Case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs: an implementation and realist evaluation protocol.

ABSTRACT:

Introduction

Significant evidence in the literature supports case management (CM) as an effective intervention to improve care for patients with complex healthcare needs. However, there is still little evidence about the facilitators and barriers to CM implementation in primary care setting. The three specific objectives of this study are to: (1) identify the facilitators and barriers of CM implementation in primary care clinics across Canada; (2) explain and understand the relationships between the actors, contextual factors, mechanisms and outcomes of the CM intervention; (3) identify the next steps towards CM spread in primary care across Canada.

Methods and analysis

We will conduct a multiple-case embedded mixed methods study. CM will be implemented in 10 primary care cl

SUBMITTER: Hudon C 

PROVIDER: S-EPMC6254422 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature