Diagnostic study, design and implementation of an integrated model of care in France
A bottom-up process with continuous leadership
Bibliographic Data
| ID | 12828558 |
|---|---|
| Authors | Matthieu de Stampa (0000-0001-7238-5913, Assistance Publique – Hôpitaux de Paris, corresponding author), Isabelle Vedel (0000-0002-6873-1681, Hôpital Sainte-Périne), Claire Mauriat (McGill University), Emmanuel Bagaragaza (0000-0002-2201-5487), Christelle Routelous (Université de Montréal), Howard Bergman (0000-0002-7410-1707, Assistance Publique – Hôpitaux de Paris), Liette Lapointe (0000-0001-5647-0886, Assistance Publique – Hôpitaux de Paris), Bernard Cassou (École des Hautes Études en Santé Publique), Joël Ankri (0000-0002-0070-6471, Université de Montréal), Jean‐claude Henrard (McGill University) |
| Year | 2010 |
| Volume | 10 |
| Issue | 1 |
| Publication date | 2010-02-18 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Integrated Care (JOURNAL) |
| Journal identifiers | ISSN: 1568-4156 • E-ISSN: 1568-4156 |
| Publisher | Ubiquity Press (PUBLISHER • GB) |
| DOI | 10.5334/ijic.506 |
| OpenAlex | W4243828112 |
| Language | EN |
| Citations received | 5 |
| References cited | 6 |
Background: Sustaining integrated care is difficult, in large part because of problems encountered securing the participation of health care and social service professionals and, in particular, general practitioners (GPs). Purpose: To present an innovative bottom-up and pragmatic strategy used to implement a new integrated care model in France for community-dwelling elderly people with complex needs. Results: In the first step, a diagnostic study was conducted with face-to-face interviews to gather data on current practices from a sample of health and social stakeholders working with elderly people. In the second step, an integrated care model called Coordination Personnes Agées (COPA) was designed by the same major stakeholders in order to define its detailed characteristics based on the local context. In the third step, the model was implemented in two phases: adoption and maintenance. This strategy was carried out by a continuous and flexible leadership throughout the process, initially with a mixed leadership (clinician and researcher) followed by a double one (clinician and managers of services) in the implementation phase. Conclusion: The implementation of this bottom-up and pragmatic strategy relied on establishing a collaborative dynamic among health and social stakeholders. This enhanced their involvement throughout the implementation phase, particularly among the GPs, and allowed them to support the change practices and services arrangements
Business · Context (archaeology · Health care · Integrated care · Knowledge management · Political science · Process (computing · Process management · Public relations · Service (business · Social care · Top-down and bottom-up design · Clinical practice guidelines implementation · Computer Science · Health, Medicine and Society · Healthcare Systems and Practices · Medicine · Nursing · Marketing
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| Unique citing works | 5 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2016 - 2022 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |