Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders’ Recommendations

Catherine Hudon, Maud-Christine Chouinard, Marie-Dominique Beaulieu, Mathieu Bisson, Danielle Bouliane, Martine Couture, Serge Dumont, Antoine Groulx and Véronique Sabourin
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Catherine Hudon: Department of Family Medicine and Emergency Medicine, University of Sherbrooke, Sherbrooke, QC J1K 2R1, Canada
Maud-Christine Chouinard: Faculty of Nursing, Montreal University, Montréal, QC H3T 1A8, Canada
Marie-Dominique Beaulieu: Department of Family Medicine and Emergency Medicine, Montreal University, Montréal, QC H3T 1J4, Canada
Mathieu Bisson: Department of Family Medicine and Emergency Medicine, University of Sherbrooke, Sherbrooke, QC J1K 2R1, Canada
Danielle Bouliane: Saguenay-Lac-Saint-Jean Integrated University Health and Social Services Center, Chicoutimi, QC G7H 7K9, Canada
Martine Couture: Saguenay-Lac-Saint-Jean Integrated University Health and Social Services Center, Chicoutimi, QC G7H 7K9, Canada
Serge Dumont: Faculty of Social Sciences, School of Social Work and Criminology, Laval University, Québec, QC G1V 0A6, Canada
Antoine Groulx: Alliance santé Québec, Québec, QC G1V 0A6, Canada
Véronique Sabourin: CHUS Research Center, Sherbrooke, QC J1H 5N4, Canada

IJERPH, 2020, vol. 17, issue 22, 1-7

Abstract: The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualitative approach was used. While focus groups were led by a facilitator, a rapporteur noted highlights and a research team member took independent notes. All notes were analyzed by using a thematic analysis according to an inductive method. Seven issues were identified, leading to the formulation of recommendations: (1) valuing the experience of the patient; (2) early detecting of a non-homogeneous patient population; (3) defining interprofessional collaboration based on patient needs; (4) conciliating services provided by clinical settings according to a registered clientele-based logic with the population-based logic; (5) working with the community sector; (6) aligning patient-oriented research values with existing challenges to primary care integration; and (7) promoting resource allocation consistent with targeted recommendations. The summit highlighted the importance of engaging all stakeholders in improvement of integrated care for patients with complex care needs. The resulting recommendations target shared priorities towards better health, social, and community-based services integration for these patients.

Keywords: integrated services; primary care; complex health needs; patient-oriented research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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