Convergent carnivores or divergent dasyurids? Inferring predation and locomotor strategies of extant and extinct carnivorous marsupials from locomotor shape.

Children and youth (hereinafter referred to as ) with special health care needs (CSHCN) represent a heterogeneous population with chronic conditions, requiring care beyond that usually needed by children [, ]. Their care networks typically consist of multiple providers from different sectors, including medical, therapeutic, educational, and social services [, ]. For many families, navigating these complex networks is challenging, requires management skills, and can lead to parental exhaustion, delayed care, and unmet service needs. These challenges are particularly pronounced for families affected by social disadvantage [] and for children with neurological, developmental, and behavioral conditions [], whose complex care needs and limited ability to compensate for fragmented cross-sectoral care may further increase the burden on families. Integrated care is a key approach to overcome fragmented service provision by improving coordination, communication, and continuity of care between providers and sectors, thus improving care delivery and patient outcomes [, ]. Although models of integrated care for CSHCN have been established in several health care systems and policy attention has increased, implementation of integrated care remains heterogeneous, and care networks in many countries continue to lack effective, well-coordinated services [, ]. Understanding which aspects of integrated care matter most to families requires consideration of parents’ (or more broadly ) perspectives. Previous research has identified cross-sectoral communication and collaboration, as well as attention to family needs, as key dimensions of effective integrated care, which are closely linked to caregivers’ experiences of care quality [–]. Hereafter, we refer to these dimensions collectively as (EIC) to avoid redundancy. Qualitative studies have provided in-depth insights into family perspectives on service integration [], while population-based surveys have examined disparities in access to and unmet needs for care coordination by ethnicity [], socioeconomic and insurance status [] and variation in communication between health care providers and the educational sector, including schools, by child health condition [].