Development of integrated care pathways: toward a care management system to meet the needs of frail and disabled community-dwelling older people
References
-
Camirand
J
Dugas
L
Cardin
JF
Dubé
G
Dumitru
V
Fournier
J
Un portrait statistique à partir de l’Enquête sur la participation et les limitations d’activités de 2001 et 2006
Vivre avec une incapacité au Québec
Living with disability in Quebec 2010 Québec Institut de la statistique du Québec 351 [in French] - Fried LP Ferrucci L Darer J Williamson JD Anderson G Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care Journals of Gerontology Series A—Biological Sciences and Medical Sciences 2004 59 255 63
- Boldy D Grenade L Lewin G Karol E Burton E Older people’s decisions regarding ‘ageing in place’: a Western Australian case study Australasian Journal on Ageing 2011 30 136 42
- Valkila N Litja H Aalto L Saari A Consumer panel study on elderly people's wishes concerning services Archives of Gerontology and Geriatrics 2010 51 e66 71
- Chappell NL Dlitt BH Hollander MJ Miller JA McWilliam C Comparative costs of home care and residential care Gerontologist 2004 44 389 400
- Canadian Healthcare Association Home care in Canada: from the margins to the mainstream 2009 Ottawa Canadian Healthcare Association 152
- Ministry of Health and Social Services of Québec The Québec health and social services system- in brief 2008 Québec Ministry of Health and Social Services of Québec 12
- Hébert R Durand PJ Dubuc N Tourigny A PRISMA: a new model of integrated service delivery for the frail older people in Canada International Journal of Integrated Care [serial online] 2003 3 18 1 [cited 2013 March 19]. Available from: http://www.ijic.org. URN:NBN:NL:UI:10-1-100315
- Hébert R Veil A Raîche M Dubois MF Dubuc N Tousignant M Evaluation of the implementation of PRISMA, a coordination-type integrated service delivery system for frail older people in Québec Journal of Integrated Care 2008 16 4 14
- Hébert R Raîche M Dubois MF Gueye NR Dubuc N Tousignant M Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): a quasi-experimental study Journals of Gerontology Series B- Social Sciences 2010 65B 107 18
- Beland F Bergman H Lebel P Clarfield AM Tousignant P Contandriopoulos AP A system of integrated care for older persons with disabilities in Canada: results from a randomized controlled trial Journals of Gerontology Series A- Medical Sciences 2006 61 367 73
- Glendinning C Clarke S Hare P Maddison J Newbronner L Progress and problems in developing outcomes-focused social care services for older people in England Health and Social Care in the Community 2008 16 54 63
- Kitchener M Carrillo H Harrington C Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization Inquiry 2003 40 375 89
- Brega AG Jordan AK Schlenker RE Practice variations in home health care Home Health Care Services Quaterly 2003 22 41 64
- Bos JT Frijters DH Wagner C Carpenter GI Finne-Soveri H Topinkova E Variations in quality of home care between sites across Europe, as measured by Home Care Quality Indicators Aging Clinical and Experimental Research 2007 19 323 9
- Muramatsu N Campbell RT State expenditures on home and community based services and use of formal and informal personal assistance: a multilevel analysis Journal of Health and Social Behavior 2002 43 107 24
- Tousignant M Dubuc N Hebert R Coulombe C Home-care programmes for older adults with disabilities in Canada: how can we assess the adequacy of services provided compared with the needs of users? Health & Social Care in the Community 2007 15 1 7
- Morin D Leblanc N Less money, less care: how nurses in long-term care allocate hours of needed care in a context of chronic shortage International Journal of Nursing Practice 2005 11 214 20
- Brett W Schofield J Integrated care pathways for patients with complex needs Nursing Standard [Royal College of Nursing (Great Britain)] 2002 16 36 40
- Tichawa U Creating a continuum of care for elderly individuals Journal of Gerontological Nursing 2002 28 46 52
