Revue généraleIntégration des services : obstacles et facteurs facilitant leur implantationFactors facilitating and impairing implementation of integrated care

Background Better integration of healthcare is the focus of many current reforms in Western countries. The goal is to reduce fragmentation of health and social care delivery for patients with chronic diseases. In France, Alzheimer autonomy integration experimentations (Maison Autonomie Integration Alzheimer [MAIA]) were introduced as part of the 2008–2012 National Alzheimer Plan. To date, implementation of such organizations remains challenging. It is thus paramount to identify factors obstructing, and on the contrary facilitating, implementation of integrated care.