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BMC Health Services Research
Published in: BMC Health Services Research 1/2014

Open Access 01-12-2014 | Research article

Multidisciplinary teams of case managers in the implementation of an innovative integrated services delivery for the elderly in France

Authors: Matthieu de Stampa, Isabelle Vedel, Hélène Trouvé, Joël Ankri, Olivier Saint Jean, Dominique Somme

Published in: BMC Health Services Research | Issue 1/2014

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Abstract

Background

The case management process is now well defined, and teams of case managers have been implemented in integrated services delivery. However, little is known about the role played by the team of case managers and the value in having multidisciplinary case management teams. The objectives were to develop a fuller understanding of the role played by the case manager team and identify the value of inter-professional collaboration in multidisciplinary teams during the implementation of an innovative integrated service in France.

Methods

We conducted a qualitative study with focus groups comprising 14 multidisciplinary teams for a total of 59 case managers, six months after their recruitment to the MAIA program (Maison Autonomie Integration Alzheimer).

Results

Most of the case managers saw themselves as being part of a team of case managers (91.5%). Case management teams help case managers develop a comprehensive understanding of the integration concept, meet the complex needs of elderly people and change their professional practices. Multidisciplinary case management teams add value by helping case managers move from theory to practice, by encouraging them develop a comprehensive clinical vision, and by initiating the interdisciplinary approach.

