Planning the implementation of change based on collaborative care model
evidence for people with common mental disorders and physical long-term
conditions: a case example
Abstract
Rationale, aims and objectives: There are many challenges to
implementing the collaborative care model (CCM) for people with common
mental disorders and physical long-term conditions in primary care
settings. There is also a knowledge gap on how to implement change based
on CCM evidence. This article aim to present a case example of a process
to plan the implementation of change based on CCM evidence in primary
care settings. Context of the case example: The process of planning the
implementation of change was conducted during a multiple case study in
three family medicine groups in Quebec, Canada. The pre-implementation
steps of the Grol & Wensing implementation of change model were used to
design the planning process. Process to plan the implementation of
change: 1) review of the literature on the CCM, engaging stakeholders,
development of data collection tools; 2) familiarization with actual
collaborative care process and professional activities, assessment of
the quality of activities with analysis tables; 3) identification of
barriers and enablers to implement change, visualization of the results,
prioritization of potential strategies with an advisory committee; 4)
validation of results and assessment of practices, selection and
development of strategies tailored to local needs. Various data sources
have been used: feedback from managers, advisory committee and local
working groups, interviews (n=32), observations (n=7), documents, and
schemas. Conclusion: Planning the implementation of change based on CCM
evidence helped select strategies tailored to local needs that might
overcome determinants of change impacting the quality of activities and
the team’s capacity to efficiently implement change.