Opening the black box of clinical collaboration in integrated care models for frail, elderly patients

Gerontologist

Volumn 53, Issue 2, 2013, Pages 313-325

  De Stampa, Matthieu ^a,b   Vedel, Isabelle ^a,b   Bergman, Howard ^b,c   Novella, Jean Luc ^d   Lechowski, Laurent ^a   Ankri, Joel ^a   Lapointe, Liette ^b,e  

^a Île de France Ouest University Paris   (France)

^b MCGILL UNIVERSITY   (Canada)

^c MCGILL UNIVERSITY   (Canada)

^d UNIVERSITÉ DE REIMS CHAMPAGNE ARDENNE   (France)

^e MCGILL UNIVERSITY   (Canada)

Author keywords

Case manager; Chronic care management; Geriatrician; Integrated models of care; Primary care physician

Indexed keywords

AGED; ARTICLE; CANADA; COOPERATION; ELDERLY CARE; FRAIL ELDERLY; FRANCE; GENERAL PRACTITIONER; HUMAN; INTEGRATED HEALTH CARE SYSTEM; INTERDISCIPLINARY COMMUNICATION; INTERVIEW; MASS COMMUNICATION; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CANADA; COOPERATIVE BEHAVIOR; DELIVERY OF HEALTH CARE, INTEGRATED; DIFFUSION OF INNOVATION; FRAIL ELDERLY; FRANCE; HEALTH SERVICES FOR THE AGED; HUMANS; INTERDISCIPLINARY COMMUNICATION; INTERVIEWS AS TOPIC; MODELS, ORGANIZATIONAL; PATIENT CARE TEAM; PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; QUESTIONNAIRES;

EID: 84874841226     PISSN: 00169013     EISSN: 17585341     Source Type: Journal    
DOI: 10.1093/geront/gns081     Document Type: Article

References (41)

