Dallaire Clémence, St-Pierre Michèle, Juneau Lucille, Legault-Mercier Samuel, Bernardino Elizabeth
Faculty of Nursing, Université Laval, Québec, QC, Canada.
JMIR Res Protoc. 2015 Feb 16;4(1):e12. doi: 10.2196/resprot.3902.
The complexity of chronic disease management activities and the associated financial burden have prompted the development of organizational models, based on the integration of care and services, which rely on primary care services. However, since the institutions providing these services are continually undergoing reorganization, the Centre hospitalier affilié universitaire de Québec wanted to innovate by adapting the Chronic Care Model to create a clinic for the integrated follow-up of chronic disease that relies on hospital-based specialty care.
The aim of the study is to follow the project in order to contribute to knowledge about the way in which professional and management practices are organized to ensure better care coordination and the successful integration of the various follow-ups implemented.
The research strategy adopted is based on the longitudinal comparative case study with embedded units of analysis. The case study uses a mixed research method.
We are currently in the analysis phase of the project. The results will be available in 2015.
The project's originality lies in its consideration of the macro, meso, and micro contexts structuring the creation of the clinic in order to ensure the integration process is successful and to allow a theoretical generalization of the reorganization of practices to be developed.
慢性病管理活动的复杂性以及相关的经济负担促使基于整合护理和服务的组织模式得以发展，这些模式依赖于初级护理服务。然而，由于提供这些服务的机构不断进行重组，魁北克大学附属中心医院希望通过调整慢性病护理模式进行创新，以创建一个依赖医院专科护理的慢性病综合随访诊所。
该研究的目的是跟踪该项目，以便为了解专业和管理实践的组织方式做出贡献，从而确保更好的护理协调以及成功整合所实施的各种随访。
所采用的研究策略基于带有嵌入式分析单元的纵向比较案例研究。该案例研究采用混合研究方法。
我们目前正处于该项目的分析阶段。结果将于2015年公布。
该项目的独特之处在于其考虑了构建诊所的宏观、中观和微观背景，以确保整合过程取得成功，并能够对实践的重组进行理论概括。
