Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders
Federal and provincial governments in Canada have mobilized resources to address the challenges of care associated with the growing population of older adults with major neurocognitive disorders (MND), which include Alzheimer's and other related diseases. Researchers and practitioners in Québe...
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| Format: | Article |
| Language: | English |
| Published: |
McMaster University Library Press
2020-04-01
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| Series: | Health Reform Observer - Observatoire des Réformes de Santé |
| Subjects: | |
| Online Access: | https://mulpress.mcmaster.ca/hro-ors/article/view/4127 |
| _version_ | 1797268200897904640 |
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| author | Kody Crowell Rachel McKay Émilie Dionne Yves Couturier Shannon Berg Jim Mann Amélie Quesnel-Vallée |
| author_facet | Kody Crowell Rachel McKay Émilie Dionne Yves Couturier Shannon Berg Jim Mann Amélie Quesnel-Vallée |
| author_sort | Kody Crowell |
| collection | DOAJ |
| description |
Federal and provincial governments in Canada have mobilized resources to address the challenges of care associated with the growing population of older adults with major neurocognitive disorders (MND), which include Alzheimer's and other related diseases. Researchers and practitioners in Québec, Ontario, and Saskatchewan identified a need for better integrated care for older adults with MND, improved capacity for assessment, diagnosis, and management of cases, as well as greater accessibility for those living in rural and remote regions. To this end, three distinct programs⏤the Réseau de services intégrés pour personnes âgées en perte d'autonomie cognitive (RSI-PAPAC) in Québec, the Primary Care Collaborative Memory Clinic (PCCMC) in Ontario, and the Rural and Remote Memory Clinic (RRMC) in Saskatchewan⏤were developed with the help of funding from provincial governments and federal research grants. The objective of this article is to compare and analyze the implementation and performance of these programs. Each program saw a large scope of services offered with the integration of community services and a great degree of coordination between these actors. The RSI-PAPAC was a roster program implemented in a collection of community health centres in Québec, while the latter two were clinical models that originated out of one central clinic. In Québec, while the specific program we analyzed is no longer active today, the ministry of health and social services has since adopted a comprehensive action plan rolling out services at a provincial scale (unrelated to the program we analyzed). In Ontario, with the help of interested organizations, the PCCMC has since been scaled up across the province, with over 100 clinics now active. It was easily adopted due to the quick training program offered to physicians and its reliance on patients' existing circle of care. Finally, in Saskatchewan, the RRMC has not scaled up to other clinics, likely due to the lack of existing collaborative primary clinics such as those in Ontario; however, provincial governments and other health organizations have mobilized to fund its continuation, and it currently operates out of one clinic in Saskatoon, serving as a node of care and research within the University of Saskatchewan.
Les gouvernements fédéral et provinciaux du Canada ont consacré des ressources à l’aplanissement des difficultés en matière de soins et services pour la population croissante de personnes âgées atteintes de troubles neurocognitifs majeurs, qui incluent notamment la maladie d’Alzheimer. Des chercheurs et des praticiens du Québec, de l’Ontario et de la Saskatchewan ont souligné la nécessité de mieux intégrer les soins aux personnes âgées atteintes; d’améliorer la capacité d’évaluation, de diagnostic et de gestion des cas; et de rendre les services plus accessible à ceux vivant dans les régions rurales. À cet effet, trois programmes distincts-⏤le RSI-PAPAC au Québec, le PCCMC en Ontario et le RRMC en Saskatchewan⏤ont été créés avec l’aide de fonds des gouvernements provinciaux et de bourses de recherche fédérales. L’objectif de cet article est de comparer et d’analyser la mise en œuvre et la performance de ces programmes. Chaque programme a offert un cadre de services intégrés aux organisations communautaires et avec un degré avancé de coordination entre ces acteurs. Le RSI-PAPAC a été mis en place dans un ensemble de centres de santé communautaires du Québec, tandis que les deux autres correspondaient à des modèles cliniques issus d’une clinique centrale. Au Québec, le programme particulier que nous avons analysé n’est plus en opération, mais le ministère de la santé et des services sociaux a depuis adopté un plan d’action pour orienter les services à l’échelle de son territoire. Avec l’aide d’organisations en Ontario, le PCCMC s’est, depuis, élargi à l’échelle de la province, atteignant plus de 100 cliniques actives. Il a pu s’étendre plus facilement étant donné le programme de formation rapide offert aux médecins et son recours au cycle de soins déjà existant pour les patients. Le modèle RRMC ne s’est pas étendu à d’autres cliniques en Saskatchewan, probablement dû au manque de cliniques en soins et services primaires de type collaboratif comme celles existant en Ontario. Toutefois, les gouvernements successifs de la province et autres organisations du secteur de la santé se sont mobilisés pour financer le maintien de ce programme. Ce centre opère actuellement dans une clinique de Saskatoon qui sert de centre de soins et de recherche à l’Université de la Saskatchewan.
