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The indicators can be used to evaluate care and services for vulnerable older adults affected by cognitive impairment or dementia within an integrated service system in Quebec, Canada.
The research team selected PQIs for vulnerable older adults affected by cognitive impairment/dementia and being treated in an integrated service system.
Since continuity of care is a specific goal of an integrated service system, the final set of 82 PQIs included 23 PQIs for follow-up care, most of them (21) from ACOVE.
We enlarged the concept of patient-centeredness to include the patient's community, an important element within an integrated service system for vulnerable older adults (see Figure 1) [ 14] and translated the resulting framework into French.
The multidisciplinary selection and evaluation of face/content validity of the PQIs allowed to take into account the vision of quality of care of all health and social care professions involved in the integrated service system.
To our knowledge, this is the first report on the transfer, validation and adaptation of PQIs for the care of vulnerable older persons treated within an integrated service system, characterized by a single point of entry, case management, geriatric assessment and a multidisciplinary care team.
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Although fixed models may not apply to new contexts, some of the evidence-informed design principles from this project converge with findings from other jurisdictions and have broad implications for policies promoting universal, integrated service systems for early childhood.
Continuity is a quality dimension essential to integrated service systems, especially for vulnerable older adults [ 7, 21].
This research aims at evaluating the quality of health care and services provided to vulnerable older adults within integrated service systems [ 14].
To our knowledge, previous reports on validation of indicators for transfer between countries [ 4, 18, 19] do not specifically consider integrated service systems.
This research on quality assessment for vulnerable older adults in integrated service systems is guided by a conceptual framework to ensure a meaningful and rigorous quality evaluation and improvement [ 20].
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