Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand: Describing Nine Cases.
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand: Describing Nine Cases.
复制标题
DOI：
10.5334/ijic.2506
复制
发表时间：
2017-06-27
影响因子：
2.4
通讯作者：
Wodchis WP
中科院分区：
文献类型：
--
作者：
Breton M;Gray CS;Sheridan N;Shaw J;Parsons J;Wankah P;Kenealy T;Baker R;Belzile L;Couturier Y;Denis JL;Wodchis WP
本文的目的是通过对魁北克、安大略省和新西兰的九个案例进行简要的描述性比较，为后续的“有复杂需求的老年人初级保健实施模式”项目的实证研究奠定基础。每个案例都是基于Valentijn和al(2013)的彩虹模型的关键维度来描述的，重点是“中观层面”的整合。彩虹模式的组织和专业元素代表了中观层面的整合，这些元素在我们的九个案例研究中特别令人感兴趣。安大略省的三个病例和新西兰的三个病例各不相同，并分别进行了描述。在魁北克，针对三个案例提出了当地卫生服务网络模式，但实施方式各有不同。在接受研究的三个司法管辖区中选择的三个案例并不是为了代表每个国家更广泛的做法，而是代表了基于社区的初级保健一体化的有趣和独特的模式。综合护理模式、整合的背景和维度的相似和差异提供了关于服务整合的核心组成部分的见解，提供了对未来分析所基于的案例的基础性理解。
The aim of this paper is to set the foundation for subsequent empirical studies of the “Implementing models of primary care for older adults with complex needs” project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on “meso level” integration. Meso level integration is represented by organizational and professional elements of the Rainbow Model, which are of particular interest in our nine case studies. Each of the three cases in Ontario and three in New Zealand are different and described separately. In Quebec, a local health services network model is presented across the three cases studied with variations in the way it is implemented. The three cases selected in the three jurisdictions under study were not chosen to be representative of wider practice within each country, but rather represent interesting and unique models of community-based primary healthcare integration. Similarities and variations in the integrated care models, context and dimension of integration offer insights regarding core component of integration of services, offering a foundational understanding of the cases on which future analysis will be based.