Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model

Vladimir Khanassov, Isabelle Vedel, Pierre PluyeDepartment of Family Medicine, McGill University, Montreal, QC, CanadaBackground: The purpose of this study was to examine factors associated with the implementation of case management (CM) interventions in primary health care (PHC) and to develop stra...

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Autores principales:	Khanassov V, Vedel I, Pluye P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Systematic mixed studies review dementia case management primary health care implementation diffusion of innovation. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8506e40029cc4fca825071704e2a890f
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spelling	oai:doaj.org-article:8506e40029cc4fca825071704e2a890f2021-12-02T02:45:49ZCase management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model1178-1998https://doaj.org/article/8506e40029cc4fca825071704e2a890f2014-06-01T00:00:00Zhttps://www.dovepress.com/case-management-for-dementia-in-primary-health-care-a-systematic-mixed-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Vladimir Khanassov, Isabelle Vedel, Pierre PluyeDepartment of Family Medicine, McGill University, Montreal, QC, CanadaBackground: The purpose of this study was to examine factors associated with the implementation of case management (CM) interventions in primary health care (PHC) and to develop strategies to enhance its adoption by PHC practices.Methods: This study was designed as a systematic mixed studies review (including quantitative and qualitative studies) with synthesis based on the diffusion of innovation model. A literature search was performed using MEDLINE, PsycInfo, EMBASE, and the Cochrane Database (1995 to August 2012) to identify quantitative (randomized controlled and nonrandomized) and qualitative studies describing the conditions limiting and facilitating successful CM implementation in PHC. The methodological quality of each included study was assessed using the validated Mixed Methods Appraisal Tool. Results: Twenty-three studies (eleven quantitative and 12 qualitative) were included. The characteristics of CM that negatively influence implementation are low CM intensity (eg, infrequent follow-up), large caseload (more than 60 patients per full-time case manager), and approach, ie, reactive rather than proactive. Case managers need specific skills to perform their role (eg, good communication skills) and their responsibilities in PHC need to be clearly delineated.Conclusion: Our systematic review supports a better understanding of factors that can explain inconsistent evidence with regard to the outcomes of dementia CM in PHC. Lastly, strategies are proposed to enhance implementation of dementia CM in PHC. Keywords: systematic mixed studies review, dementia, case management, primary health care, implementation, diffusion of innovationKhanassov VVedel IPluye PDove Medical PressarticleSystematic mixed studies reviewdementiacase managementprimary health careimplementationdiffusion of innovation.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 915-928 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Systematic mixed studies review dementia case management primary health care implementation diffusion of innovation. Geriatrics RC952-954.6
spellingShingle	Systematic mixed studies review dementia case management primary health care implementation diffusion of innovation. Geriatrics RC952-954.6 Khanassov V Vedel I Pluye P Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
description	Vladimir Khanassov, Isabelle Vedel, Pierre PluyeDepartment of Family Medicine, McGill University, Montreal, QC, CanadaBackground: The purpose of this study was to examine factors associated with the implementation of case management (CM) interventions in primary health care (PHC) and to develop strategies to enhance its adoption by PHC practices.Methods: This study was designed as a systematic mixed studies review (including quantitative and qualitative studies) with synthesis based on the diffusion of innovation model. A literature search was performed using MEDLINE, PsycInfo, EMBASE, and the Cochrane Database (1995 to August 2012) to identify quantitative (randomized controlled and nonrandomized) and qualitative studies describing the conditions limiting and facilitating successful CM implementation in PHC. The methodological quality of each included study was assessed using the validated Mixed Methods Appraisal Tool. Results: Twenty-three studies (eleven quantitative and 12 qualitative) were included. The characteristics of CM that negatively influence implementation are low CM intensity (eg, infrequent follow-up), large caseload (more than 60 patients per full-time case manager), and approach, ie, reactive rather than proactive. Case managers need specific skills to perform their role (eg, good communication skills) and their responsibilities in PHC need to be clearly delineated.Conclusion: Our systematic review supports a better understanding of factors that can explain inconsistent evidence with regard to the outcomes of dementia CM in PHC. Lastly, strategies are proposed to enhance implementation of dementia CM in PHC. Keywords: systematic mixed studies review, dementia, case management, primary health care, implementation, diffusion of innovation
format	article
author	Khanassov V Vedel I Pluye P
author_facet	Khanassov V Vedel I Pluye P
author_sort	Khanassov V
title	Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
title_short	Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
title_full	Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
title_fullStr	Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
title_full_unstemmed	Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
title_sort	case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/8506e40029cc4fca825071704e2a890f
work_keys_str_mv	AT khanassovv casemanagementfordementiainprimaryhealthcareasystematicmixedstudiesreviewbasedonthediffusionofinnovationmodel AT vedeli casemanagementfordementiainprimaryhealthcareasystematicmixedstudiesreviewbasedonthediffusionofinnovationmodel AT pluyep casemanagementfordementiainprimaryhealthcareasystematicmixedstudiesreviewbasedonthediffusionofinnovationmodel
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Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model

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