Maud?Christine Chouinard|Catherine Hudon|Marie?France Dubois|Pasquale Roberge|Christine Loignon|Éric Tchouaket|Martin Fortin|Éva-Marjorie Couture|Maxime Sasseville
Case management and self-management support for frequent users with chronic disease in primary care: a pragmatic randomized controlled trial
Université du Québec à Chicoutimi|Centre de Santé et de Services Sociaux de Chicoutimi|Université de Sherbrooke|Université de Sherbrooke|Université de Sherbrooke|Université du Québec en Outaouais|Université de Sherbrooke|Centre de Santé et de Services Sociaux de Chicoutimi|Université de Sherbrooke
chronic diseases represent major challenge health care social services number people chronic diseases require services due characteristics increase vulnerability given burden increasingly vulnerable patients primary care pragmatic intervention four family medicine groups primary care practices quebec canada proposed individuals chronic diseases diabetes cardiovascular diseases respiratory diseases musculoskeletal diseases andor chronic pain frequent users hospital services intervention combines case management nurse group support meetings encouraging selfmanagement based stanford chronic disease selfmanagement program goals study 1 analyze implementation intervention participating practices order determine various contexts influenced implementation observed effects 2 evaluate proximal selfefficacy selfmanagement health habits activation psychological distress intermediate empowerment quality life health care use effects intervention patients 3 conduct economic analysis efficiency costeffectiveness intervention analysis implementation conducted using realistic evaluation participatory approaches within four categories stakeholders family medicine group health centre management family medicine group practitioners patients families health centre community partners data obtained individual group interviews project documentation reviews documenting intervention evaluation effects patients based pragmatic randomized beforeafter experimental design delayed intervention control group six months economic analysis include costeffectiveness costbenefit analysis integration case management intervention delivered nurses selfmanagement group support primary care practices potential positively impact patient empowerment quality life hopefully reduce burden health care decisionmakers managers health care professionals aware factors consider promoting implementation intervention primary care practices region elsewhere nct01719991