scholarly journals Supporting Goal-Oriented Primary Health Care for Seniors with Complex Care Needs Using Mobile Technology: Evaluation and Implementation of the Health System Performance Research Network, Bridgepoint Electronic Patient Reported Outcome Tool

2016 ◽  
Vol 5 (2) ◽  
pp. e126 ◽  
Author(s):  
Carolyn Steele Gray ◽  
Walter P Wodchis ◽  
Ross Upshur ◽  
Cheryl Cott ◽  
Brian McKinstry ◽  
...  
Keyword(s):  
Patient Reported Outcome ◽  
Research Network ◽  
Complex Care ◽  
Technology Evaluation ◽  
Care Needs ◽  
Primary Health ◽  
Patient Reported ◽  
Outcome Tool ◽  
Complex Care Needs ◽  
Performance Research

scholarly journals Protocol for a mixed-method analysis of implementation of case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e038241
Author(s):  
Alya Danish ◽  
Maud-Christine Chouinard ◽  
Kris Aubrey-Bassler ◽  
Fred Burge ◽  
Shelley Doucet ◽  
...  
Keyword(s):  
Primary Care ◽  
Case Management ◽  
Chronic Conditions ◽  
Healthcare Services ◽  
Research Ethic Board ◽  
Complex Care ◽  
Care Needs ◽  
Patient Reported ◽  
Complex Care Needs ◽  
Analytical Approaches

IntroductionCase management (CM) in a primary care setting is a promising approach to integrating and improving healthcare services and outcomes for patients with chronic conditions and complex care needs who frequently use healthcare services. Despite evidence supporting CM and interest in implementing it in Canada, little is known about how to do this. This research aims to identify the barriers and facilitators to the implementation of a CM intervention in different primary care contexts (objective 1) and to explain the influence of the clinical context on the degree of implementation (objective 2) and on the outcomes of the intervention (objective 3).Methods and analysisA multiple-case embedded mixed-methods study will be conducted on CM implemented in ten primary care clinics across five Canadian provinces. Each clinic will represent a subunit of analysis, detailed through a case history. Cases will be compared and contrasted using multiple analytical approaches. Qualitative data (objectives 1 and 2) from individual semistructured interviews (n=130), focus group discussions (n=20) and participant observation of each clinic (36 hours) will be compared and integrated with quantitative (objective 3) clinical data on services use (n=300) and patient questionnaires (n=300). An evaluation of intervention fidelity will be integrated into the data analysis.Ethics and disseminationThis project received approval from the CIUSSS de l'Estrie – CHUS Research Ethic Board (project number MP-31-2019-2830). Results will provide the opportunity to refine the CM intervention and to facilitate effective evaluation, replication and scale-up. This research provides knowledge on how to resp ond to the needs of individuals with chronic conditions and complex care needs in a cost-effective way that improves patient-reported outcomes and healthcare use, while ensuring care team well-being. Dissemination of results is planned and executed based on the needs of various stakeholders involved in the research.

scholarly journals Characteristics of Departments That Provided Primary Support for Households with Complex Care Needs in the Community: A Preliminary Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 403
Author(s):  
Kyoko Yoshioka-Maeda ◽  
Hitoshi Fujii
Keyword(s):  
Cross Sectional Study ◽  
Health Problems ◽  
Complex Care ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Economic Distress ◽  
Primary Health ◽  
Complex Care Needs ◽  
Primary Support

To prevent emergency admissions and save medical costs, support should be provided to households that include people with complex care needs to allow them to continue living in their own homes. This community-based, cross-sectional study was conducted to (1) identify which departments that public health nurses (PHNs) worked have been the primary providers of support for households with complex care needs and (2) clarify the length of time required by each department to resolve primary health problems. We analyzed 148 households with complex care needs that were registered in City A from April 2018 to July 2019. Four types of departments were the primary support providers for complex care households: the department supporting persons with disabilities (n = 54, 36.5%), public/community health centers (n = 47, 31.8%), department of older adults (n = 29, 19.6%), and welfare offices (n = 18, 12.2%). The Mantel–Cox test showed that welfare offices mainly supported households in economic distress and needed significantly less time to resolve their primary health issues than other departments. For early detection and resolution of primary health problems for households with complex care needs, PHNs and healthcare professionals should focus on their economic distress and enhanced multidisciplinary approaches.

scholarly journals What Factors Influence Patient and Carer Engagement in Community Based Primary Health Care? Insights from People with Complex Care Needs and their Carers

2017 ◽  
Vol 17 (5) ◽  
pp. 46
Author(s):  
Kerry Kuluski ◽  
Ashlinder Gill ◽  
Allie Peckham ◽  
Nicolette Sheridan ◽  
Dominique Gagnon ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complex Care ◽  
Care Needs ◽  
Community Based ◽  
Primary Health ◽  
Complex Care Needs

224. Utilization of an automated SMS-based electronic patient-reported outcome tool in spinal surgery patients

2021 ◽  
Vol 21 (9) ◽  
pp. S115
Author(s):  
Rami Elsabeh ◽  
Katie Delgado ◽  
Kaushik Das ◽  
Krishn M. Sharma ◽  
Ezriel Kornel ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Outcome Tool

Health Status Transitions in Community-Living Elderly with Complex Care Needs

2011 ◽  
pp. 223-247
Author(s):  
Louise Lafortune ◽  
François Béland ◽  
Howard Bergman ◽  
Joël Ankri
Keyword(s):  
Health Status ◽  
Community Living ◽  
Complex Care ◽  
Care Needs ◽  
Complex Care Needs

scholarly journals People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?

2008 ◽  
Vol 32 (3) ◽  
pp. 405 ◽  
Author(s):  
Linda Goddard ◽  
Patricia M Davidson ◽  
John Daly ◽  
Sandra Mackey
Keyword(s):  
Health Care ◽  
Intellectual Disability ◽  
Chronic Conditions ◽  
Health Professions ◽  
Disability Services ◽  
Complex Care ◽  
Competency Development ◽  
Care Needs ◽  
Complex Care Needs ◽  
Respiratory Conditions

People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestinal and respiratory conditions. A literature review was undertaken to document the needs of this vulnerable population, and consultation was undertaken with mothers of children with disabilities and with professionals working within disability services for people with an intellectual disability and their families. Based on this review, there is a need to increase the profile of people with an intellectual disability in the discourse surrounding chronic and complex conditions. Strategies such as guideline and competency development may better prepare health professions to care for people with disabilities and chronic and complex care needs and their families.

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