A five-step approach for developing and implementing a Rural Primary Health Care Model for Dementia: a community–academic partnership
| العنوان: | A five-step approach for developing and implementing a Rural Primary Health Care Model for Dementia: a community–academic partnership |
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| المؤلفون: | Julie Kosteniuk, Debra Morgan, Deb Kennett-Russill, Megan E O'Connell, Tracy Hack, Faye Hoium, Kristen Sauter, Dallas Seitz, Andrew Kirk, Jayna Holroyd-Leduc, Norma J. Stewart, Jean Daku |
| المصدر: | Primary Health Care Research & Development |
| بيانات النشر: | Cambridge University Press, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Decision support system, Best practice, education, Community-based participatory research, Context (language use), Development, behavioral disciplines and activities, 03 medical and health sciences, 0302 clinical medicine, medicine, Dementia, Humans, 030212 general & internal medicine, Cooperative Behavior, Program Development, implementation, Care Planning, Qualitative Research, community-based participatory research, Medical education, Academic Medical Centers, Operationalization, Public Health, Environmental and Occupational Health, Focus Groups, medicine.disease, Saskatchewan, 3. Good health, primary health care, Evidence-Based Practice, Needs assessment, Rural Health Services, rural, Rural area, Psychology, 030217 neurology & neurosurgery, Needs Assessment, dementia |
| الوصف: | AimThis study is aimed at developing a Rural Primary Health Care (PHC) Model for delivering comprehensive PHC for dementia in rural settings and addressing the gap in knowledge about disseminating and implementing evidence-based dementia care in a rural PHC context.BackgroundLimited access to specialists and services in rural areas leads to increased responsibility for dementia diagnosis and management in PHC, yet a gap exists in evidence-based best practices for rural dementia care.MethodsElements of the Rural PHC Model for Dementia were based on seven principles of effective PHC for dementia identified from published research and organized into three domains: team-based care, decision support, and specialist-to-provider support. Since 2013 the researchers have collaborated with a rural PHC team in a community of 1000 people in the Canadian province of Saskatchewan to operationalize these elements in ways that were feasible in the local context. The five-step approach included: building relationships; conducting a problem analysis/needs assessment; identifying core and adaptable elements of a decision support tool embedded in the model and resolving applicability issues; implementing and adapting the intervention with local stakeholders; and sustaining the model while incrementally scaling up.ResultsDeveloping and sustaining relationships at regional and PHC team levels was critical. A comprehensive needs assessment identified challenges related to all domains of the Rural PHC Model. An existing decision support tool for dementia diagnosis and management was adapted and embedded in the team’s electronic medical record. Strategies for operationalizing other model elements included integrating team-based care co-ordination into the decision support tool and family-centered case conferences. Research team specialists provided educational sessions on topics identified by the PHC team. This paper provides an example of a community-based process for adapting evidence-based practice principles to a real-world setting. |
| اللغة: | English |
| تدمد: | 1477-1128 1463-4236 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::18222c9856a9ab59c963a3a8bc3083e6 http://europepmc.org/articles/PMC6536750 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....18222c9856a9ab59c963a3a8bc3083e6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14771128 14634236 |
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