Partners for the optimal organisation of the healthcare continuum for high users of health and social services: protocol of a developmental evaluation case study design
| Autor: | Jean Mireault, Pasquale Roberge, Maud-Christine Chouinard, Martin Fortin, Pierre Pluye, Catherine Hudon, Astrid Brousselle, Tobias Freund, Charo Rodríguez, Éva Marjorie Couture, Christine Loignon, Marie-France Dubois, Martine Couture |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Program evaluation
Canada Social Work Knowledge management Case study Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Health care Protocol Medicine Humans 030212 general & internal medicine Qualitative Research Frequent users Data collection Social work business.industry 030503 health policy & services Health services research General Medicine Continuity of Patient Care Focus group Unit of analysis Research Design Health Services Research 0305 other medical science business Qualitative research Follow-Up Studies Program Evaluation |
| Zdroj: | BMJ Open BMJ Open, 4, 12, pp. e006991 BMJ Open, 4, e006991 |
| ISSN: | 2044-6055 |
| Popis: | Contains fulltext : 138964.pdf (Publisher’s version ) (Open Access) INTRODUCTION: Case management allows us to respond to the complex needs of a vulnerable clientele through a structured approach that promotes enhanced interaction between partners. Syntheses on the subject converge towards a need for a better description of the relationships between programmes and their local context, as well as the characteristics of the clienteles and programmes that contribute to positive impacts. The purpose of this project is thus to describe and evaluate the case management programmes of four health and social services centres in the Saguenay-Lac- Saint-Jean region of Quebec, Canada, in order to inform their improvement while creating knowledge on case management that can be useful in other contexts. METHODS AND ANALYSIS: This research relies on a multiple embedded case study design based on a developmental evaluation approach. We will work with the case management programme for high users of hospital services of each centre. Three different units of analysis will be interwoven to obtain an in-depth understanding of each case, that is: (1) health and social services centre and local services network, (2) case management programme and (3) patients who are high users of services. Two strategies for programme evaluation (logic models and implementation analysis) will guide the mixed data collection based on qualitative and quantitative methods. This data collection will rely on: (1) individual interviews and focus groups; (2) participant observation; (3) document analysis; (4) clinical and administrative data and (5) questionnaires. Description and comparison of cases, and integration of qualitative and quantitative data will be used to guide the data analysis. ETHICS AND DISSEMINATION: The study protocol was approved by the Ethics Research Boards of the four health and social services centres (HSSCs) involved. Findings will be disseminated by publications in peer-reviewed journals, conferences, and policy and practice partners in local and national government. |
| Databáze: | OpenAIRE |
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