Cargando…

Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations

The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualit...

Descripción completa

Detalles Bibliográficos
Autores principales: Hudon, Catherine, Chouinard, Maud-Christine, Beaulieu, Marie-Dominique, Bisson, Mathieu, Bouliane, Danielle, Couture, Martine, Dumont, Serge, Groulx, Antoine, Sabourin, Véronique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696991/
https://www.ncbi.nlm.nih.gov/pubmed/33202631
http://dx.doi.org/10.3390/ijerph17228437
_version_ 1783615531558895616
author Hudon, Catherine
Chouinard, Maud-Christine
Beaulieu, Marie-Dominique
Bisson, Mathieu
Bouliane, Danielle
Couture, Martine
Dumont, Serge
Groulx, Antoine
Sabourin, Véronique
author_facet Hudon, Catherine
Chouinard, Maud-Christine
Beaulieu, Marie-Dominique
Bisson, Mathieu
Bouliane, Danielle
Couture, Martine
Dumont, Serge
Groulx, Antoine
Sabourin, Véronique
author_sort Hudon, Catherine
collection PubMed
description The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualitative approach was used. While focus groups were led by a facilitator, a rapporteur noted highlights and a research team member took independent notes. All notes were analyzed by using a thematic analysis according to an inductive method. Seven issues were identified, leading to the formulation of recommendations: (1) valuing the experience of the patient; (2) early detecting of a non-homogeneous patient population; (3) defining interprofessional collaboration based on patient needs; (4) conciliating services provided by clinical settings according to a registered clientele-based logic with the population-based logic; (5) working with the community sector; (6) aligning patient-oriented research values with existing challenges to primary care integration; and (7) promoting resource allocation consistent with targeted recommendations. The summit highlighted the importance of engaging all stakeholders in improvement of integrated care for patients with complex care needs. The resulting recommendations target shared priorities towards better health, social, and community-based services integration for these patients.
format Online
Article
Text
id pubmed-7696991
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-76969912020-11-29 Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations Hudon, Catherine Chouinard, Maud-Christine Beaulieu, Marie-Dominique Bisson, Mathieu Bouliane, Danielle Couture, Martine Dumont, Serge Groulx, Antoine Sabourin, Véronique Int J Environ Res Public Health Brief Report The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualitative approach was used. While focus groups were led by a facilitator, a rapporteur noted highlights and a research team member took independent notes. All notes were analyzed by using a thematic analysis according to an inductive method. Seven issues were identified, leading to the formulation of recommendations: (1) valuing the experience of the patient; (2) early detecting of a non-homogeneous patient population; (3) defining interprofessional collaboration based on patient needs; (4) conciliating services provided by clinical settings according to a registered clientele-based logic with the population-based logic; (5) working with the community sector; (6) aligning patient-oriented research values with existing challenges to primary care integration; and (7) promoting resource allocation consistent with targeted recommendations. The summit highlighted the importance of engaging all stakeholders in improvement of integrated care for patients with complex care needs. The resulting recommendations target shared priorities towards better health, social, and community-based services integration for these patients. MDPI 2020-11-14 2020-11 /pmc/articles/PMC7696991/ /pubmed/33202631 http://dx.doi.org/10.3390/ijerph17228437 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Hudon, Catherine
Chouinard, Maud-Christine
Beaulieu, Marie-Dominique
Bisson, Mathieu
Bouliane, Danielle
Couture, Martine
Dumont, Serge
Groulx, Antoine
Sabourin, Véronique
Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title_full Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title_fullStr Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title_full_unstemmed Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title_short Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations
title_sort towards better health, social, and community-based services integration for patients with chronic conditions and complex care needs: stakeholders’ recommendations
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696991/
https://www.ncbi.nlm.nih.gov/pubmed/33202631
http://dx.doi.org/10.3390/ijerph17228437
work_keys_str_mv AT hudoncatherine towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT chouinardmaudchristine towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT beaulieumariedominique towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT bissonmathieu towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT boulianedanielle towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT couturemartine towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT dumontserge towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT groulxantoine towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations
AT sabourinveronique towardsbetterhealthsocialandcommunitybasedservicesintegrationforpatientswithchronicconditionsandcomplexcareneedsstakeholdersrecommendations