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Patient respondents were drawn from lists of clients with depression, generated by participating practices in the randomized trial of practice reorganization to improve depression care.
The MSSS will initially select among the 95 CSSS in Quebec, to identify those that received financing for an innovative project related to work practice reorganization using ICTs.
The first case, at a semi-urban CSSS, has a work practice reorganization project aiming to improve the access to and frequency of services for clients with chronic obstructive pulmonary disease (COPD) by introducing a remote patient monitoring (RPM) project.
A general interview framework will guide the interview questions, however the questions may be adapted to the CSSS workforce situation and the nature of the work practice reorganization project.
Consequently, the present project aims to better understand how work practice reorganization, supported by ICTs, and particularly by telehealth, may influence professional, educational, and organizational factors relating to Quebec nurses, notably those working in peripheral regions.
Our aim is to better understand how work practice reorganization, supported by ICTs, and particularly by telehealth, may influence professional, educational, and organizational factors relating to Quebec nurses, notably those working in peripheral regions.
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5- Finally, contacts were established with an isolated CSSS, which has a work practices reorganization project using information technologies to offer distance training for nurses.
4- The fourth case study, at a rural CSSS, focuses on a work practices reorganization project aiming to improve the quality and accessibility of health care.
2- The second case, at another semi-urban CSSS, implanted a work practices reorganization project to support the mobility of home support nurses, including the introduction of a software program, in order to respond to an increased number of cancer patients and an acute shortage of nursing resources.
In practice, the reorganization projects are often implemented in isolation without taking into account the existing relationship of a particular component of the enterprise architecture with other ones, which leads to unsatisfactory results of projects.
Moreover, it is expected that the reorganization practice will provide just as much to the firm's bottom line as any other practice group.
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