Abstract:
INTRODUCTION:Case management allows us to respond to the complex needs of a vulnerable clientele through a structured approach that promotes enhanced interaction between partners. Syntheses on the subject converge towards a need for a better description of the relationships between programmes and their local context, as well as the characteristics of the clienteles and programmes that contribute to positive impacts. The purpose of this project is thus to describe and evaluate the case management programmes of four health and social services centres in the Saguenay-Lac- Saint-Jean region of Québec, Canada, in order to inform their improvement while creating knowledge on case management that can be useful in other contexts. METHODS AND ANALYSIS:This research relies on a multiple embedded case study design based on a developmental evaluation approach. We will work with the case management programme for high users of hospital services of each centre. Three different units of analysis will be interwoven to obtain an in-depth understanding of each case, that is: (1) health and social services centre and local services network, (2) case management programme and (3) patients who are high users of services. Two strategies for programme evaluation (logic models and implementation analysis) will guide the mixed data collection based on qualitative and quantitative methods. This data collection will rely on: (1) individual interviews and focus groups; (2) participant observation; (3) document analysis; (4) clinical and administrative data and (5) questionnaires. Description and comparison of cases, and integration of qualitative and quantitative data will be used to guide the data analysis. ETHICS AND DISSEMINATION:The study protocol was approved by the Ethics Research Boards of the four health and social services centres (HSSCs) involved. Findings will be disseminated by publications in peer-reviewed journals, conferences, and policy and practice partners in local and national government.
journal_name
BMJ Openjournal_title
BMJ openauthors
Hudon C,Chouinard MC,Couture M,Brousselle A,Couture EM,Dubois MF,Fortin M,Freund T,Loignon C,Mireault J,Pluye P,Roberge P,Rodriguez Cdoi
10.1136/bmjopen-2014-006991subject
Has Abstractpub_date
2014-12-02 00:00:00pages
e006991issue
12issn
2044-6055pii
bmjopen-2014-006991journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Electronic prescribing (ePrescribing) systems are rapidly being introduced into National Health Systems (NHS) hospitals in England following their widespread earlier adoption into primary care settings. Such systems require substantial changes in the way pharmacists organise their work and perform their ro...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008785
更新日期:2015-10-26 00:00:00
abstract:INTRODUCTION:Risk calculators (RCs) are easy-to-use tools considering available clinical variables that could help to select those patients with risk of prostate cancer (PCa) who should undergo a prostate biopsy. OBJECTIVE:To perform a comparison for the prediction of significant PCa (SigPCa) between the European Rand...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031032
更新日期:2019-11-12 00:00:00
abstract:OBJECTIVES:Malignant melanoma has high morbidity and mortality rates. Early diagnosis improves prognosis. Clinical prediction rules (CPRs) can be used to stratify patients with symptoms of suspected malignant melanoma to improve early diagnosis. We conducted a systematic review of CPRs for melanoma diagnosis in ambulat...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014096
更新日期:2017-03-06 00:00:00
abstract:OBJECTIVE:To quantify the effects of increased cycling on both mortality and morbidity. DESIGN:Health Impact Assessment. SETTING:Cycling to place of work or education in Copenhagen, Denmark. POPULATION:Effects were calculated based on the working-age population of Copenhagen. MAIN OUTCOME MEASURES:The primary outco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001135
更新日期:2012-07-24 00:00:00
abstract:INTRODUCTION:Systematic reviews demonstrate that advance care planning (ACP) has many positive effects for residents of aged care facilities, including decreased hospitalisation. The proposed Residential Aged Care Facility (RACF) 'Goals of Patient Care' (GOPC) form incorporates a resident's prior advance care plan into...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-013909
更新日期:2017-03-10 00:00:00
abstract:INTRODUCTION:Human papillomavirus (HPV) is a causal agent of malignancies including cervical, vulvar, vaginal, penile, anal and oropharyngeal cancer, as well as benign conditions such as anogenital warts. HPV vaccination protects individuals against infections with the target HPV types and their clinical outcomes. Howe...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039383
