Case management programs for people with complex needs: Towards better engagement of community pharmacies and community-based organisations

Abstract

Introduction The objectives of this study were 1) to describe how case management programs engaged community pharmacies and community-based organisations in a perspective of integrated care for people with complex needs, and 2) to identify enablers, barriers and potential strategies for this engagement. Methods Using a descriptive qualitative design, individual interviews and focus groups with patients, healthcare providers and managers were analysed according to a mixed thematic analysis based on a deductive (Rainbow Model of Integrated Care) and an inductive approach. Results and discussion Participants highlighted the individualized service plan as a significant tool to foster a shared person-focused vision of care, information exchanges and concerted efforts. Openness to collaboration was also considered as an enabler for community stakeholders’ engagement. The lack of recognition of community-based organisations by certain providers and the time required to participate in individualized service plans were outlined as barriers to professional integration. Limited opportunities for community stakeholders to be involved in decision-making within case management programs were reported as another constraint to their engagement. Cultural differences between organisations regarding the focus of the intervention (psychosocial vs healthcare needs) and differences in bureaucratic structures and funding mechanisms may negatively affect community stakeholders’ engagement. Formal consultation mechanisms and improvement of communication channels between healthcare providers and community stakeholders were suggested as ways to overcome these barriers. Conclusion Efforts to improve care integration in case management programs should be directed toward the recognition of community stakeholders as co-producers of care and co-builders of social policies across the entire care continuum for people with complex needs.

Influence of Case Management Model Combined with Continuous Nursing Care on Compliance Behavior and Adverse Emotions in Elderly Patients with Lung Cancer: A Prospective Single-Center Case-Control Study

“…For the case management model in this study, the communication between nurses and patients was strengthened and improves the patient experience, increasing patient motivation to actively participate in the process of treatment and care and to effectively help patients recover [ 14 ]. This study found that old patients with lung scale-like cell cancer almost never actively communicated with medical staff at first, but communicated with other patients through social software (in a carefully-planned way), hiding signs of sickness and mental needs to reduce the heavy load on family members, but missing active guidance from nurses.…”

Evaluation of a community-based integrated care model (CIE) for frail older people in rural Foshan, China: study protocol for a stepped-wedge cluster randomized controlled trial {1}

“…Guidelines for the CBR were developed based on formal research studies, diverse experiences of disability, best practices drawn from similar approaches, as well as the research team’s own expertise [ 24 ]. Interdisciplinary case management (ICM) : Case management is a collaborative, client-driven process characterized by exchanging ideas and opinions among team members for the provision of quality health and support services [ 25 ]. Through ICM, care teams have a shared vision on the content of the care, enabling consensus among stakeholders and reducing duplication of services.…”

“…Interdisciplinary case management (ICM) : Case management is a collaborative, client-driven process characterized by exchanging ideas and opinions among team members for the provision of quality health and support services [ 25 ]. Through ICM, care teams have a shared vision on the content of the care, enabling consensus among stakeholders and reducing duplication of services.…”