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5. 'I can’t really explain how important that was to be considered a human being': Outcomes and opportunities from a compassionate community approach that supports vulnerable persons

Author

Varacalli, Felicia, Pfaff, Kathryn A, Crawley, Jamie, Krohn, Heather, and Sattler, Deborah

Abstract

Background: Population health approaches that comprehensively address the needs of vulnerable persons are desperately needed internationally. The experience of vulnerability is complex, and often linked with low-income, chronic disease, and disability. Compassionate Communities (CC) is a theory of practice that can be universally applied to meet the needs of vulnerable persons. CC interventions emphasize the responsibility of society to care ‘with’ and ‘for’ its citizens as a public health issue. Citizens are purposefully mobilized in partnership with health and social care entities to achieve holistic care. Purpose: To understand the benefits of the CC intervention for vulnerable persons in Windsor, Ontario, as described by Windsor-Essex Compassionate Care Community (WECCC) stakeholders. Methods: An applied qualitative approach. Focus group and interview data were collected from clients, care coordinators, and students. We iteratively reviewed transcripts individually and as a team. Data were compared and reduced to generate themes/categories. Results: ‘A new set of eyes’ illuminated the true needs of people who are ‘invisible’ in the system. Program staff and volunteers ‘took the time to figure things out’. In many circumstances, the ‘little things’ had the biggest impact on client well-being and on the care system. This research relates to the “Building Viable, Healthy and Safe Communities” Grand Challenge by bringing awareness to how Windsor-Essex is currently supporting its vulnerable population. WECCC is improving the physical and mental health and safety of their clients through social interactions which allow clients to overcome obstacles that they are experiencing in their everyday lives.

Published
2020

7. Unpacking 'the cloud': a framework for implementing public health approaches to palliative care.

Author

Pfaff, Kathryn A, Dolovich, Lisa, Howard, Michelle, Sattler, Deborah, Zwarenstein, Merrick, and Marshall, Denise

Subjects
CHRONIC diseases, CONCEPTUAL structures, DEMENTIA, HEALTH promotion, MATHEMATICAL models, HEALTH outcome assessment, PALLIATIVE treatment, PUBLIC health, SELF-management (Psychology), EVIDENCE-based medicine, DECISION making in clinical medicine, COMPASSION, THEORY, PROFESSIONAL practice, POPULATION health, PATIENT-centered care, HEALTH & social status
Abstract

Designing and implementing population-based systems of care that address the social determinants of health, take action on multiple levels, and are guided by evidence-based principles is a pressing priority, and an international challenge. Aging persons are a priority demographic whose health needs span physical, psychosocial and existential care domains, increase in the last year of life, are often poorly coordinated and therefore remain unmet. Compassionate communities (CCs) are an example of a public health approach that fully addresses the holistic healthcare needs of those who are aging and nearing end of life. The sharing of resources, tools, and innovations among implementers of CCs is occurring globally. Although this can increase impact, it also generates complexity that can complicate robust evaluation. When initiating population health level projects, it is important to clearly define and organize concepts and processes that are proposed to influence the health outcomes. The Health Impact Change Model (HICM) was developed to unpack the complexities associated with the implementation and evaluation of a Canadian CC intervention. The HICM offers utility for citizens, leaders and decision-makers who are engaged in the implementation of population health level strategies or other social approaches to care, such as compassionate cities and age or dementia-friendly communities. The HICM's concepts can be adapted to address a community's healthcare context, needs, and goals for change. We share examples of how the model's major concepts have been applied in the development, evaluation and spread of a complex CC approach. [ABSTRACT FROM AUTHOR]

Published
2020
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9. Additional file 1: of Interventions for preventing, delaying the onset, or decreasing the burden of frailty: an overview of systematic reviews

Author

Wilson, Michael, FrançOis BÊland, Julien, Dominic, Gauvin, Lise, G. Guindon, Roy, Denis, Kaitryn Campbell, Comeau, Donna, Davidson, Heather, Raina, Parminder, Sattler, Deborah, and Vrkljan, Brenda

Subjects
3. Good health
Abstract

Literature search strategy. Search strategy used to identify literature for the overview of reviews. (DOCX 95.9 kb)

Published
2015
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10. Additional file 2: of Interventions for preventing, delaying the onset, or decreasing the burden of frailty: an overview of systematic reviews

Author

Wilson, Michael, FrançOis BÊland, Julien, Dominic, Gauvin, Lise, G. Guindon, Roy, Denis, Kaitryn Campbell, Comeau, Donna, Davidson, Heather, Raina, Parminder, Sattler, Deborah, and Vrkljan, Brenda

Abstract

Coding framework for conceptual mapping of systematic reviews. Categories to be used for the conceptual mapping phase of the overview of systematic reviews. (DOCX 19.6 kb)

Published
2015
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11. Interventions for preventing, delaying the onset, or decreasing the burden of frailty: an overview of systematic reviews

Author

Wilson, Michael G., primary, Béland, François, additional, Julien, Dominic, additional, Gauvin, Lise, additional, Guindon, G. Emmanuel, additional, Roy, Denis, additional, Campbell, Kaitryn, additional, Comeau, Donna G., additional, Davidson, Heather, additional, Raina, Parminder, additional, Sattler, Deborah, additional, and Vrkljan, Brenda, additional

Published
2015
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13. Additional file 1: of Interventions for preventing, delaying the onset, or decreasing the burden of frailty: an overview of systematic reviews

Author

Wilson, Michael, FrançOis BÊland, Julien, Dominic, Gauvin, Lise, G. Guindon, Roy, Denis, Kaitryn Campbell, Comeau, Donna, Davidson, Heather, Raina, Parminder, Sattler, Deborah, and Vrkljan, Brenda

Subjects
3. Good health
Abstract

Literature search strategy. Search strategy used to identify literature for the overview of reviews. (DOCX 95.9 kb)

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