implement these prescriptions is a variable in play .