Evaluating implementation and impact of a provincial quality improvement collaborative for the management of chronic diseases in primary care: the COMPAS+ study protocol

BMC Family Practice

Guylaine Giasson¹  Alain Vanasse¹  Mylaine Breton¹  Isabelle Gaboury¹  Pierre Pluye²  Marie-Thérèse Lussier³  Janusz Kaczorowski³  Arnaud Duhoux⁴  Matthew Menear⁵  France Légaré⁵  Valérie Émond⁶  Denis Roy⁷  Lise Houle⁷  Marie-Pascale Pomey⁸  Brigitte Vachon⁹ 

[1] Faculty of Medicine and Health Sciences, Université de Sherbrooke;Faculty of Medicine, McGill University;Faculty of Medicine, Université de Montréal;Faculty of Nursing, Université de Montréal;Family Medicine and Emergency Medicine, Université Laval;Institut national de santé publique du Québec;Institut national d’excellence en santé et en services sociaux;Public Health School, Unversité de Montréal;School of Rehabilitation, Faculty of Medicine, Université de Montréal and Centre de recherche du CIUSSS de l’Est-de-l’Île-de-Montréal;

关键词: Quality improvement;    Primary care;    Chronic disease management;    Knowledge translation;    Diabetes;    Chronic pulmonary obstructive disease;   

DOI  :  10.1186/s12875-019-1072-y

来源: DOAJ

【 摘 要 】

Abstract Background Chronic conditions such as diabetes and chronic obstructive pulmonary disease (COPD) are common and burdensome diseases primarily managed in primary care. Yet, evidence points to suboptimal quality of care for these conditions in primary care settings. Quality improvement collaboratives (QICs) are organized, multifaceted interventions that can be effective in improving chronic disease care processes and outcomes. In Quebec, Canada, the Institut national d’excellence en santé et en services sociaux (INESSS) has developed a large-scale QIC province-wide program called COMPAS+ that aims to improve the prevention and management of chronic diseases in primary care. This paper describes the protocol for our study, which aims to evaluate implementation and impact of COMPAS+ QICs on the prevention and management of targeted chronic diseases like diabetes and COPD. Methods This is a mixed-methods, integrated knowledge translation study. The quantitative component involves a controlled interrupted time series involving nine large integrated health centres in the province. Study sites will receive one of two interventions: the multifaceted COMPAS+ intervention (experimental condition) or a feedback only intervention (control condition). For the qualitative component, a multiple case study approach will be used to achieve an in-depth understanding of individual, team, organizational and contextual factors influencing implementation and effectiveness of the COMPAS+ QICs. Discussion COMPAS+ is a QI program that is unique in Canada due to its integration within the governance of the Quebec healthcare system and its capacity to reach many primary care providers and people living with chronic diseases across the province. We anticipate that this study will address several important gaps in knowledge related to large-scale QIC projects and generate strong and useful evidence (e.g., on leadership, organizational capacity, patient involvement, and implementation) having the potential to influence the design and optimisation of future QICs in Canada and internationally.

【 授权许可】

Unknown