3. Sustainable solutions to primary care problems
- Date: 2022-10-12
- Concurrent Session: Concurrent Session C
- Time: 2:45- 3:30 pm
- Room:
- Style: Presentation (information provided to audience, with opportunity for audience to ask question)
- Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
- Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.)
Learning Objectives:
- This presentation will provide insight into the mechanisms that facilitate the implementation and spread, a process we call progressive implementation, of an integrated team-based model of care for chronic disease management within primary care.
- Participants will gain an understanding of how to apply this framework in a family health team setting to improve care for a greater patient population while working towards a more sustainable healthcare system.
Summary/Abstract:
In Ontario, there is consensus about the need for integrated, team-based care in primary care settings to help manage chronic conditions such as chronic obstructive pulmonary disease (COPD). However, there is limited understanding on how to support the spread of successful models; there is limited empirical evidence to support this process in chronic disease management. We studied the supporting and mitigating factors required to successfully implement and spread a model for COPD management in primary care, a process that we call progressive implementation. We conducted a collective case study using an integrated knowledge translation approach. Data collection included interviews, living documents, and a focus group. Our study explored a team-based model of care for COPD known as Best Care COPD (BCC) that has been implemented in family health teams and other primary care models across Southwestern Ontario. BCC is a quality improvement initiative that was developed to enhance the quality of care for patients with COPD. We identified mechanisms influencing the spread of BCC and categorized them as foundational, transformative, and enabling mechanisms across three different implementation phases. We developed a framework to inform the progressive implementation of integrated, team-based care for chronic disease management within primary care settings. This study explores the implementation and spread of integrated team-based care in primary care settings. Despite using COPD as an exemplar, we believe the findings can be applied in other chronic disease contexts. We provide a framework to support progressive implementation of integrated team-based care for chronic diseases.
Presenter
- Dr. Shannon L. Sibbald Associate Professor, Faculty of Health Sciences; Department of Family Medicine, Schulich School of Medicine and Dentistry; and The Schulich Interfaculty Program in Public Health, Schulich School of Medicine and Dentistry