Health Care Redesign for Responsive Behaviours—The Behavioural Supports Ontario Experience: Lessons Learned and Keys to Success
Publication: Canadian Journal of Community Mental Health
19 February 2015
Abstract
Our health care system is ill prepared for the growing number of older adults and their families/caregivers who live with responsive behaviours associated with cognitive impairment. Considering the burden of illness, quality of life issues, and escalating costs, system-wide redesign is warranted. The Behavioural Supports Ontario (BSO) project is a province-wide, regionally implemented, evidence-informed change strategy that utilizes quality improvement principles and knowledge translation best practices as critical enablers. This paper describes the project and key lessons learned in the implementation of this initiative that can be applied to other jurisdictions wishing to enable large-scale system redesign and sustainable system change.
Résumé
Notre système de santé est mal préparé pour faire face au nombre grandissant de personnes âgées ayant des comportements réactifs liés à des déficits cognitifs et dont s'occupent leurs proches ou des personnes soignantes. Étant donné le fardeau lié à la maladie, les questions de qualité de vie que cela soulève et l'escalade des coûts que cela implique, une révision du système est nécessaire. À cet égard, le projet Behavioural Supports Ontario, qui couvre l'ensemble de la province et est mis en oeuvre dans les diverses régions selon leurs besoins, offre une stratégie qui s'appuie sur des données probantes et sur des principes d'amélioration de la qualité et les meilleures pratiques de transmission des connaissances. Dans cet article, nous décrivons ce projet et les principales leçons que l'on peut tirer de sa mise en oeuvre, ce qui peut être utile à d'autres administrations qui souhaiteraient restructurer le système en profondeur en apportant des changements durables.
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Canadian Journal of Community Mental Health
Volume 34 • Number 1 • April 2015
Pages: 45 - 63
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Version of record online: 19 February 2015
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GutmanisIris, SnyderMatt, HarveyDavid, HillierLoretta M., and LeClairJ. Kenneth. 2015. Health Care Redesign for Responsive Behaviours—The Behavioural Supports Ontario Experience: Lessons Learned and Keys to Success. Canadian Journal of Community Mental Health.
34(1): 45-63. https://doi.org/10.7870/cjcmh-2015-001
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