TY - JOUR AU - C. Hudon A1 - AB - Many people face problems about physical, mental, and social dimensions of health, and may have complex needs. They often experience a mismatch between their needs and the ability of the healthcare system to meet them, resulting in under- or overutilization of the healthcare system. On one hand, improving access to community-based primary healthcare for hard-to-reach populations should bring all healthcare and social services to one point of contact, near the community. On the other hand, better addressing the unmet needs of people who overuse healthcare services calls for integrated care among providers across all settings and sectors. In either case, intersectoral action between healthcare and social professionals and resources remains central to bringing care closer to the people and the community, enhancing equitable access, and improving health status. However, efforts to implement integrated care are unevenly weighted toward clinical and professional strategies (micro level), which could jeopardize our ability to implement and sustain integrated care. The development of appropriate policies and governance mechanisms (macro level) is essential to break down silos, promote a coherent intersectoral action, and improve health equity. AD - Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Pavillon Z7-local 3007, 3001, 12E Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada. Catherine.Hudon@Usherbrooke.ca. AN - 38961404 BT - Health Res Policy Syst C5 - Healthcare Policy CP - 1 DA - Jul 3 DO - 10.1186/s12961-024-01171-1 DP - NLM ET - 20240703 IS - 1 JF - Health Res Policy Syst LA - eng N2 - Many people face problems about physical, mental, and social dimensions of health, and may have complex needs. They often experience a mismatch between their needs and the ability of the healthcare system to meet them, resulting in under- or overutilization of the healthcare system. On one hand, improving access to community-based primary healthcare for hard-to-reach populations should bring all healthcare and social services to one point of contact, near the community. On the other hand, better addressing the unmet needs of people who overuse healthcare services calls for integrated care among providers across all settings and sectors. In either case, intersectoral action between healthcare and social professionals and resources remains central to bringing care closer to the people and the community, enhancing equitable access, and improving health status. However, efforts to implement integrated care are unevenly weighted toward clinical and professional strategies (micro level), which could jeopardize our ability to implement and sustain integrated care. The development of appropriate policies and governance mechanisms (macro level) is essential to break down silos, promote a coherent intersectoral action, and improve health equity. PY - 2024 SN - 1478-4505 SP - 75 ST - Bridging the gap to meet complex needs: an intersectoral action well supported by appropriate policies and governance T1 - Bridging the gap to meet complex needs: an intersectoral action well supported by appropriate policies and governance T2 - Health Res Policy Syst TI - Bridging the gap to meet complex needs: an intersectoral action well supported by appropriate policies and governance U1 - Healthcare Policy U3 - 10.1186/s12961-024-01171-1 VL - 22 VO - 1478-4505 Y1 - 2024 ER -