ArticleInternational journal of integrated care2010
Diagnostic study, design and implementation of an integrated model of care in France: a bottom-up process with continuous leadership.
Article in International journal of integrated care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Clinical leadership and integrated primary care: A systematic literature review.The European journal of general practice · 2019Pooled it
- Factors in implementing integrated care… a duty to collaborate?Integrated healthcare journal · 2020Review
- Implementation of a Standardized Comprehensive Assessment Tool in France: A Case Using the InterRAI Instruments.International journal of integrated care · 2018Article
- Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand: Describing Nine Cases.International journal of integrated care · 2017Article
- Designing a Care Pathway Model - A Case Study of the Outpatient Total Hip Arthroplasty Care Pathway.International journal of integrated care · 2017Article
- Article
- Implementation of the Quebec mental health reform (2005-2015).BMC health services research · 2016Article
- Organizational Context and Capabilities for Integrating Care: A Framework for Improvement.International journal of integrated care · 2016Article
- Implementing a care pathway for elderly patients, a comparative qualitative process evaluation in primary care.BMC health services research · 2015Article
- Observational
- Associations between demographic, disease related, and treatment pathway related variables and health related quality of life in primary care patients with coronary heart disease.Health and quality of life outcomes · 2012Article
- Qualitative evaluation of a local coronary heart disease treatment pathway: practical implications and theoretical framework.BMC family practice · 2012Article
- The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems.Journal of pharmacy & bioallied sciences · 2011Article
- What happens to quality in integrated homecare? A 15-year follow-up study.International journal of integrated care · 2011Article
- Structuring an integrated care system: interpreted through the enacted diversity of the actors involved-the case of a French healthcare network.International journal of integrated care · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSustaining integrated care is difficult, in large part because of problems encountered securing the participation of health care and social service professionals and, in particular, general practitioners (GPs). PURPOSE: To present an innovative bottom-up and pragmatic strategy used to implement a new integrated care model in France for community-dwelling elderly people with complex needs.
resultsIn the first step, a diagnostic study was conducted with face-to-face interviews to gather data on current practices from a sample of health and social stakeholders working with elderly people. In the second step, an integrated care model called Coordination Personnes Agées (COPA) was designed by the same major stakeholders in order to define its detailed characteristics based on the local context. In the third step, the model was implemented in two phases: adoption and maintenance. This strategy was carried out by a continuous and flexible leadership throughout the process, initially with a mixed leadership (clinician and researcher) followed by a double one (clinician and managers of services) in the implementation phase.
conclusionThe implementation of this bottom-up and pragmatic strategy relied on establishing a collaborative dynamic among health and social stakeholders. This enhanced their involvement throughout the implementation phase, particularly among the GPs, and allowed them to support the change practices and services arrangements.
Indexed as
Identifiers
20216954PMC2834925W2017481015What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.