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Diagnostic study, design and implementation of an integrated model of care in France: a bottom-up process with continuous leadership
- Authors:
- DE STAMPA Matthieu, et al
- Journal article citation:
- International Journal of Integrated Care, 10(1), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
Sustaining integrated care is difficult, largely because of problems in securing the participation of health care and social service professionals and, in particular, general practitioners (GPs). This article describes an innovative bottom-up, pragmatic strategy used to implement a new integrated care model in France for community-dwelling elderly people with complex needs. Initially, face-to-face interviews were conducted to gather data on current practices from a sample of health and social stakeholders working with elderly people. The stakeholders then designed an integrated care model called Coordination Personnes Agées (COPA), adapted to the local context. Finally, the model was implemented in two phases: adoption and maintenance. The process was continuously evaluated. Continuity of leadership was provided by clinicians and researchers during the diagnostic and design phases, and by clinicians and service managers during the implementation phase. The implementation of this strategy relied on establishing a collaborative dynamic among health and social stakeholders, including GPs.