- Bragato L Jacobs K Care pathways: the road to better health services? Journal of Health Organization and Management 2003 17 164 80
- Hindle D Yazbeck AM Clinical pathways in 17 European Union countries: a purposive survey Australian Health Review: a Publication of the Australian Hospital Association 2005 29 94 104
- De Bleser L Depreitere R De Waele K Vanhaecht K Vlayen J Sermeus W Defining pathways Journal of Nursing Management 2006 14 553 63
- Vanhaecht K Bollmann M Bower K Gallagher C Gardini A Guezo J Prevalence and use of clinical pathways in 23 countries—an international survey by the European Pathways Association Journal of Integrated Care Pathways 2006 10 28 34
- Zander K Integrated care pathways: eleven international trends Journal of Integrated Care Pathways 2002 101 7
- Vanhaecht K De Witte K Depreitere R Van Zelm R De Bleser L Proost K Development and validation of a care process self-evaluation tool Health Services Management Research 2007 20 189 202
- Vanhaecht K Panella M van Zelm R Sermeus W An overview on the history and concept of care pathways as complex interventions Journal of Integrated Care Pathways 2010 14 117 23
- Panella M Marchisio S Di Stanislao F Reducing clinical variations with clinical pathways: do pathways work? International Journal for Quality in Health Care 2003 15 509 21
- Dy SM Garg P Nyberg D Dawson PB Pronovost PJ Morlock L Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis Health Services Research 2005 40 499 516
- Allen D From boundary concept to boundary object: the practice and politics of care pathway development Social Science & Medicine 2009 69 354 61
- Allen D Gillen E Rixson L Systematic review of the effectiveness of integrated care pathways: what works, for whom, in which circumstances? International Journal of Evidence-Based Healthcare 2009 7 61 74
- Clark A Protocol-based care: 1 How integrated care pathways work. Professional Nurse 2003 18 694 7
- Okamoto E Miyamoto M Hara K Yoshida J Muto M Hirai A Integrated care through disease-oriented clinical care pathways: experience from Japan's regional health planning initiatives International Journal of Integrated Care [serial online] 2011 9 23 [cited 2013 March 19]. Available from: http://www.ijic.org. URN:NBN:NL:UI:10-1-101572
- Vanhaecht K Sermeus W Peers J Lodewijckx C Deneckere S Leigheb F The impact of care pathways for exacerbation of chronic obstructive pulmonary disease: rationale and design of a cluster randomized controlled trial Trials 2010 11 111
- Jette AM Toward a common language for function, disability, and health Physical Therapy 2006 86 726 34
- Verbrugge LM Jette AM The disablement process Social Science and Medicine 1994 38 1 14
- Verbrugge LM Carey JR Robine JM Michel JP Christen Y Flies without wings Flies without wings 2005 Berlin, Germany Springer Chapter 6
- Dubuc N Hebert R Desrosiers J Buteau M Trottier L Disability-based classification system for older people in integrated long-term care services: the Iso-SMAF profiles Archives of Gerontology and Geriatrics 2006 42 191 206
- Femia EE Zarit SH Johansson B The disablement process in very late life: a study of the oldest-old in Sweden Journals of Gerontology Series B- Psychological Sciences and Social Sciences 2001 56 P12 23
- Hirdes JP Ljunggren G Morris JN Frijters DH Finne Soveri H Gray L Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system BMC Health Services Research 2008 8 277
- Costa AP Hirdes JP Clinical characteristics and service needs of alternate-level-of-care patients waiting for long-term care in Ontario hospitals Healthcare Policy 2010 6 32 46
- Hébert R Dubuc N Buteau M Desrosiers J Bravo G Trottier L Resources and costs associated with disabilities of elderly people living at home and institutions Canadian Journal on Aging 2001 20 1 21
- Raîche M Hébert R Dubois MF Gueye NR Dubuc N Yearly transitions of disability profiles in older people living at home Archives of Gerontology and Geriatrics 2012 55 399 405
