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Ensuring the Success of Interprofessional Teams: Key Lessons Learned in Memory Clinics*

Published online by Cambridge University Press:  17 December 2013

Linda Lee*
Affiliation:
The Centre for Family Medicine, Kitchener, Ontario Department of Family Medicine, McMaster University
Loretta M. Hillier
Affiliation:
St. Joseph’s Health Care London and Lawson Health Research Institute
W. Wayne Weston
Affiliation:
Schulich School of Medicine & Dentistry, Western University
*
Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Linda Lee, M.D. The Centre for Family Medicine 10B Victoria St. South Kitchener, ON N2G 1C5 (lee.linda.lw@gmail.com)

Abstract

Primary care–based memory clinics are attracting increasing interest because they present an opportunity to improve dementia diagnosis and management. In Ontario, more than 30 primary care setting participated in a training program aimed at assisting participants to establish an independent memory clinic in their practice setting. This article outlines the key lessons learned in implementing these clinics, on the basis of a study that – used an interview methodology with memory clinic team members and – identified facilitating factors, challenges, and suggestions for sustainability. Of key importance was access to training that facilitates knowledge transfer and supports practice change, interprofessional collaboration, and ongoing infrastructure support. Suggestions for clinic implementation and ongoing capacity building were identified. Lessons learned are applicable to the implementation of other chronic-disease care models aimed at improving the primary care management of complex chronic conditions.

Résumé

Cliniques de mémoire en soins de santé primaires suscitent un intérêt croissant, car elles offrent la possibilité d’améliorer le diagnostic et le traitement de la démence. En Ontario, plus de 30 établissements de soins primaires ont participé à un programme de formation visant à aider les participants à établir une clinique de mémoire indépendante dans leur milieu de pratique. Cet article présente les principales leçons acquises dans la mise en oeuvre de ces cliniques sur la base d’une étude qui a utilisé une méthodologie d’entrevue avec les membres des équipes de cliniques de mémoire et a identifié les facteurs favorables, les défis et les recommandations pour la soutenabilité. L’accès à la formation qui facilite le transfert des connaissances et soutient les changements dans la pratique, la collaboration interprofessionnelle, et le soutien de l’infrastructure en cours était d’une importance capitale. Des suggestions pour la mise en place de cliniques et de renforcement des capacités continues ont été identifiés. Les leçons apprises sont applicables à la mise en oeuvre d’autres modèles de prise en charge des maladies chroniques dont le but est la gestion des soins de santé primaires de maladies chroniques complexes.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2013 

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Footnotes

*

Funding for this study was provided by the Canadian Institutes of Health Research (Catalyst Grant Program: Primary and Community-Based Healthcare; Grant No. 212207).

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