Exploration des déterminants de l'implantation d'un outil d'aide à la priorisation de patients au sein de programmes de réadaptation

Authors: Déry, Julien
Advisor: Lamontagne, Marie-EveRuiz, Angel
Abstract: Access to rehabilitation services can be compromised by problems of excessive wait times before receiving these services. Waiting lists are used to control resources and to ensure equitable and fair access to health services, the order of patients should be determined according to a relative priority. Prioritization is a method of ranking patients according to criteria evaluating the relative priority of each patient. Patient prioritization tools (PPTs) represent an innovative solution that can be applied to patients waiting for rehabilitation services and thus would promote more equitable access to rehabilitation services. The aim of this project was to explore the determinants for implementation of a PPT in rehabilitation settings. The tool was adapted to the context of two rehabilitation programs through the use of a multi-stakeholder consensus method. After consultations with patients, clinicians and managers of these rehabilitation programs, ten prioritization criteria by program were identified by consensus as important to consider. A prototype of the tool was developed and proposed to each of the clinical settings. Then, further consultations were conducted with service providers to collect perceptions about the determinants of implementation of the tool in clinical settings. Using two questionnaires and focus groups, clinicians and managers identified a wide variety of facilitators and barriers to the implementation of PPT, related to characteristics of the tool, individuals involved and the environment.
Document Type: Mémoire de maîtrise
Issue Date: 2020
Open Access Date: 14 February 2020
Permalink: http://hdl.handle.net/20.500.11794/38107
Grantor: Université Laval
Collection:Thèses et mémoires

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