Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions.
Healthc Policy
; 15(1): 53-69, 2019 08.
Article
en En
| MEDLINE
| ID: mdl-31629456
ABSTRACT
BACKGROUND:
Primary care collaborative memory clinics (PCCMCs) address existing challenges in dementia care by building capacity to meet the needs of persons living with dementia within primary care. This paper describes the strategic implementation of the PCCMC care model in two regions within Ontario.METHODS:
Evaluation of this initiative included the completion of individual interviews (N = 32) with key informants to identify impacts associated with the PCCMCs and tracking of all referrals and assessments completed in the first nine months of clinic implementation.RESULTS:
The qualitative analysis of interview transcripts generated five major themes (1) earlier identification of dementia and intervention; (2) increased capacity for dementia care within primary care; (3) better patient and caregiver experience with care; (4) improved continuity, integration and coordination and improved care; and (5) system efficiencies. Across both regions, 925 patients were referred to PCCMCs, of which 631 (68%) had been assessed during the evaluation period.CONCLUSIONS:
Strategic, regional implementation of PCCMCs provides a significant opportunity to support better integrated and coordinated dementia care.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
Problema de salud:
11_delivery_arrangements
/
11_multisectoral_coordination
Asunto principal:
Atención Primaria de Salud
/
Derivación y Consulta
/
Demencia
Tipo de estudio:
Qualitative_research
Límite:
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Healthc Policy
Año:
2019
Tipo del documento:
Article