Topic : Continuum Of Care

Judul : Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study

Penulis/Tahun/

Tujuan

Sample

Negara
Lily Lessard,

In order to target The study population

Louise

ways of

Fournier, Jose

Disain Penelitian

Variabel yang
diteliti

Instrumen yg dipakai/ Detail

Hasil Penelitian

experimen
Statistical analysis

The studys results support

comprised FHSS users episodes of care

Descriptive statistics were

the recent claim of Inuit

improving the

in Nunavik,

involving a common

used to highlight delays,

Tapiriit Kanatami (ITK), an

e Gauthier,

services

aged 14 years and

mental disorder

interruptions

organization representing

and Diane

provided in

older who experienced (CMD), incident or

and breaks at each stage in

the Inuit of Canada, which

Morin/

these contexts to

at least one

recurring,

the continuum of

stated that mental health

Received: 7

individuals in

CMD-associated

were documented

care. The impact of the

provisions

January 2015;

Nunavik with

episode of care

using the clinical

independent variables on

are a patchwork of services,

Revised: 3

depression or

(occurrence or

records of 79

breaks

interventions and

April 2015;

anxiety

relapse)

frontline health and

and delays was then

support measures (1). Poor

Accepted: 5

disorders, this

during an observation

social services

examined using comparative

management leads to

April 2015;

research

period.

(FHSSs) users, aged

analysis.

chronicity

Published: 14

examines delays

14

First, bivariate analysis was

of conditions, reduced

May 2015/

and disruptions

years and older,

carried out. Analyses

quality of life, adoption of

Canada

in the

living in a

involving

harmful behaviours, an

A total of 155

continuum

community in

clinical characteristics of

increased suicide risk and a

of care and

Nunavik. Each

episodes of care used

worsening of functional

clinical,

episode of care was

chisquare

limitations (8).

individual and

divided into 7

tests for the categorical

Quality mental health

organizational

stages: (a)

dependent variables and

services rely on clinical

characteristics

detection; (b)

t-tests for continuous

approaches

possibly

assessment; (c)

dependent variables. Logistic sustained over time,

associated with

intervention; (d)

and

between healthcare

their

planning the first

linear regression models

providers

occurrences.

follow-up visit; (e)

were used for individual and

and service levels

implementation of

organizational

(12,13,15). Also, FHSSs

the first

characteristics. Since a single must have

follow-up visit; (f)

individual

a greater impact on

planning a second

could have more than 1

recovery. To achieve this, it

follow-up visit; (g)

episode of care (24), the

is important

implementation of

models

to guide the FHSS teams

the second follow-up

were adjusted using a

and those service users

visit.

generalized estimating

with

Sequential analysis

equation

CMD towards chronic

of these stages

approach (GEE) to take into

disease management

established delays

account data correlations

methods.

for each one and

(25). To ensure the validity

The uniqueness of this

helped identify when

of multivariate logistic

study rests upon new data

breaks occurred

regression

obtained

in the continuum of

models, a rule

on the quality of FHSSs

care. Logistic and

recommending a minimum

offered to individuals

linear regression

of

with CMDs in Inuit

analysis determined

10 occurrences per

Nunangat. It provides a

whether clinical,

independent variable was

method that

individual or

applied (26).

can also be reproduced in

organizational

In addition, only variables in

similar isolated settings,

characteristics

the bivariate analysis with

where

influenced the

p-values less than 50.25

human and financial

breaks and delays

were retained in the

resources are limited. It

multivariate

helps us

regression models. Analyses

better target courses of

were performed using SPSS

action and improve them.

22 software and results are

Furthermore,

considered significant at

observing continuums of

50.05.

care over time could be

used to monitor changes
made to the healthcare
services.