Secondary care clinic for chronic disease: protocol

Area of Science:

• Healthcare Management
• Chronic Disease Management
• Organizational Innovation

Background:

• Chronic disease management presents complexities and financial burdens, necessitating integrated care models.
• Reorganizations in healthcare services highlight the need for innovative approaches.
• The Centre hospitalier affilié universitaire de Québec adapted the Chronic Care Model for integrated chronic disease care using hospital-based specialty services.

Purpose of the Study:

• To document the organization of professional and management practices for enhanced care coordination.
• To understand the integration of various patient follow-ups within a novel clinic model.
• To contribute knowledge on innovative healthcare delivery for chronic conditions.

Main Methods:

• A longitudinal comparative case study approach was employed.
• The study incorporated embedded units of analysis.
• A mixed-methods research design was utilized for comprehensive data collection.

Main Results:

• The project is currently in the analysis phase.
• Results are anticipated to be available in 2015.
• Data analysis will focus on practice organization and care integration.

Conclusions:

• The project's innovation lies in considering macro, meso, and micro contexts for clinic creation.
• Emphasis is placed on ensuring successful integration processes.
• The study aims to enable theoretical generalization of practice reorganization in healthcare.