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Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal

BACKGROUND: The goal of this project is to evaluate the implementation of an integrated and interdisciplinary program for prevention and management of cardiometabolic risk (PCMR). The intervention is based on the Chronic Care Model. The study will evaluate the implementation of the PCMR in 6 of the...

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Autores principales: Provost, Sylvie, Pineault, Raynald, Tousignant, Pierre, Hamel, Marjolaine, Da Silva, Roxane Borgès
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282661/
https://www.ncbi.nlm.nih.gov/pubmed/22074614
http://dx.doi.org/10.1186/1471-2296-12-126
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author Provost, Sylvie
Pineault, Raynald
Tousignant, Pierre
Hamel, Marjolaine
Da Silva, Roxane Borgès
author_facet Provost, Sylvie
Pineault, Raynald
Tousignant, Pierre
Hamel, Marjolaine
Da Silva, Roxane Borgès
author_sort Provost, Sylvie
collection PubMed
description BACKGROUND: The goal of this project is to evaluate the implementation of an integrated and interdisciplinary program for prevention and management of cardiometabolic risk (PCMR). The intervention is based on the Chronic Care Model. The study will evaluate the implementation of the PCMR in 6 of the 12 health and social services centres (CSSS) in Montréal, and the effects of the PCMR on patients and the practice of their primary care physicians up to 40 months following implementation, as well as the sustainability of the program. Objectives are: 1-to evaluate the effects of the PCMR and their persistence on patients registered in the program and the practice of their primary care physicians, by implementation site and degree of exposure to the program; 2-to assess the degree of implementation of PCMR in each CSSS territory and identify related contextual factors; 3-to establish the relationships between the effects observed, the degree of PCMR implementation and the related contextual factors; 4-to assess the impact of the PCMR on strengthening local services networks. METHODS/DESIGN: The evaluation will use a mixed design that includes two complementary research strategies. The first strategy is similar to a quasi-experimental "before-after" design, based on a quantitative approach; it will look at the program's effects and their variations among the six territories. The effects analysis will use data from a clinical database and from questionnaires completed by participating patients and physicians. Over 3000 patients will be recruited. The second strategy corresponds to a multiple case study approach, where each of the six CSSS constitutes a case. With this strategy, qualitative methods will set out the context of implementation using data from semi-structured interviews with program managers. The quantitative data will be analyzed using linear or multilevel models complemented with an interpretive approach to qualitative data analysis. DISCUSSION: Our study will identify contextual factors associated with the effectiveness, successful implementation and sustainability of such a program. The contextual information will enable us to extrapolate our results to other contexts with similar conditions. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01326130
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spelling pubmed-32826612012-02-21 Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal Provost, Sylvie Pineault, Raynald Tousignant, Pierre Hamel, Marjolaine Da Silva, Roxane Borgès BMC Fam Pract Study Protocol BACKGROUND: The goal of this project is to evaluate the implementation of an integrated and interdisciplinary program for prevention and management of cardiometabolic risk (PCMR). The intervention is based on the Chronic Care Model. The study will evaluate the implementation of the PCMR in 6 of the 12 health and social services centres (CSSS) in Montréal, and the effects of the PCMR on patients and the practice of their primary care physicians up to 40 months following implementation, as well as the sustainability of the program. Objectives are: 1-to evaluate the effects of the PCMR and their persistence on patients registered in the program and the practice of their primary care physicians, by implementation site and degree of exposure to the program; 2-to assess the degree of implementation of PCMR in each CSSS territory and identify related contextual factors; 3-to establish the relationships between the effects observed, the degree of PCMR implementation and the related contextual factors; 4-to assess the impact of the PCMR on strengthening local services networks. METHODS/DESIGN: The evaluation will use a mixed design that includes two complementary research strategies. The first strategy is similar to a quasi-experimental "before-after" design, based on a quantitative approach; it will look at the program's effects and their variations among the six territories. The effects analysis will use data from a clinical database and from questionnaires completed by participating patients and physicians. Over 3000 patients will be recruited. The second strategy corresponds to a multiple case study approach, where each of the six CSSS constitutes a case. With this strategy, qualitative methods will set out the context of implementation using data from semi-structured interviews with program managers. The quantitative data will be analyzed using linear or multilevel models complemented with an interpretive approach to qualitative data analysis. DISCUSSION: Our study will identify contextual factors associated with the effectiveness, successful implementation and sustainability of such a program. The contextual information will enable us to extrapolate our results to other contexts with similar conditions. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01326130 BioMed Central 2011-11-10 /pmc/articles/PMC3282661/ /pubmed/22074614 http://dx.doi.org/10.1186/1471-2296-12-126 Text en Copyright ©2011 Provost et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Provost, Sylvie
Pineault, Raynald
Tousignant, Pierre
Hamel, Marjolaine
Da Silva, Roxane Borgès
Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title_full Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title_fullStr Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title_full_unstemmed Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title_short Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal
title_sort evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in montréal
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282661/
https://www.ncbi.nlm.nih.gov/pubmed/22074614
http://dx.doi.org/10.1186/1471-2296-12-126
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