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Int J Integr Care. 2014 Jun 16;14:e016. eCollection 2014 Apr.

Adapting the Quebecois method for assessing implementation to the French National Alzheimer Plan 2008-2012: lessons for gerontological services integration.

Author information

1
Department of Geriatrics, Université de Rennes 1, Rennes, France.
2
Fondation Nationale de Gérontologie, Paris, France.
3
Caisse Nationale de Solidarité pour l'Autonomie, Paris, France.
4
CHU de Rennes, Rennes, France.
5
Department of Geriatrics, Université de Versailles-Saint-Quentin, Laboratoire Santé Environnement Vieillissement, EA 2506, Centre de Gérontologie, Paris, France.
6
Department of Geriatrics, Université Paris-Descartes, Paris, France.
7
Université de Versailles-Saint-Quentin, Laboratoire Santé Environnement Vieillissement, EA 2506, Centre de Gérontologie, Paris, France.

Abstract

INTRODUCTION:

Many countries face ageing-related demographic and epidemiological challenges, notably neurodegenerative disorders, due to the multiple care services they require, thereby pleading for a more integrated system of care. The integrated Quebecois method issued from the Programme of Research to Integrate Services for the Maintenance of Autonomy inspired a French pilot experiment and the National Alzheimer Plan 2008-2012. Programme of Research to Integrate Services for the Maintenance of Autonomy method implementation was rated with an evaluation grid adapted to assess its successive degrees of completion.

DISCUSSION:

The approaching end of the president's term led to the method's institutionalization (2011-2012), before the implementation study ended. When the government changed, the study was interrupted. The results extracted from that 'lost' study (presented herein) have, nonetheless, 'found' some key lessons.

KEY LESSONS/CONCLUSION:

It was possible to implement a Quebecois integrated-care method in France. We describe the lessons and pitfalls encountered in adapting this evaluation tool. This process is necessarily multidisciplinary and requires a test phase. A simple tool for quantitative assessment of integration was obtained. The first assessment of the tool was unsatisfactory but requires further studies. In the meantime, we recommend using mixed methodologies to assess the services integration level.

KEYWORDS:

assessment of implementation; geriatric services integration; method of integrated care

PMID:
24959112
PMCID:
PMC4063544
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