- Gill TM Guo Z Allore HG Subtypes of disability in older persons over the course of nearly 8 years Journal of the American Geriatrics Society 2008 56 436 43
- Beswick AD Rees K Dieppe P Ayis S Gooberman-Hill R Horwood J Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis Lancet 2008 371 725 35
-
Ferrucci
L
Guralnik
JM
Studenski
S
Fried
LP
Cutler
GB
Jr Walston JD Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report Journal of the American Geriatrics Society 2004 52 625 34 - Rabiee P Glendinning C Organisation and delivery of home care re-ablement: what makes a difference? Health and Social Care in the Community 2011 19 495 503
- Lewin G Vandermeulen S Coster C Programs to promote independence at home: How effective are they? Generations Review—Journal of the British Society of Gerontology 2006 16 24 26
- Ryburn B Wells Y Foreman P Enabling independence: restorative approaches to home care provision for frail older adults Health and Social Care in the Community 2009 17 225 34
- Bergman H Ferrucci L Guralnik J Hogan DB Hummel S Karunananthan S Frailty: an emerging research and clinical paradigm—issues and controversies Journals of Gerontology Series A- Biological Sciences and Medical Sciences 2007 62 731 7
- Fried LP Tangen CM Walston J Newman AB Hirsch C Gottdiener J Frailty in older adults: evidence for a phenotype Journals of Gerontology Series A- Biological Sciences and Medical Sciences 2001 56 M146 56
-
Bergman
H
Béland
F
Karunananthan
S
Hummel
S
Wolfson
C
Développement d'un cadre de travail pour comprendre et étudier la fragilité
Development of a framework to understand and study frailty Pour l'initiative canadienne sur la fragilité et le vieillissementGérontologie et Société 2004 109 15 28 [in French] - Sternberg SA Wershof Schwartz A Karunananthan S Bergman H Mark Clarfield A The identification of frailty: a systematic literature review Journal of the American Geriatrics Society 2011 59 2129 38
- Kinsman L Rotter T James E Snow P Willis J What is a clinical pathway? Development of a definition to inform the debate. BMC Medicine 2010 8 31
- Campbell H Hotchkiss R Bradshaw N Porteous M Integrated care pathways British Medical Journal 1998 316 133 7
- Coffey RJ Richards JS Remmert CS LeRoy SS Schoville RR Baldwin PJ An introduction to critical paths Quality Management in Health Care 2005 14 46 55
- European Pathway Association [webpage on the internet] [cited 2013 March 19]. Available from: http://www.e-p-a.org
- De Luc K Developing care pathways: the handbook 2001 Vol 2 Abingdon, Oxon Radcliff Medical Press Ltd
- de Luc K Developing care pathways, The Tool Kit 2001 2 42
- de Luc K Todd J e-Pathways: computers and the patient’s journey through care 2003 Oxon Radcliffe Medical Press
- Hébert R Guilbeault J Desrosiers J Dubuc N The functional autonomy measurement system (SMAF): a clinical-based instrument for measuring disabilities and handicaps in older people Geriatrics Today: Journal of Canadian Geriatrics Society 2001 4 141 47
- Desrosiers J Bravo G Hébert R Dubuc N Reliability of the revised functional autonomy measurement system (SMAF) for epidemiological research Age and Ageing 1995 24 402 6
-
Ministère de la Santé et des Services sociaux du Québec
Rapport annuel de gestion 2003–2004
Annual report of management 2003–2004 Gouvernement du Québec 2004 Bibliothèque Nationale du Canada. In [in French] -
Reid
R
Haggerty
J
McKendry
R
Dissiper la confusion: concepts et mesures de la continuité des soins
Defusing the confusion: concepts and measures of continuity of healthcare In.: Fondation canadienne de la recherche sur les services de santé/Institut canadien d'information sur la santé. Comité consultatif des services de santé de la Conférence fédérale-provinciale-territoriale des sous-ministres de la Santé 2002 18 [in French] - Foster M Harris J Jackson K Morgan H Glendinning C Personalised social care for adults with disabilities: a problematic concept for frontline practice Health and Social Care in the Community 2006 14 125 35
