The following research has been made possible by AMA-ACTT partnering with the University of Alberta's Department of Family Medicine EnACt. EnACt was an infrastructure to support and enhance Alberta's existing practice-based research networks. It was supported by the Alberta Innovates Transitional Health Chair in Engaged Scholarship, awarded to Dr. Lee Green, its mission was two-fold: support research in practice, and support research on practice.
Using Cognitive Task Analysis, we sought to understand how we can move past successful demonstrations to widespread adoption of the Patient Medical Home in Alberta. Read our findings based on 42 interviews across 18 Alberta family medicine clinics.
Family physicians in Alberta, who successfully engage other members of the practicing community, health organizations, and the public, are well-positioned to build awareness about provincial transformational initiatives, affect positive change, be the voice of primary care in the province, and create system level transformation.
Improving integration between specialty and primary care is key to reducing unnecessary hospital admissions, readmissions, medical errors, and delays in receiving care.
This pilot project demonstrated it is possible to transfer skills and knowledge from Diffusion of Innovations theory and Cognitive Task Analysis to Practice Facilitators to support primary care transformation. A second study is being completed, more to follow.
Understanding primary and specialty care physicians' mental models of cirrhosis care helps to identify factors that may hinder coordination of care and will inform the development of a cirrhosis care pathway.
The purpose of this research is to interview primary and specialty care physicians and nurse practitioners, in a specific way that will help us understand their thinking and decision-making when they manage symptoms of patients living with cirrhosis
One: CarePath, is a provincial initiative that takes a proactive and co-managed approach in care planning with patients who have advanced-stage (non-curative) lung, heart, liver and kidney disease and/or cancers. It aims to provide symptom and crisis management, help patients maintain quality of life and functional status, avoid aggressive treatments where appropriate, and align care with patient preferences and values. AMA-ACTT is supporting the project team with; care plan development, engagement activities and implementation of the One: carepath Integrated Supportive Care Pathway initiative.
