Person-centred Care Coordination in Ontario: A Multimethod Evaluation of Implementation and Impact
Notice bibliographique
Résumé
As the number of persons living with complex health and social care needs increases, healthcare systems are faced with the challenge of providing high quality care to these individuals. One approach utilized by many healthcare systems to achieve high quality care for persons living with complex health and social care needs is person-centred care coordination). A gap still exists in our knowledge on how to implement person-centred care coordination in ways that meet individual and family expectations and needs. In addition, more is to be learned about the care experiences of persons receiving person-centred care coordination and their family caregivers.The aim of this dissertation was to fill these gaps by evaluating Health Links by conducting three interconnected studies. In the first study of this dissertation, an implementation evaluation approach was utilized to assess the extent to which the implementation plans of person-centredness, and engagement were operationalized within Health Links. In the second and third studies an impact evaluation approach was employed to assess the care experiences of persons living with complex health and social care needs and their family caregivers after being enrolled in Health Links. In order to assess the care experiences comprehensively, multimethods were used. A patient experience survey was used in the second study and in-depth interviews with enrollees and their caregivers in the third study. \nThe first study concluded that operationalization of implementation plans in network structures like Health Links was faced by numerous challenges. The second study found that the intended components of the Health Links approach (care plan and care coordinator) positively impacted the experience of the enrollees. However, issues with implementation of these components led to a negative care experience. The third study showed that despite being enrolled in an initiative that aimed at delivering person-centred care coordination, persons living with complex health and social care needs and their family caregivers were still shouldering the main burden of care coordination. \nThe findings of the three studies can guide policy makers, planners, implementers, and evaluators on how to better plan, deliver and evaluate person-centred care coordination (integrated patient care) interventions.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».