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“On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand

Healthcare system reforms are pushing beyond primary care to more holistic, integrated models of community based primary health care (CBPHC) to better meet the needs of aging populations and their carers. Across the world CBPHC is at varying stages of evolution and no standard model exists. In order...

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Autores principales: Kuluski, Kerry, Sheridan, Nicolette, Kenealy, Tim, Breton, Mylaine, McKillop, Ann, Shaw, Jay, Nie, Jason Xin, Upshur, Ross EG, Baker, G Ross, Wodchis, Walter P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624111/
https://www.ncbi.nlm.nih.gov/pubmed/28970756
http://dx.doi.org/10.5334/ijic.2501
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author Kuluski, Kerry
Sheridan, Nicolette
Kenealy, Tim
Breton, Mylaine
McKillop, Ann
Shaw, Jay
Nie, Jason Xin
Upshur, Ross EG
Baker, G Ross
Wodchis, Walter P
author_facet Kuluski, Kerry
Sheridan, Nicolette
Kenealy, Tim
Breton, Mylaine
McKillop, Ann
Shaw, Jay
Nie, Jason Xin
Upshur, Ross EG
Baker, G Ross
Wodchis, Walter P
author_sort Kuluski, Kerry
collection PubMed
description Healthcare system reforms are pushing beyond primary care to more holistic, integrated models of community based primary health care (CBPHC) to better meet the needs of aging populations and their carers. Across the world CBPHC is at varying stages of evolution and no standard model exists. In order to scale up and spread successful models of care it is important to study what works well and why to support broader efforts to implement, scale-up and spread promising innovations. The first step in this endevour is to select appropriate cases to study. In this paper we share our adaptation of case study methodology to iteratively select models of CBPHC in three jurisdictions: Ontario, Quebec (Canada) and New Zealand. A combination of literataure searches (of empirical and gray sources) and stakeholder engagement enabled the selection of cases to study, with the latter providing the most fruitful method. We conclude that it is possible to use personal networks and experts exclusively. It is not clear how much value formal searching adds over and above expert advice. However in a situation where there is no existing definitive list of potential cases, and no acknowledged “gold standard” way to create such a list, it seems appropriate to gather cases using multiple methods and to document those methods systematically.
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spelling pubmed-56241112017-10-02 “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand Kuluski, Kerry Sheridan, Nicolette Kenealy, Tim Breton, Mylaine McKillop, Ann Shaw, Jay Nie, Jason Xin Upshur, Ross EG Baker, G Ross Wodchis, Walter P Int J Integr Care Perspective Paper Healthcare system reforms are pushing beyond primary care to more holistic, integrated models of community based primary health care (CBPHC) to better meet the needs of aging populations and their carers. Across the world CBPHC is at varying stages of evolution and no standard model exists. In order to scale up and spread successful models of care it is important to study what works well and why to support broader efforts to implement, scale-up and spread promising innovations. The first step in this endevour is to select appropriate cases to study. In this paper we share our adaptation of case study methodology to iteratively select models of CBPHC in three jurisdictions: Ontario, Quebec (Canada) and New Zealand. A combination of literataure searches (of empirical and gray sources) and stakeholder engagement enabled the selection of cases to study, with the latter providing the most fruitful method. We conclude that it is possible to use personal networks and experts exclusively. It is not clear how much value formal searching adds over and above expert advice. However in a situation where there is no existing definitive list of potential cases, and no acknowledged “gold standard” way to create such a list, it seems appropriate to gather cases using multiple methods and to document those methods systematically. Ubiquity Press 2017-06-27 /pmc/articles/PMC5624111/ /pubmed/28970756 http://dx.doi.org/10.5334/ijic.2501 Text en Copyright: © 2017 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Perspective Paper
Kuluski, Kerry
Sheridan, Nicolette
Kenealy, Tim
Breton, Mylaine
McKillop, Ann
Shaw, Jay
Nie, Jason Xin
Upshur, Ross EG
Baker, G Ross
Wodchis, Walter P
“On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title_full “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title_fullStr “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title_full_unstemmed “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title_short “On the Margins and Not the Mainstream:” Case Selection for the Implementation of Community Based Primary Health Care in Canada and New Zealand
title_sort “on the margins and not the mainstream:” case selection for the implementation of community based primary health care in canada and new zealand
topic Perspective Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624111/
https://www.ncbi.nlm.nih.gov/pubmed/28970756
http://dx.doi.org/10.5334/ijic.2501
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