Integrated case management between primary care clinics and hospitals for people with complex needs who frequently use healthcare services: A multiple-case embedded study.
Date
2018-2021
Partners
Fonds de soutien à l’innovation en santé et en services sociaux (FSISSS)
Ministry of the Economy, Science and Innovation
Saguenay-Lac-Saint-Jean regional health authority
Aim
To implement and evaluate an integrated case management (CM) program for people with complex needs where nurses from primary care clinics work closely with a case manager from the hospital.
Articles, presentations and posters
Article
Scientific presentations
- Integrated case management between primary care clinics and hospitals for frequent users of healthcare services: A multiple-case embedded study. International Conference on Integrated Care (ICIC) 2021.
- La gestion de cas intégrée entre les soins de première ligne et les centres hospitaliers du Saguenay Lac-Saint-Jean pour les grands utilisateurs de services: une étude de cas multiple. Journée de la recherche du CIUSSS du Saguenay Lac-Saint-Jean 2022. (french only)
Scientific poster
Publication on the web
Results
The study shows positive outcomes for patients, professionals, and the health care system, when the program is well implemented. Leadership of the health professionals involved and support of the physician in charge of the clinic are necessary for successful program implementation.
Team
Principal investigators
Catherine Hudon, Professor, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke
Maud-Christine Chouinard, Professor, Faculty of Nursing, Université de Montréal
Co-investigators
Yves Couturier, Professor, School of Social Work, Université de Sherbrooke
Marie-Eve Poitras, Professor, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke
Thomas Poder, Assistant Professor, School of Public Health, Université de Montréal
Managers
Jean Morneau, Telehealth Program Manager, Saguenay-Lac-Saint-Jean regional health authority
Mélanie Paradis, Interim Coordinator of Ambulatory Services Saguenay-Lac-Saint-Jean, Saguenay-Lac-Saint-Jean regional health authority
Annie Tremblay, FMG Manager
Marc-Antoine Wilson, FMG Manager
Marc Villeneuve, Coordinator of Ambulatory Services, Saguenay-Lac-Saint-Jean regional health authority
Sylvie Massé, Director of Nursing, Saguenay-Lac-Saint-Jean regional health authority
Research assistants
Olivier Dumont-Samson, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke
Annie-Pier Gobeil-Lavoie, Saguenay-Lac-Saint-Jean regional health authority
Mireille Lambert, Saguenay-Lac-Saint-Jean regional health authority
Patient partner
Véronique Sabourin
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