Contemplating on the End of Integrated Care-Part II: Living the Questions to Foster Adaptability

This article extends the use of the ecocycle planning framework to describe challenges ahead for the integrated care and Collaborative Family Healthcare Association (CFHA). The authors make the case that to remain agile and adaptable, there are contextual, ecological, and moral challenges that integrated care and CFHA should keep in the forefront as they navigate the future of an inequitable health care system that is morphing at a rapid pace. These influences include but are not limited to challenges of social determinants of health, artificial intelligence, generational differences in technology among older and younger populations, the moral issue of poverty, challenges to retain an integrated care workforce, and rethinking development of evidence-based supported treatments for integrated care. Organizations and scholars can use the ecocycle framework to map their ideas over time and notice when certain assumptions need to be checked for its validity to promote growth. Periodic use of the ecocycle framework helps to ensure matters of justice and equity, which may have historically received less emphasis, are routinely included into our models of scientific and clinical work.