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Centre for Policy on Ageing | |
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| Facilitators and barriers to implementing transitional care managers within a public health care system | | Author(s) | Melanie Couture, Martin Sasseville, Valerie Gascon |
| Journal title | Journal of Gerontological Social Work, vol 59, no 4, May-June 2016 |
| Publisher | Taylor and Francis, May-June 2016 |
| Pages | pp 364-377 |
| Source | http://www.tandfonline.com |
| Keywords | Discharge [hospitals] ; Medical care ; Transitional phase ; Rehabilitation ; Aftercare ; Evaluation ; Canada. |
| Annotation | Transitional care is crucial to ensuring quality of care and safety for older patients. In the context of health care reforms promoting a shift from a hospital-centred approach to a home care approach, transitional care becomes a vital component and social workers can play an important role in easing transitions. Most recent studies have focused on the development or improvement of transitional care intervention models or tools, but few have addressed implementation issues. In this study, the implementation process of an innovative intervention aiming to integrate transitional care managers (TCMs) from Health and Social Services Centres (HSSC) within two Canadian hospitals was evaluated. Data collection comprised 8 focus groups, direct observations, minutes of meetings, activity grids and logbooks. To facilitate the implementation of TCMs, decisions were made to clearly indicate their involvement in patients' files, and concentrated their efforts on a restricted number of units. Barriers included confusion about target clientele, inequitable information exchange between partners, limited powers regarding coordination of care, and organisational constraints limiting additional measures to improve transitional care. Evaluating implementation processes is crucial to efficiently identify obstacles, and to apply additional implementation strategies to promote the integration of new practices within the health care system. (RH). |
| Accession Number | CPA-170120229 A |
| Classmark | LD:QKJ: LK: 4MT: LM: LN: 4C: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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