| Préface |
| par Mark Poznansky, Ph.D., Président, Robarts Research Institute |
xi |
| par Ross Tsuyuki, M.D., B.Sc. (Pharm.), M.Sc., Pharm. D., Directeur – The Epidemiology Coordinating and Research Centre (EPICORE) |
xv |
 |
| Remerciements |
xix |
|
| Introduction |
1 |
|
| Partie 1 : The Theory |
| Chapitre 1 : |
How We Got to Where We Are |
11 |
| Chapitre 2 : |
Defining Quality of Care |
25 |
| Chapitre 3 : |
The Care Gap and Its Causes |
35 |
| Chapitre 4 : |
The Prescribing Gap |
43 |
| Chapitre 5 : |
The Compliance, Concordance and Adherence Gaps: Challenges and Opportunities |
51 |
| Chapitre 6 : |
Access, Health and the Economy: Can We Afford Access Gaps? |
67 |
| Chapitre 7 : |
The Care Gap Gorilla: Bigger Gaps for Older Patients |
81 |
|
| Partie 2 : The Practice—Patient Health Management (PHM) |
| Chapitre 8 : |
Background and Rationale of Patient Health Management |
97 |
| Chapitre 9 : |
Learning Experiences: The Epidemiology Coordinating and Research Centre (EPICORE), the Heart Function Clinic and the Clinical Quality Improvement Network (CQIN) |
111 |
| Chapitre 10 : |
A Pivotal Experience: Improving Cardiovascular Outcomes in Nova Scotia |
143 |
| Chapitre 11 : |
Other Experiences in Patient Health Management |
165 |
|
| Partie 3 : What Have We Learned So Far? |
| Chapitre 12 : |
What Works: The Action Plan |
189 |
| Chapitre 13 : |
What Doesn't Work |
197 |
|
| Partie 4 : Vision for the Future |
| Chapitre 14 : |
Statement of Institutional Ethics |
203 |
| Chapitre 15 : |
Skate to Where the Puck Will Be: Wayne Gretzky's Strategic Plan |
213 |
|
| Annexes |
| Annexe A : |
Statement of Institutional Ethics |
221 |
| Annexe B : |
Management Guideline Template, Heart Function Clinic, circa 1994 |
224 |
| Annexe C : |
CQIN Mission, Goals and Objectives |
224 |
| Annexe D : |
Representative CQIN Partnership/Governance Structure |
225 |
| Annexe E : |
Physician Order Sheet for Management of Patients with Heart Attack from a Representative CQIN Hospital, circa 1992–1996 |
227 |
| Annexe F : |
ICONS Members and Affiliations |
228 |
| Annexe G : |
ICONS Care Map: Management of Anticoagulation in Atrial Fibrillation |
230 |
| Annexe H : |
ICONS Care Map: Management of Heart Failure |
231 |
| Annexe I : |
ICONS Standardized Discharge Order Sheet |
234 |
| Annexe J : |
ICONS Provider Newsletter |
235 |
| Annexe K : |
ROCQ Project Outline |
236 |
| Annexe L : |
CURATA Treatment Algorithm for Osteoarthritis Patients |
237 |
| Annexe M : |
Examples of Diabetes Hamilton Newsletters |
238 |
|
| Bibliographie |
239 |
|
| Index |
247 |