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| format | Article |
| id | doaj.art-15f178e7cf794f03b1411951afc3f31f |
| institution | Directory Open Access Journal |
| issn | 2291-6369 |
| language | English |
| last_indexed | 2024-04-25T01:28:42Z |
| publishDate | 2020-04-01 |
| publisher | McMaster University Library Press |
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| series | Health Reform Observer - Observatoire des Réformes de Santé |
| spelling | doaj.art-15f178e7cf794f03b1411951afc3f31f2024-03-08T14:00:14ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692020-04-0181Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive DisordersKody Crowell0Rachel McKay1Émilie Dionne2Yves Couturier3Shannon Berg4Jim MannAmélie Quesnel-Vallée5McGill UniversityMcGill UniversitySaint Mary's Research CentreUniversité de SherbrookeUniversity of British ColumbiaMcGill University Federal and provincial governments in Canada have mobilized resources to address the challenges of care associated with the growing population of older adults with major neurocognitive disorders (MND), which include Alzheimer's and other related diseases. Researchers and practitioners in Québec, Ontario, and Saskatchewan identified a need for better integrated care for older adults with MND, improved capacity for assessment, diagnosis, and management of cases, as well as greater accessibility for those living in rural and remote regions. To this end, three distinct programs⏤the Réseau de services intégrés pour personnes âgées en perte d'autonomie cognitive (RSI-PAPAC) in Québec, the Primary Care Collaborative Memory Clinic (PCCMC) in Ontario, and the Rural and Remote Memory Clinic (RRMC) in Saskatchewan⏤were developed with the help of funding from provincial governments and federal research grants. The objective of this article is to compare and analyze the implementation and performance of these programs. Each program saw a large scope of services offered with the integration of community services and a great degree of coordination between these actors. The RSI-PAPAC was a roster program implemented in a collection of community health centres in Québec, while the latter two were clinical models that originated out of one central clinic. In Québec, while the specific program we analyzed is no longer active today, the ministry of health and social services has since adopted a comprehensive action plan rolling out services at a provincial scale (unrelated to the program we analyzed). In Ontario, with the help of interested organizations, the PCCMC has since been scaled up across the province, with over 100 clinics now active. It was easily adopted due to the quick training program offered to physicians and its reliance on patients' existing circle of care. Finally, in Saskatchewan, the RRMC has not scaled up to other clinics, likely due to the lack of existing collaborative primary clinics such as those in Ontario; however, provincial governments and other health organizations have mobilized to fund its continuation, and it currently operates out of one clinic in Saskatoon, serving as a node of care and research within the University of Saskatchewan. Les gouvernements fédéral et provinciaux du Canada ont consacré des ressources à l’aplanissement des difficultés en matière de soins et services pour la population croissante de personnes âgées atteintes de troubles neurocognitifs majeurs, qui incluent notamment la maladie d’Alzheimer. Des chercheurs et des praticiens du Québec, de l’Ontario et de la Saskatchewan ont souligné la nécessité de mieux intégrer les soins aux personnes âgées atteintes; d’améliorer la capacité d’évaluation, de diagnostic et de gestion des cas; et de rendre les services plus accessible à ceux vivant dans les régions rurales. À cet effet, trois programmes distincts-⏤le RSI-PAPAC au Québec, le PCCMC en Ontario et le RRMC en Saskatchewan⏤ont été créés avec l’aide de fonds des gouvernements provinciaux et de bourses de recherche fédérales. L’objectif de cet article est de comparer et d’analyser la mise en œuvre et la performance de ces programmes. Chaque programme a offert un cadre de services intégrés aux organisations communautaires et avec un degré avancé de coordination entre ces acteurs. Le RSI-PAPAC a été mis en place dans un ensemble de centres de santé communautaires du Québec, tandis que les deux autres correspondaient à des modèles cliniques issus d’une clinique centrale. Au Québec, le programme particulier que nous avons analysé n’est plus en opération, mais le ministère de la santé et des services sociaux a depuis adopté un plan d’action pour orienter les services à l’échelle de son territoire. Avec l’aide d’organisations en Ontario, le PCCMC s’est, depuis, élargi à l’échelle de la province, atteignant plus de 100 cliniques actives. Il a pu s’étendre plus facilement étant donné le programme de formation rapide offert aux médecins et son recours au cycle de soins déjà existant pour les patients. Le modèle RRMC ne s’est pas étendu à d’autres cliniques en Saskatchewan, probablement dû au manque de cliniques en soins et services primaires de type collaboratif comme celles existant en Ontario. Toutefois, les gouvernements successifs de la province et autres organisations du secteur de la santé se sont mobilisés pour financer le maintien de ce programme. Ce centre opère actuellement dans une clinique de Saskatoon qui sert de centre de soins et de recherche à l’Université de la Saskatchewan. https://mulpress.mcmaster.ca/hro-ors/article/view/4127dementiaAlzheimerolder adultsprimary careintegrated carememory clinics |
| spellingShingle | Kody Crowell Rachel McKay Émilie Dionne Yves Couturier Shannon Berg Jim Mann Amélie Quesnel-Vallée Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders Health Reform Observer - Observatoire des Réformes de Santé dementia Alzheimer older adults primary care integrated care memory clinics |
| title | Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders |
| title_full | Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders |
| title_fullStr | Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders |
| title_full_unstemmed | Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders |
| title_short | Evaluating the Implementation of Three Integrated Care Programs for Older Adults with Major Neurocognitive Disorders |
| title_sort | evaluating the implementation of three integrated care programs for older adults with major neurocognitive disorders |
| topic | dementia Alzheimer older adults primary care integrated care memory clinics |
| url | https://mulpress.mcmaster.ca/hro-ors/article/view/4127 |
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