Case management, how, for whom and in what circumstances.
Date
2017-2018
Partenaires
Université de Sherbrooke Hospital Center
Department of Family Medicine and Emergency Medicine of the Université de Sherbrooke
Canadian Institute of Health Research (CIHR)
Institut universitaire de première ligne en santé et services sociaux – Estrie health authority-CHUS
Newfoundland and Labrador Medical Association
Réseau-1 Québec
Saskatchewan Health Research Foundation
Université du Québec à Chicoutimi
Aim
How and in what context front-line case management for patients with complex needs works.
Articles
Protocols
- Case management in primary care among frequent users of healthcare services with chronic conditions: protocol of a realist synthesis
- Case management in primary care to improve outcomes among frequent users of health care services with chronic conditions: a realist synthesis of what works, for whom and in what circumstances. PROSPERO protocol.
Results
Scientific posters
- Case management in primary care among frequent users of healthcare services with chronic conditions: protocol of a realist synthesis. North American Primary Care Research Group (NAPCRG) annual conference 2017.
- Case management in primary care among frequent users of health care services with chronic conditions: preliminary findings from a realist synthesis. SPOR Primary and Integrated Health Care Innovation Network (PIHCIN) conference 2017.
- Case management in primary care among frequent users of health care services with chronic conditions: a realist synthesis? North American Primary Care Research Group (NAPCRG) annual conference 2018.
Results
Supportive contexts, such as good access to care, an experienced and reliable case manager, the provision of comprehensive care, and the maintenance of positive interactions with patients, contribute to case manager and patient engagement in case management and produce positive outcomes, such as greater satisfaction, improved health status, self-management, adherence to care, and quality of life, when the following mechanisms are triggered: patients and clinicians feel supported, respected, accepted, engaged, and committed; and patients feel less anxious, more secure, and able to self-manage.
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
Kris Aubrey-Bassler, Associate Professor, Department of Family Medicine and Director of the Primary Care Research Unit, Memorial University
Fred Burge, Full Professor, Department of Family Medicine, Community Health and Epidemiology and Director of the Primary Care Research Unit, Dalhousie University
Nazeem Muhajarine, Professor, Department of Community Health and Epidemiology, University of Saskatchewan
Co-investigators
Paula L. Bush, Coordinator of the Methodology Development component of the Quebec SPOR-Support Unit
Line Guénette, Full Professor, Faculty of Pharmacy, Université Laval
France Légaré, Full Professor, Department of Family Medicine and Emergency Medicine, Université Laval
Paul Morin, Director, Institut universitaire de première ligne en santé et services sociaux
Pierre Pluye, Full Professor, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke
Vivian R. Ramsden, Full Professor, Department of Family Medicine and Director of the Research Division, University of Saskatchewan
Research coordinator
Mireille Lambert, Saguenay–Lac-Saint-Jean regional health authority
Research assistants
Fiona Fick, Department of Psychology, University of Saskatchewan
Olivia Clearly, Department of Family Medicine and Director of the Primary Care Research Unit, Memorial University
Decision makers and managers
Margaret Baker, Executive Director, Primary Care Services, Ministry of Health – Saskatchewan
Cameron Campbell, Director of Primary Care, Government of Newfoundland and Labrador
Martine Couture, President and Chief Executive Officer, Saguenay-Lac-Saint-Jean regional health authority
Lynn Edwards, Senior Director of Primary Care, Family Medicine and Chronic Disease, Nova Scotia Health Authority
Antoine Groulx, Director of the organization of integrated primary care services, Ministère de la santé et des services sociaux – Québec
Clinicians
Breanna Davis, Family Physician, Prince Albert
Julie Godbout, Nurse Case Manager, Saguenay-Lac-Saint-Jean regional health authority
Norma Rabbitskin, Nurse, Sturgeon Lake First Nation
Patient partners
Véronique Sabourin
Claude Spence
Mike Warren
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