Conclusions

The multidisciplinary team of case managers is central to the implementation of case management and helps case managers develop their new role and a core inter-professional competency.
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Literature
1.
Clarfield AM, Bergman H, Kane R: Fragmentation of care for frail older people–an international problem. Experience from three countries: Israel, Canada, and the United States. J Am Geriatr Soc. 2001, 49 (12): 1714-1721. 10.1046/j.1532-5415.2001.49285.x.CrossRefPubMed
2.
Coleman EA, Berenson RA: Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med. 2004, 141 (7): 533-536. 10.7326/0003-4819-141-7-200410050-00009.CrossRefPubMed
3.
Johri M, Beland F, Bergman H: International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry. 2003, 18 (3): 222-235. 10.1002/gps.819.CrossRefPubMed
4.
Low LF, Yap M, Brodaty H: A systematic review of different models of home and community care services for older persons. BMC Health Serv Res. 2011, 11: 93-10.1186/1472-6963-11-93.CrossRefPubMedPubMedCentral
5.
Leutz WN: Five laws for integrating medical and social services: lessons from the United States and the United Kingdom. Milbank Q. 1999, 77 (1): 77-110. 10.1111/1468-0009.00125. iv-vCrossRefPubMedPubMedCentral
6.
de Stampa M, Vedel I, Trouve H, Jean OS, Ankri J, Somme D: Factors facilitating and impairing implementation of integrated care. Rev Epidemiol Sante Publique. 2013, 61 (2): 145-153. 10.1016/j.respe.2012.07.004.CrossRefPubMed
7.
Ross S, Curry N, Goodwin N: Case management: what is it and how it can best be implemented. 2011, London: The King’s Fund
8.
Challis D, von Abendorff R, Brown P, Chesterman J, Hughes J: Care management, dementia care and specialist mental health services: an evaluation. Int J Geriatr Psychiatry. 2002, 17 (4): 315-325. 10.1002/gps.595.CrossRefPubMed
9.
Challis D, Darton R, Hughes J, Stewart K, Weiner K: Intensive care-management at home: an alternative to institutional care?. Age Ageing. 2001, 30 (5): 409-413. 10.1093/ageing/30.5.409.CrossRefPubMed
10.
Lyons KS, Zarit SH: Formal and informal support: the great divide. Int J Geriatr Psychiatry. 1999, 14 (3): 183-192. 10.1002/(SICI)1099-1166(199903)14:3<183::AID-GPS969>3.0.CO;2-J. discussion 192–186CrossRefPubMed
11.
Drake RE, Goldman HH, Leff HS, Lehman AF, Dixon L, Mueser KT, Torrey WC: Implementing evidence-based practices in routine mental health service settings. Psychiatr Serv. 2001, 52 (2): 179-182. 10.1176/appi.ps.52.2.179.CrossRefPubMed
12.
Stanhope V, Matejkowski J: Understanding the role of individual consumer-provider relationships within assertive community treatment. Community Ment Health J. 2009, 46 (4): 309-318.CrossRefPubMed
13.
Bloch MA, Henaut L, Gand S, Sardas JC: Les gestionnaires de cas: une nouvelle figure de tiers. Rev Econ Soc. 2011, 29 (3): 103-112.
14.
15.
Mion L, Odegard PS, Resnick B, Segal-Galan F: Interdisciplinary care for older adults with complex needs: American geriatrics society position statement. J Am Geriatr Soc. 2006, 54 (5): 849-852.CrossRefPubMed
16.
Somme D, de Stampa M: Ten years of integrated care for the older in France. Int J Integr Care. 2011, 11 (Spec 10th Anniversary Ed): e141.PubMedPubMedCentral
17.
Somme D, Trouve H, Couturier Y, Carrier S, Gagnon D, Lavallart B, Hebert R, Cretin C, Saint-Jean o: Prisma France: implementation program of an innovation in health and services system for disabled people. Adaptation of a case-management based integration model. Rev Epidemiol Sante Publique. 2008, 56 (1): 54-62.CrossRefPubMed
18.
Vedel I, de Stampa M, Bergman H, Ankri J, Cassou B, Mauriat C, Blanchard F, Bagaragaza E, Lapointe L: A novel model of integrated care for the elderly: COPA, Coordination of Professional Care for the Elderly. Aging Clin Exp Res. 2009, 21 (6): 414-423. 10.1007/BF03327446.CrossRefPubMed
19.
Strauss A, Corbin J: Basics of Qualitative Research. 1990, Newbury Park: Sage
20.
Hébert R, Durand PJ, Dubuc N, Tourigny A: PRISMA: a new model of integrated service delivery for the frail older people in Canada. Int J of Integrated Care. 2003, 3: 1-10.CrossRef
21.
de Stampa M, Somme D: Rapport d'expertise 2009–2010 sur la phase expérimentale des MAIA - Plan National Alzheimer. 2012, Paris: La documentation française
22.
de Stampa M, Somme D: Rapport d'expertise 2010–2011 sur la phase expérimentale des MAI - Plan National Alzheimer. 2012, Paris: La documentation française
23.
Hebert R, Carrier R, Bilodeau A: The Functional Autonomy Measurement System (SMAF): description and validation of an instrument for the measurement of handicaps. Age Ageing. 1988, 17 (5): 293-302. 10.1093/ageing/17.5.293.CrossRefPubMed
24.
Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Gilgen R, Hirdes JP, Topinkova E: Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J Am Geriatr Soc. 1997, 45 (8): 1017-1024.CrossRefPubMed
25.
Larsson R: Case survey methodology: quantitative analysis of patternes across case studies. The Academy of Management. 1993, 36 (6): 1515-1546. 10.2307/256820.CrossRef
26.
Strauss ACJ: Basics of Qualitative Research: Techniques and Procedures for Developing Theory. 1998, Thousand Oaks: Sage, 2
27.
Somme D, Trouve H, Drame M, Gagnon D, Couturier Y, Saint-Jean O: Analysis of case management programs for patients with dementia: a systematic review. Alzheimers Dement. 2012, 8 (5): 426-436. 10.1016/j.jalz.2011.06.004.CrossRefPubMed
28.
Challis D, Darton R, Johnson L, Stone M, Traske K: An evaluation of an alternative to long-stay hospital care for frail elderly patients: I. The model of care. Age Ageing. 1991, 20 (4): 236-244. 10.1093/ageing/20.4.236.CrossRefPubMed
29.
Hofmarcher M, Oxley H, Rusticelli E: Improved Health System Performance through Better Care Coordination. 2007, Paris: OECD Health Working Papers, 30.CrossRef
30.
Nugue M, De Stampa M, Couturier Y, Somme D: Use of standardized multidimensional evaluation tools and the emergence of the case manager's professional identity in France. Care Manag J. 2013, 13 (4): 184-193.CrossRef
31.
Turner BJ, Cuttler L: The complexity of measuring clinical complexity. Ann Intern Med. 2011, 155 (12): 851-852. 10.7326/0003-4819-155-12-201112200-00009.CrossRefPubMed
32.
Landi F, Liperoti R, Russo A, Capoluongo E, Barillaro C, Pahor M, Bernabei R, Onder G: Disability, more than multimorbidity, was predictive of mortality among older persons aged 80 years and older. J Clin Epidemiol. 2010, 63 (7): 752-759. 10.1016/j.jclinepi.2009.09.007.CrossRefPubMed
33.
Somme D, Hebert R, Bravo G, Blanchard F, Saint-Jean O: The individualized service plan as a clinical integration tool: qualitative analysis in the Quebec PRISMA experiment. Int J Integr Care. 2007, 7: e52.CrossRefPubMedPubMedCentral
34.
35.
Weiss KB: Managing complexity in chronic care: an overview of the VA state-of-the-art (SOTA) conference. J Gen Intern Med. 2007, 22 (Suppl 3): 374-378.CrossRefPubMedPubMedCentral
36.
Russell M, Roe B, Beech R, Russell W: Service developments for managing people with long-term conditions using case management approaches, an example from the UK. Int J Integr Care. 2009, 9: e02.CrossRefPubMedPubMedCentral
37.
Adams WL, McIlvain HE, Lacy NL, Magsi H, Crabtree BF, Yenny SK, Sitorius MA: Primary care for elderly people: why do doctors find it so hard?. Gerontologist. 2002, 42 (6): 835-842. 10.1093/geront/42.6.835.CrossRefPubMed
38.
Bodenheimer T, Wagner EH, Grumbach K: Improving primary care for patients with chronic illness. Jama. 2002, 288 (14): 1775-1779. 10.1001/jama.288.14.1775.CrossRefPubMed
39.
Hebert R, Raiche M, Dubois MF, Gueye NR, Dubuc N, Tousignant M: Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): a quasi-experimental study. J Gerontol B Psychol Sci Soc Sci. 2009, 65B (1): 107-118.CrossRefPubMed
40.
Couturier Y, Trouve H, Gagnon D, Etheridge F, Carrier R, Somme D: Receptivité d'un modèle québécois d'intégration des services aux personnes âgées en perte d'autonomie en France. Lien Social et Politiques. 2010, 62: 163-174.
41.
Grumbach K, Coffman J: Physicians and nonphysician clinicians: complements or competitors?. Jama. 1998, 280 (9): 825-826. 10.1001/jama.280.9.825.CrossRefPubMed
42.
Freeth D: Sustaining interprofessional collaboration. J Interprof Care. 2001, 15 (1): 37-46. 10.1080/13561820020022864.CrossRefPubMed
Metadata
Title
Multidisciplinary teams of case managers in the implementation of an innovative integrated services delivery for the elderly in France
Authors
Matthieu de Stampa
Isabelle Vedel
Hélène Trouvé
Joël Ankri
Olivier Saint Jean
Dominique Somme
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2014
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-14-159

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