Primary Care Case Management for Patients with Complex Care Needs: Implementation and Realist Evaluations


  • Canadian Institutes of Health Research
  • Population- Health Axis
  • Sherbrooke University Hospital Research Center
  • Dalhousie Medical Research Foundation
  • Department of Family and Emergency Medicine of Université de Sherbrooke
  • Faculty of Medicine of Dalhousie University
  • University of Sherbrooke Foundation
  • My Life Foundation
  • Fonds de recherche du Québec en santé
  • Regional health authority
  • Québec Health and Social Services Ministry
  • New Brunswick Health Research Foundation
  • Nova Scotia Health Authority
  • Réseau-1 Québec
  • Network in Primary and Integrated Health Care Innovations
  • Saskatchewan Health Research Foundation
  • Université de Sherbrooke
  • Université du Québec à Chicoutimi
  • Memorial University

Implementing and evaluating a case management intervention in ten primary care clinics from five Canadian provinces (Newfoundland and Labrador, New Brunswick, Nova Scotia, Saskatchewan and Québec) in partnership with patients

Implementation analysis: The leadership of healthcare professionals and managers, the experience and skills of nurse case managers and the development of team capabilities facilitated the early stages of the case management intervention’s implementation. Participants perceived the intervention as a comprehensive, adaptable and organized approach to care, offering more resources and support to patients and better coordination of primary care.

Telehealth: results are not yet available.

Patient engagement in research: Both patient partners and academic researchers highlighted the importance of finding a balance between providing structure or guidelines for patient engagement, while allowing for flexibility along the way. As an empirical and standardized illustration that facilitates a shared understanding, the Logic Model provides guidance for maximizing the impact of patient partnership in various contexts for research, patients, providers and health care.

Realistic evaluation: results are not yet available.

Click here to see the project team

Articles, presentations and posters



Scientific presentation

Scientific posters

Online publications

Knowledge transfert material