ArticleCanadian family physician Medecin de famille canadien2013
The IMPACT clinic: innovative model of interprofessional primary care for elderly patients with complex health care needs.
Article in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
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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
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- How can interprofessional collaboration be fostered and sustained in team-based care integration for older people in community settings? A realist evidence synthesis.Systematic reviews · 2025Pooled it
- Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review.PloS one · 2020Pooled it
- Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review.BMJ open · 2019Pooled it
- Assessing the Implementation and Effectiveness of the Electronic Patient-Reported Outcome Tool for Older Adults With Complex Care Needs: Mixed Methods Study.Journal of medical Internet research · 2021Trial
- Patient-centred innovation for multimorbidity care: a mixed-methods, randomised trial and qualitative study of the patients' experience.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation.The Gerontologist · 2018Trial
- COPD Management: Bridging the Gap Between Living Well and Living Longer.International journal of chronic obstructive pulmonary disease · 2025Article
- Care models for individuals with chronic multimorbidity: lessons for low- and middle-income countries.BMC health services research · 2024Article
- Occupational therapy services in primary care: a scoping review.Primary health care research & development · 2023Article
- Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review.International journal of health policy and management · 2023Article
- Article
- A concerning trend in geriatric pharmacy that merits evidence-based intervention.Proceedings (Baylor University. Medical Center) · 2022Article
- Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. The 2020 GOLD Science Committee Report on COVID-19 and Chronic Obstructive Pulmonary Disease.American journal of respiratory and critical care medicine · 2021Review
- Effect of an innovative model of complexity care on family caregiver experience: Qualitative study in family practice.Canadian family physician Medecin de famille canadien · 2020Article
- Evaluation of comprehensive care for older adults in primary care services.Revista de saude publica · 2020Article
- Healthcare providers' experiences in supporting community-living older adults to manage multiple chronic conditions: a qualitative study.BMC geriatrics · 2019Article
- Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review.Health & social care in the community · 2019Article
- Connecting People With Multimorbidity to Interprofessional Teams Using Telemedicine.Annals of family medicine · 2019Article
- Article
- Experiences of community-dwelling older adults living with multiple chronic conditions: a qualitative study.BMJ open · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problem addressedThe growing number of elderly patients with multiple chronic conditions presents an urgent challenge in primary care. Current practice models are not well suited to addressing the complex health care needs of this patient population. OBJECTIVE OF PROGRAM: The primary objective of the IMPACT (Interprofessional Model of Practice for Aging and Complex Treatments) clinic was to design and evaluate a new interprofessional model of care for community-dwelling seniors with complex health care needs. A secondary objective was to explore the potential of this new model as an interprofessional training opportunity. PROGRAM DESCRIPTION: The IMPACT clinic is an innovative new model of interprofessional primary care for elderly patients with complex health care needs. The comprehensive team comprises family physicians, a community nurse, a pharmacist, a physiotherapist, an occupational therapist, a dietitian, and a community social worker. The model is designed to accommodate trainees from each discipline. Patient appointments are 1.5 to 2 hours in length, during which time a diverse range of medical, functional, and psychosocial issues are investigated by the full interprofessional team.
conclusionThe IMPACT model is congruent with ongoing policy initiatives in primary care reform and enhanced community-based care for seniors. The clinic has been pilot-tested in 1 family practice unit and modeled at 3 other sites with positive feedback from patients and families, clinicians, and trainees. Evaluation data indicate that interprofessional primary care models hold great promise for the growing challenge of managing complex chronic disease.
Indexed as
Identifiers
23486816PMC3596224What 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.