更新日期:2020-08-11 00:00:00
abstract:OBJECTIVES:To identify the sociodemographic factors associated with variation in area-based breastfeeding in England; to calculate the predicted breastfeeding rates adjusted for sociodemographic variations. DESIGN:Ecological analysis of routine data using random effects logistic regression. SETTING:All 151 primary ca...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002765
更新日期:2013-06-20 00:00:00
abstract:OBJECTIVES:Many sedentary individuals are aware of the health benefits of regular physical activity and start becoming more physically active. Yet, despite good intentions, many struggle to keep up initial exercise levels and experience a decline in exercise frequency. A possible explanation is that it is hard to estab...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024043
更新日期:2019-02-13 00:00:00
abstract:INTRODUCTION:Pain is an expected and appropriate experience following traumatic musculoskeletal injury. By contrast, chronic pain and disability are unhelpful yet common sequelae of trauma-related injuries. Presently, the mechanisms that underlie the transition from acute to chronic disabling post-traumatic pain are no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017876
更新日期:2018-04-28 00:00:00
abstract:OBJECTIVE:We sought to examine the effect of smoking cessation on subsequent development of depressive disorders. DESIGN:This was a retrospective cohort study. METHODS:We used administrative claim and health check data from fiscal years 2010 to 2014, obtained from the largest health insurance association in Fukuoka, ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025124
更新日期:2019-03-23 00:00:00
abstract:INTRODUCTION:Alcohol use disorders (AUDs) and mood disorders commonly co-occur, and are associated with a range of negative outcomes for patients. Mobile phone technology has the potential to provide personalised support for such patients and potentially improve outcomes in this difficult-to-treat cohort. The aim of th...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-013587
更新日期:2017-05-29 00:00:00
abstract:INTRODUCTION:To advance person- and family-centred healthcare, government initiatives have supported the engagement of patients and family caregivers in decision-making in healthcare systems. There is, however, no consensus on how to define success for such initiatives. This scoping review aims to identify the key elem...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032788
更新日期:2019-11-06 00:00:00
abstract:INTRODUCTION:As adults age, their senses tend to decline and a large portion of those most affected by sensory decline reside in long-term care. At present, the creation of a sense-sensitive environment in long-term care is a difficult task as there is minimal evidence or tools available to guide this process. The 5Sen...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027720
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:Cardiovascular morbidity is a major burden in patients with rheumatoid arthritis (RA). In this study, we compare the effect of a targeted, intensified, multifactorial intervention with that of conventional treatment of modifiable risk factors for cardiovascular disease (CVD) in patients with early RA fulfi...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-009134
更新日期:2016-04-20 00:00:00
abstract:BACKGROUND:Implementing venous thromboembolism (VTE) risk assessment guidance on admission to hospital has proved difficult worldwide. In 2010, VTE risk assessment in English hospitals was linked to financial sanctions. This study investigated possible barriers and facilitators for VTE risk assessment in medical patien...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001668
更新日期:2012-11-06 00:00:00
abstract:OBJECTIVES:To develop a scale to assess infectious disease-specific health literacy (IDSHL) in China and test its initial psychometric properties. METHODS:Item pooling, reduction and assessment of psychometric properties were conducted. The scale was divided into 2 subscales; subscale 1 assessed an individual's skills...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012039
更新日期:2016-08-05 00:00:00
abstract:OBJECTIVES:The aim of the study was to explore what components of the General Medical Council's (GMC) Quality Assurance Framework work, for whom, in what circumstances and how? SETTING:UK undergraduate and postgraduate medical education and training. PARTICIPANTS:We conducted interviews with a stratified sample of 36...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033614
更新日期:2019-12-29 00:00:00
abstract:INTRODUCTION:Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evide...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-011826