1. Adams, W. L., McIlvain, H. E., Lacy, N. L., Magsi, H., Crabtree, B. F., Yenny, S. K. & Sitorius, M. A. (2002). Primary care for elderly people: Why do doctors find it so hard? The Gerontologist, 42, 835-842.
2. Bergman, H., Beland, F., Lebel, P., Contandriopoulos, A. P., Tousignant, P., Brunelle, Y., Clarfield, M. (1997). Care for Canada's frail elderly population: Fragmentation or integration? Canadian Medical Association Journal, 157, 1116-1121.
3. Boult, C., Counsell, S. R., Leipzig, R. M. & Berenson, R. A. (2010). The urgency of preparing primary care physicians to care for older people with chronic illnesses. Health Affairs, 29, 811-818.
4. Boult, C., Green, A. F., Boult, L. B., Pacala, J. T., Snyder, C. & Leff, B. (2009). Successful models of comprehensive care for older adults with chronic conditions: Evidence for the Institute of Medicine's "retooling for an aging America" report. Journal of the American Geriatrics Society, 57, 2328-2337.
5. Boult, C. & Wieland G. D. (2010). Comprehensive primary care for older patients with multiple chronic conditions: "Nobody rushes you through". Journal of the American Medical Association, 304, 1936-1943.
6. Bula, C. J., Alessi, C. A., Aronow, H. U., Yuhas, K., Gold, M., Nisenbaum, R., Rubenstein, L. Z. (1995). Community physicians' cooperation with a program of in-home comprehensive geriatric assessent. Journal of the American Geriatric Society, 43, 1016-1020.
7. Challis, D., Darton, R., Hughes, J., Stewart, K. & Weiner, K. (2001). Intensive care-management at home: An alternative to institutional care? Age and Ageing, 30, 409-413.
8. Challis, D. & Hughes, J. (2002). Frail old people at the margins of care: Some recent research findings. The British Journal of Psychiatry, 180, 126-130.
9. Challis, D., Stewart, K., Donnelly, M., Weiner, K. & Hughes, J. (2006). Care management for older people: Does integration make a difference? Journal of Interprofessional Care, 20, 335-348.
10. de Stampa, M., Vedel, I., Bergman, H., Novella, J. L. & Lapointe, L. (2009). Fostering participation of general practitioners in integrated health services networks: Incentives, barriers, and guidelines. BMC Health Services Research, 9, 48.
11. Feltes, M., Clemens, E., Crabtree, B. F., Dubitzky, D. & Kerr, M. (1994). Case managers and physicians: Communication and perceived problems. JAGS, 42, 5-10.
12. Flesner, M. K. (2009). Person-centered care and organizational culture in long-term care. Journal of Nursing Care Quality, 24, 273-276.
13. Gross, D. L., Temkin-Greener, H., Kunitz, S. & Mukamel, D. B. (2004). The growing pains of integrated health care for the elderly: Lessons from the expansion of PACE. Milbank Quarterly, 82, 257-282.
14. Hebert, R., Carrier, R. & Bilodeau, A. (1988). The functional autonomy measurement system (SMAF): Description and validation of an instrument for the measurement of handicaps. Age and Ageing, 17, 293-302.
15. Henrard, J. C. (2002). Le système français d'aide et de soins aux personnes âgées. [The French system of health care and social services for elderly people.]. Santé Société et Solidarité, 2, 73-82.
16. Jenkins-Clarke, S., Carr-Hill, R. & Dixon, P. (1998). Teams and seams: Skill mix in primary care. Journal of Advanced Nursing, 28, 1120-1126.
17. Johri, M., Beland, F. & Bergman, H. (2003). International experiments in integrated care for the elderly: A synthesis of the evidence. International Journal of Geriatric Psychiatry, 18, 222-235.
18. Kane, R. L., Homyak, P. & Bershadsky, B. (2002). Consumer reactions to the Wisconsin Partnership Program and its parent, the program for allinclusive care of the elderly (PACE). The Gerontologist, 42, 314-320.
19. Kane, R. L., Homyak, P., Bershadsky, B. & Flood, S. (2006). The effects of a variant of the program for all-inclusive care of the elderly on hospital utilization and outcomes. Journal of the American Geriatric Society, 54, 276-283.
20. Kodner, D. L. & Kyriacou, C. K. (2001). Fully integrated care for frail elderly: Two American models. International Journal of Integrated Care, 1, e08.
21. Kodner, D. L. & Spreeuwenberg, C. (2002). Integrated care: Meaning, logic, applications, and implications: A discussion paper. International Journal of Integrated Care, 2, e12.
22. Landon, B. E., Reschovsky, J., Reed, M. & Blumenthal, D. (2001). Personal, organizational, and market level influences on physicians' practice patterns: Results of a national survey of primary care physicians. Medical Care, 39, 889-905.
23. Larsson, R. (1993). Case survey methodology: Quantitative analysis of patterns across case studies. The Academy of Management, 36, 1515-1546.
24. Low, L. F., Yap M. & Brodaty, H. (2011). A systematic review of different models of home and community care services for older persons. BMC Health Services Research, 11, 93.
25. McWhinney, I. R. (1998). Primary care: Core values. Core values in a changing world. British Medical Journal, 316, 1807-1809.
26. Morris, J. N., Fries, B. E., Steel, K., Ikegami, N., Bernabei, R., Carpenter, G. I., Topinkova, E. (1997). Comprehensive clinical assessment in community setting: Applicability of the MDS-HC. Journal of the American Geriatric Society, 45, 1017-1024.
27. Moser, S. S. & Armer, J. M. (2000). An inside view. NP/MD perceptions of collaborative practice. Nursing and Health Care Perspectives, 21, 29-33.
28. Murphy, E. (2004). Case management and community matrons for long term conditions. British Medical Journal, 329, 1251-1252.
29. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
30. Phelan, E. A., Balderson, B., Levine, M., Erro, J. H., Jordan, L., Grothaus, L., Wagner, E. H. (2007). Delivering effective primary care to older adults: A randomized, controlled trial of the senior resource team at group health cooperative. Journal of the American Geriatric Society, 55, 1748-1756.
31. Pope, C. & Mays, N. (1995). Reaching the parts other methods cannot reach: An introduction to qualitative methods in health and health services research. British Medical Journal, 311, 42-45.
32. San Martin-Rodriguez, L., Beaulieu, M. D., D'Amour, D. & Ferrada-Videla, M. (2005). The determinants of successful collaboration: A review of theoretical and empirical studies. Journal of Interprofessional Care, 19(Suppl. 1), 132-147.
33. Sands, L. P., Wang, Y., McCabe, G. P., Jennings, K., Eng, C. & Covinsky, K. E. (2006). Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs. Journal of the American Geriatric Society, 54, 339-344.
34. Stille, C. J., Jerant, A., Bell, D., Meltzer, D. & Elmore, J. G. (2005). Coordinating care across diseases, settings, and clinicians: A key role for the generalist in practice. Annals of Internal Medicine, 142, 700-708.
35. Strauss, A. & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing theory. Thousand Oaks, CA: Sage.
36. Vedel, I., de Stampa, M., Bergman, H., Ankri, J., Cassou, B., Mauriat, C., Lapointe, L. (2009). A novel model of integrated care for elderly. Aging and Clinical Research, 21, 414-423.
37. Wagner, E. H. (1998). More than a case manager. Annals of Internal Medicine, 129, 654-656.
38. Wenger, N. S., Solomon, D. H., Roth, C. P., MacLean, C. H., Saliba, D., Kamberg, C. J., Shekelle, P. G. (2003). The quality of medical care provided to vulnerable community-dwelling older patients. Annals of Internal Medicine, 139, 740-747.
39. Williams, A. & Sibbald, B. (1999). Changing roles and identities in primary health care: Exploring a culture of uncertainty. Journal of Advanced Nursing, 29, 737-745.
40. Zwarenstein, M. & Bryant, W. (2006). Interventions to promote collaboration between nurses and doctors (review). The Cochrane Library of Systematic Reviews, 1.
41. Zwarenstein, M. & Reeves, S. (2000). What's so great about collaboration? British Medical Journal, 320, 1022-1023.