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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

Hudon Catherine, Chouinard Maud-Christine, Couture Martine, Brousselle Astrid, Couture Éva-Marjorie, Dubois Marie-France, Fortin Martin, Freund Tobias, Loignon Christine, Mireault Jean, Pluye Pierre, Roberge Pasquale et Rodriguez Charo. (2014). 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. BMJ Open, 4, (12),

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Résumé

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 Québec, 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.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:4
Numéro:12
Version évaluée par les pairs:Oui
Date:2014
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:Étude de cas, usagers fréquents
Déposé le:10 déc. 2015 00:50
Dernière modification:25 nov. 2016 18:36
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