The IMPACT clinic: Innovative model of interprofessional primary care for elderly patients with complex health care needs

Canadian Family Physician

Volumn 59, Issue 3, 2013, Pages

  Tracy, C Shawn ^a   Bell, Stephanie H ^c   Nickell, Leslie A ^a,b   Charles, Jocelyn ^a,b   Upshur, Ross E G ^a,b  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY CARE; DIETITIAN; ELDERLY CARE; HEALTH CARE NEED; HEALTH PROGRAM; HUMAN; MEDICAL EDUCATION; NURSE; PHARMACIST; PHYSICIAN; PHYSIOTHERAPIST; PRIMARY MEDICAL CARE; PSYCHOSOCIAL CARE; PUBLIC RELATIONS; SOCIAL WORKER;

AGED; AGED, 80 AND OVER; CHRONIC DISEASE; FEMALE; HEALTH SERVICES FOR THE AGED; HUMANS; INTERDISCIPLINARY COMMUNICATION; MALE; ONTARIO; PATIENT CARE TEAM; PRIMARY HEALTH CARE; PROGRAM DEVELOPMENT; PROGRAM EVALUATION;

EID: 84875148964     PISSN: 0008350X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Health Council of Canada. Why health care renewal matters: learning from Canadians with chronic health conditions. Toronto, ON: Health Council of Canada; 2007. Available from: www.healthcouncilcanada.ca/rpt-det.php?id=142. Accessed 2013 Jan 13.
2. Denton FT, Spencer BG. Chronic health conditions: changing prevalence in an aging population and some implications for the delivery of health care services. Can J Aging 2010;29(1):11-21.
3. Østbye T, Yarnall KS, Krause KM, Pollak KI, Gradison M, Michener JL. Is there time for management of patients with chronic diseases in primary care? Ann Fam Med 2005;3(3):209-14.
4. Bajcar JM, Wang L, Moineddin R, Nie JX, Tracy CS, Upshur RE. From pharmaco-therapy to pharmaco-prevention: trends in prescribing to older adults in Ontario, Canada, 1997-2006. BMC Fam Pract 2010;11:75.
5. Upshur REG, Tracy S. Chronicity and complexity. Is what's good for the diseases always good for the patients? Can Fam Physician 2008;54:1655-8.
6. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA 2005;294(6):716-24.
7. Moineddin R, Nie JX, Wang L, Tracy CS, Upshur RE. Measuring change in health status of the elderly at the population level: the transition probability model. BMC Health Serv Res 2010;10:306.
8. Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of specific disease guidelines for patients with multiple conditions. N Engl J Med 2004;351(27):2870-4.
9. Mutasingwa DR, Ge H, Upshur RE. How applicable are clinical practice guidelines to elderly patients with comorbidities? Can Fam Physician 2011;57:e253-62. Available from: www.cfp.ca/content/57/7/e253.full.pdf+html. Accessed 2013 Jan 13.
10. Upshur REG. Can family physicians practise good medicine without following clinical practice guidelines? Yes [Debate]. Can Fam Physician 2010;56:518, 520 (Eng), 522, 524 (Fr).
11. Fortin M, Contant E, Savard C, Hudon C, Poitras ME, Almirall J. Canadian guidelines for clinical practice: an analysis of their quality and relevance to the care of adults with comorbidity. BMC Fam Pract 2011;12:74.
12. Canadian Academy of Health Sciences. Transforming care for Canadians with chronic health conditions. Report of the Expert Panel. Ottawa, ON: Canadian Academy of Health Sciences; 2010. Available from: www.cahs-acss.ca/wp-content/ uploads/2011/09/cdm-final-English.pdf. Accessed 2013 Jan 13.
13. Oandasan IF. The way we do things around here. Advancing an interprofessional care culture within primary care. Can Fam Physician 2009;55:1173-4 (Eng), e60-2 (Fr).
14. Goldman J, Meuser J, Rogers J, Lawrie L, Reeves S. Interprofessional collaboration in family health teams. An Ontario-based study. Can Fam Physician 2010;56:e368-74. Available from: www.cfp.ca/content/56/10/e368.full.pdf+html. Accessed 2013 Jan 13.
15. Upshur REG, Wang L, Moineddin R, Nie J, Tracy CS. The complexity score: towards a clinically-relevant, clinician-friendly measure of patient multimorbidity. Int J Pers Cent Med 2012;2(4):799-804.
16. Bell SH, Tracy CS, Upshur REG; IMPACT Team. The assessment and treatment of a complex geriatric patient by an interprofessional primary care team. BMJ Case Rep 2011 Mar 15. DOI: 10.1136/bcr.07.2010.3154.
17. Smirnova A, Bell SH, Tracy CS, Upshur REG; IMPACT team. Still dizzy after all these years: a 90-year-old woman with a 54-year history of dizziness. BMJ Case Rep 2011 Sep 13. DOI: 10.1136/bcr.05.2011.4247.
18. Ontario Ministry of Health and Long-Term Care. Family health teams. Toronto, ON: Ontario Ministry of Health and Long-Term Care; 2011. Available from: www.health.gov.on.ca/en/pro/programs/fht. Accessed 2013 Jan 13.
19. Ontario Ministry of Health and Long-Term Care. Aging at home strategy. Toronto, ON: Ontario Ministry of Health and Long-Term Care; 2011. Available from: www.health.gov.on.ca/english/public/program/ltc/33-ontario-strategy.html. Accessed 2013 Jan 13.