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Case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs: an implementation and realist evaluation protocol.

Catherine HudonMaud-Christine ChouinardKris Aubrey-BasslerFrederick BurgeShelley DoucetVivian R RamsdenMagaly BrodeurPaula L BushYves CouturierMarie-France DuboisLine GuénetteFrance LégarePaul MorinThomas G PoderMarie-Ève PoitrasPasquale RobergeRuta Kristina ValaitisShirley BigheadCameron CampbellMartine CoutureBreanna DavisÉlaine DeschenesLynn EdwardsSarah GanderGilles GauthierPatricia GauthierRichard J GibsonJulie GodboutGeneviève LandryChristine LongjohnNorma RabbitskinDenis A RoyJudy RoyVéronique SabourinTara SampalliAmanda SaulnierClaude SpenceJennifer SplaneMike WarrenJoanne YoungPierre Pluye
Published in: BMJ open (2018)
This study, which received ethics approval, will provide innovative knowledge about facilitators and barriers to implementation of CM in different primary care jurisdictions and will explain how and why different mechanisms operate in different contexts to generate different outcomes among frequent users. Consensual and prioritised statements about next steps for spread of CM in primary care from the perspectives of all stakeholders will be provided. Our results will offer context-sensitive explanations that can better inform local practices and policies and contribute to improve the health of patients with complex healthcare needs who frequently use healthcare services. Ultimately, this will increase the performance of healthcare systems and specifically mitigate ineffective use and costs.
Keyphrases
  • healthcare
  • primary care
  • public health
  • randomized controlled trial
  • general practice
  • mental health
  • risk assessment
  • machine learning
  • big data
  • chronic pain
  • social media