更新日期:2016-09-13 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess the effects of long-term offshore work on cerebral oxygenation oscillations in sailors based on the wavelet phase coherence (WPCO) of near-infrared spectroscopy (NIRS) signals. METHODS:The fatigue severity scale (FSS) was first applied to assess the fatigue level of ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013357
更新日期:2016-11-03 00:00:00
abstract:OBJECTIVES:This review was commissioned by WHO, South Africa-Country office because of an exponential increase in medical litigation claims related to patient safety in obstetrical care in the country. A rapid review was conducted to examine the effectiveness of quality improvement (QI) strategies on maternal and newbo...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-020170
更新日期:2018-07-06 00:00:00
abstract:OBJECTIVE:To explore the prevalence and combined cardiovascular risk factors of prehypertension in southern China. DESIGN:A retrospective study; the logistic regression model was used to find the risk factors of prehypertension. SETTING:The study was conducted in Shunde District, southern China, using the community-b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006551
更新日期:2014-11-13 00:00:00
abstract:OBJECTIVES:Few studies have investigated the prevalence of adverse drug reactions (ADRs) leading to hospitalisation in Japan. The aim of this study was to determine the prevalence of ADRs leading to hospitalisation and to evaluate the preventability of these ADRs in Japan. DESIGN:A single-centre cross-sectional study ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030515
更新日期:2019-08-05 00:00:00
abstract:OBJECTIVE:To examine consumers' confidence in their own, and also in other people's, over-the-counter (OTC) skills and to describe their attitude towards the availability of OTC painkillers. Moreover we examined the association between confidence in OTC skills and attitudes. DESIGN:Cross-sectional survey. Mixed method...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003455
更新日期:2013-09-25 00:00:00
abstract:BACKGROUND:Clinical trials on Traditional Chinese Medicine (TCM) should be registered in a publicly accessible international trial register and report on all outcomes. We systematically assessed and evaluated TCM trials in registries with their subsequent publications. OBJECTIVE:To describe the characteristics of TCM ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002968
更新日期:2013-07-16 00:00:00
abstract:OBJECTIVES:To analyse the prevalence and incidence of pregabalin and gabapentin (P/G) prescriptions, typical therapeutic uses of P/G with special attention to pain-related diagnoses and discontinuation rates. DESIGN:Secondary data analysis. SETTING:Primary and secondary care in Germany. PARTICIPANTS:Four million pat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021535
更新日期:2019-03-30 00:00:00
abstract:INTRODUCTION:Breast cancer affects 1 in 10 women worldwide, and mastectomy is a cause of chronic pain with neuropathic characteristics. N-methyl-D-aspartate receptor (NMDAR) antagonists such as ketamine, memantine, dextromethorphan or magnesium are used to treat refractory pain by blocking NMDAR. Oral memantine has bee...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017986
更新日期:2018-10-04 00:00:00
abstract:OBJECTIVES:Dealing with multiple workflow interruptions is a major challenge in emergency department (ED) work. This study aimed to establish a taxonomy of workflow interruptions that takes into account the content and purpose of interruptive communication. It further aimed to identify associations of workflow interrup...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019074
更新日期:2017-12-22 00:00:00
abstract:OBJECTIVE:To evaluate the effects of intravenous fluid bolus compared to maintenance intravenous fluids alone as part of immediate emergency care in children with severe febrile illness and signs of impaired circulation in low-income settings. DESIGN:Systematic review of randomised controlled trials (RCTs), and observ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-004934
更新日期:2014-04-30 00:00:00
abstract:OBJECTIVE:China has achieved over 96% health insurance coverage. However, universal health coverage (UHC) entails population coverage and the range of services covered and the extent to which health service costs are covered. This study aimed to determine the performance of the health insurance system in China in terms...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014425
更新日期:2017-06-02 00:00:00
abstract:OBJECTIVE:The purpose of this meta-analysis was to evaluate the association between enlarged right atrial area (RAA), as measured by echocardiography, and prognosis of patients with pulmonary arterial hypertension (PAH). DESIGN:Systematic review and meta-analysis. DATA SOURCES:To identify potential publications, a co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031316
更新日期:2020-09-22 00:00:00