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Fostering collective leadership to improve integrated primary care: lessons learned from the PriCARE program.
Hudon, Catherine; Lambert, Mireille; Aubrey-Bassler, Kris; Chouinard, Maud-Christine; Doucet, Shelley; Ramsden, Vivian R; Zed, Joanna; Luke, Alison; Bisson, Mathieu; Howse, Dana; Schwarz, Charlotte; Rubenstein, Donna; Taylor, Jennifer.
Afiliación
  • Hudon C; Département de Médecine de Famille et de Médecine D'urgence, Université de Sherbrooke, 12e Avenue Nord, Sherbrooke, QC, 3001, Canada. catherine.hudon@usherbrooke.ca.
  • Lambert M; Département de Médecine de Famille et de Médecine D'urgence, Université de Sherbrooke, 12e Avenue Nord, Sherbrooke, QC, 3001, Canada.
  • Aubrey-Bassler K; Primary Healthcare Research Unit, Memorial University, Room 426, 4th Floor Janeway Hostel, Health Sciences Centre, 300 Prince Philip Dr, Saint John, NL, Canada.
  • Chouinard MC; Faculté des Sciences Infirmières, Université de Montréal, 2375, Chemin de la Côte-Ste-Catherine, Montréal, QC, Canada.
  • Doucet S; Department of Nursing and Health Sciences, University of New Brunswick, 100 Tucker Park Road, Saint John, NB, Canada.
  • Ramsden VR; Department of Academic Family Medicine, University of Saskatchewan, 3311 Fairlight Drive, Saskatoon, SK, Canada.
  • Zed J; Department of Family Medicine, Dalhousie University, 1465 Brenton Street, Halifax, NS, Canada.
  • Luke A; Department of Nursing and Health Sciences, University of New Brunswick, 100 Tucker Park Road, Saint John, NB, Canada.
  • Bisson M; Département de Médecine de Famille et de Médecine D'urgence, Université de Sherbrooke, 12e Avenue Nord, Sherbrooke, QC, 3001, Canada.
  • Howse D; Primary Healthcare Research Unit, Memorial University, Room 426, 4th Floor Janeway Hostel, Health Sciences Centre, 300 Prince Philip Dr, Saint John, NL, Canada.
  • Schwarz C; Department of Nursing and Health Sciences, University of New Brunswick, 100 Tucker Park Road, Saint John, NB, Canada.
  • Rubenstein D; Department of Family Medicine, Dalhousie University, 1465 Brenton Street, Halifax, NS, Canada.
  • Taylor J; Department of Nursing and Health Sciences, University of New Brunswick, 100 Tucker Park Road, Saint John, NB, Canada.
Arch Public Health ; 82(1): 24, 2024 Feb 22.
Article en En | MEDLINE | ID: mdl-38388457
ABSTRACT
Case management (CM) is an intervention for improving integrated care for patients with complex care needs. The implementation of this complex intervention often raises opportunities for change and collective leadership has the potential to optimize the implementation. However, the application of collective leadership in real-world is not often described in the literature. This commentary highlights challenges faced during the implantation of a CM intervention in primary care for people with complex care needs, including stakeholders' buy-in and providers' willingness to change their practice, selection of the best person for the case manager position and staff turnover. Based on lessons learned from PriCARE research program, this paper encourages researchers to adopt collective leadership strategies for the implementation of complex interventions, including promoting a collaborative approach, fostering stakeholders' engagement in a trusting and fair environment, providing a high level of communication, and enhancing collective leadership attitudes and skills. The learnings from the PriCARE program may help guide researchers for implementing complex healthcare interventions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Public Health Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Public Health Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido