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Related Experiment Video

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Implementation of interprofessional team-based care: A cross-case analysis.

Shannon L Sibbald1,2,3,4, Bianca R Ziegler5, Rachelle Maskell1

  • 1School of Health Studies, Western University, London, ON, Canada.

Journal of Interprofessional Care
|August 25, 2020
PubMed
Summary
This summary is machine-generated.

Effective chronic disease management requires interprofessional teams. One primary care team excelled due to flexible implementation, risk mitigation, and leadership support, highlighting key factors for successful chronic care programs.

Keywords:
Team-based carechronic diseasechronic obstructive pulmonary disease (COPD)disease managementinterprofessional teams

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Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Chronic Disease Management

Background:

  • High prevalence of chronic diseases in Canada necessitates efficient management strategies.
  • Current interprofessional team-based approaches face inefficiencies due to inadequate cultivation and patient engagement.
  • Chronic obstructive pulmonary disease (COPD) management programs require effective implementation models.

Purpose of the Study:

  • To compare the implementation of two interprofessional chronic care programs for COPD patients.
  • To identify facilitators and barriers to successful chronic disease management program implementation.
  • To understand team, provider, and patient interactions within these programs.

Main Methods:

  • A mixed-methods cross-case analysis of two primary care teams in Southwestern Ontario.
  • Data collection through interviews, focus groups, observations, and document analysis.
  • Analysis using inductive coding and deductive cross-case comparison, guided by Kompier's five-step framework.

Main Results:

  • Both teams met all five assessed factors for successful implementation.
  • One team demonstrated superior implementation due to flexibility, risk mitigation, theory application, team support, and leadership buy-in.
  • Key differences in implementation strategies influenced program success.

Conclusions:

  • Understanding implementation facilitators and barriers is crucial for effective chronic disease management.
  • Fostering sustainability in high-performing interprofessional teams requires strategic support.
  • Engaging patients in the development and maintenance of team-based care is essential for program success.