- Matthews M Lucas A Boland R Hirth V Odenheimer G Wieland D Use of a questionnaire to screen for frailty in the elderly: an exploratory study Aging Clinical and Experimental Research 2004 16 34 40
- Chu S Reconceptualising clinical pathway system design Collegian 2001 8 33 6
-
Cardinal
L
Langlois
MC
Gagné
D
Tourigny
A
Perspectives pour un vieillissement en santé: proposition d’un modèle conceptuel
Perspectives for healthy aging: proposition of a conceptual model Agence de la santé et des services sociaux de la Capitale-Nationale, Direction de santé publique et Institut national de santé publique du Québec. In. Québec; 2008 58 [in French] -
Ministère de la Santé et des Services sociaux du Québec
Cadre normatif, outils de planification (PID, PII, PSI)
Normative framework, planning tools (PID, PII, PSI) 2009 170 Chapitre 1 à 4 version 1,0. [in French] - World Health Organization International classification of functioning, disability and health 2001 Geneva World Health Organization
-
Organisation mondiale de la santé
Classification internationale des maladies, 10e révision (CIM-10)
International classification of diseases, 10th revision (ICD-10) 2007 [in French] -
Conseil international des infirmières
Classification internationale de la pratique infirmière, Version 2
International classification for nursing practice, Version 2 2009 130 [in French] - Gillick MR Do we need to create geriatric hospitals? Journal of the American Geriatrics Society 2002 50 174 7
- Shea D Use of the electronic record in the home-based primary care programs of the Department of Veterans Affairs Health Care System Home Healthcare Nurse 2007 25 323 6
- Pinsonnault E Dubuc N Desrosiers J Delli-Colli N Hebert R Validation study of a social functioning scale: the social-SMAF (social-Functional Autonomy Measurement System) Archives of Gerontology and Geriatrics 2009 48 40 4
-
Ducharme
F
Famille et soins aux personnes âgées, enjeux, défis et stratégies
Family and caring for older persons: stakes, challenges and strategies 2006 Montréal Groupe Beauchemin éditeur [in French] - Committee on quality of health care in America—Institute of Medicine, editor Crossing the quality chasm. A new health system for the 21st Century 2001 Washington National Academy Press
- Doocey A Reddy W Integrated care pathways—the touchstone of an integrated service delivery model for Ireland International Journal of Care Pathways 2010 14 27 29
- Altman DE Clancy C Blendon RJ Improving patient safety—five years after the IOM report New England Journal of Medicine 2004 351 2041 3
- Lynn MR Determination and quantification of content validity Nursing Research 1986 35 382 5
- Galliers B Stowell F Re-orienting information systems strategy: Integrating information systems into the business Re-orienting information systems strategy: Integrating information systems into the business 1995 London McGraw-Hill 51 74
- Mingers J Stowell F Using soft systems methodology in the design of information systems Using soft systems methodology in the design of information systems 1995 London McGraw-Hill 18 50
- Checkland PB Poulter J Learning for action: A short definitive account of soft systems methodology and its use for practitioners, teachers and students 2006 Chichester Wiley
- Glendinning C Jones K Baxter K Rabiee P Curtis L Wilde A Home care re-ablement services: Investigating the longer-term impacts (prospective longitudinal study) 2010 York University of York
DOI: https://doi.org/10.5334/ijic.976 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jun 29, 2012
Accepted on: Mar 14, 2013
Published on: May 21, 2013
Published by: Igitur publishing
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
© 2013 Nicole Dubuc, Lucie Bonin, André Tourigny, Luc Mathieu, Yves Couturier, Michel Tousignant, Cinthia Corbin, Nathalie Delli-Colli, Michel Raîche, published by Igitur publishing
This work is licensed under the Creative Commons Attribution 4.0 License.