Article type
Year
Abstract
Context: With only 5% of the population consuming 80% of the canadian health care, who are those persons at risk in the community & what are the evidence and effective actions to create achronically well population? An international comparative study has looked at the Canadian health care system with seven countries. It shows a strong and frequent emergency use amongst the population, especially in Québec and Ontario. These difficulties reflect a weak primary care organization in the community.
Objective: Two regional Québec initiatives will be presented to demonstrate how to renew community care with a chronically sick population and high consumers of care while reducing preventable emergency visits and hospitalisations.
Method: Simple actionsworking with the 5%of the populationwho’s consuming 80%of the carewill be discussed and revisited: • Organisational portrait and origine of the greatest consumptions of care in the system know the difference between system induced consumptions and complex case management in the community • Significant evidence for an integrated and proactive approach with thechronically sick • Simple actions with great impact (ex : computarized nominative stratification, NHS complex case management, empowerment of families/patients, . . .) • Caracteristics of thechronically sickand the myths surrounding them • Relevent Performance indicators and documentiation on Return on investments.
Results: Results indicate very significant decrease in preventable ER visits and hospitalisations, an increase in timely and quality community follow ups. With the SF- 12, an increased well-being was observed amongst the most vulnerable.
Conclusion: Simple & high impact systemic multi-level strategies for creating a chronically well population exist. Let’s share learned lessons to build a stronger primary care system for all PS either french or english. Thanks.
Objective: Two regional Québec initiatives will be presented to demonstrate how to renew community care with a chronically sick population and high consumers of care while reducing preventable emergency visits and hospitalisations.
Method: Simple actionsworking with the 5%of the populationwho’s consuming 80%of the carewill be discussed and revisited: • Organisational portrait and origine of the greatest consumptions of care in the system know the difference between system induced consumptions and complex case management in the community • Significant evidence for an integrated and proactive approach with thechronically sick • Simple actions with great impact (ex : computarized nominative stratification, NHS complex case management, empowerment of families/patients, . . .) • Caracteristics of thechronically sickand the myths surrounding them • Relevent Performance indicators and documentiation on Return on investments.
Results: Results indicate very significant decrease in preventable ER visits and hospitalisations, an increase in timely and quality community follow ups. With the SF- 12, an increased well-being was observed amongst the most vulnerable.
Conclusion: Simple & high impact systemic multi-level strategies for creating a chronically well population exist. Let’s share learned lessons to build a stronger primary care system for all PS either french or english. Thanks.