Integrated case management between primary care clinics and hospitals for people with complex needs who frequently use healthcare services: A multiple-case embedded study

2018-2021

- Fonds de soutien à l’innovation en santé et en services sociaux (FSISSS)
- Ministry of the Economy, Science and Innovation
- Saguenay-Lac-Saint-Jean regional health authority

To implement and evaluate an integrated case management (CM) program for people with complex needs who frequently use healthcare services where nurses from primary care clinics work closely with a case manager from the hospital.

The study shows positive outcomes for patients, professionals, and the health care system, when the program is well implemented. Leadership of the health professionals involved and support of the physician in charge of the clinic are necessary for successful program implementation.
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Articles, presentations and posters
Article
Scientific presentation
- Integrated case management between primary care clinics and hospitals for frequent users of healthcare services: A multiple-case embedded study. International Conference on Integrated Care (ICIC) 2021.
- La gestion de cas intégrée entre les soins de première ligne et les centres hospitaliers du Saguenay Lac-Saint-Jean pour les grands utilisateurs de services: une étude de cas multiple. Journée de la recherche du CIUSSS du Saguenay Lac-Saint-Jean 2022.