Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions.


Journal

Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107

Informations de publication

Date de publication:
08 2019
Historique:
entrez: 21 10 2019
pubmed: 21 10 2019
medline: 8 9 2020
Statut: ppublish

Résumé

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. 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. 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. Strategic, regional implementation of PCCMCs provides a significant opportunity to support better integrated and coordinated dementia care.

Sections du résumé

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.

Identifiants

pubmed: 31629456
pii: hcpol.2019.25938
doi: 10.12927/hcpol.2019.25938
pmc: PMC7008695
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

53-69

Informations de copyright

Copyright © 2019 Longwoods Publishing.

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Auteurs

Linda Lee (L)

Director, Primary Care Collaborative Memory Clinics, Centre for Family Medicine, Kitchener, ON.

Loretta M Hillier (LM)

Research Affiliate, Geriatric Education and Research in Aging Sciences, Hamilton, ON.

Kelly Lumley-Leger (K)

Advanced Practice Nurse, Community Geriatrics, Regional Geriatric Program of Eastern Ontario, Ottawa, ON.

Frank J Molnar (FJ)

Medical Director, Regional Geriatric Program of Eastern Ontario, Ottawa, ON, Kelly Kay, MA, PhD Candidate, Executive Director, Seniors Care Network, Cobourg, ON.

Denyse Netwon (D)

Executive Director, Alzheimer Society of Durham, Whitby, ON.

Linda Stirling (L)

Cert Clin Lead, Project Manager, Primary Care Collaborative Memory Services, Alzheimer Society of Durham Region, Whitby, ON.

Kelly Milne (K)

Program Director, Regional Geriatric Program of Eastern Ontario, Ottawa, ON.

Kelly Kay (K)

PhD Candidate, Executive Director, Seniors Care Network, Cobourg, ON

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