Ensuring the Success of Interprofessional Teams: Key Lessons Learned in Memory Clinics
Abstract
RÉSUMÉ: Cliniques de mémoire en soins de santé primaires suscitent un intérêt croissant, car elles offrent la possibilité d’améliorer le diagnostic et le traitement de la démence. En Ontario, plus de 30 établissements de soins primaires ont participé à un programme de formation visant à aider les participants à établir une clinique de mémoire indépendante dans leur milieu de pratique. Cet article présente les principales leçons acquises dans la mise en oeuvre de ces cliniques sur la base d’une étude qui a utilisé une méthodologie d’entrevue avec les membres des équipes de cliniques de mémoire et a identifié les facteurs favorables, les défis et les recommandations pour la soutenabilité. L’accès à la formation qui facilite le transfert des connaissances et soutient les changements dans la pratique, la collaboration interprofessionnelle, et le soutien de l’infrastructure en cours était d’une importance capitale. Des suggestions pour la mise en place de cliniques et de renforcement des capacités continues ont été identifiés. Les leçons apprises sont applicables à la mise en oeuvre d’autres modèles de prise en charge des maladies chroniques dont le but est la gestion des soins de santé primaires de maladies chroniques complexes.
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At the team level, a committed team champion to galvanize interest and take on a leadership role was critical to both sustaining and scaling.
“At the team level, a committed team champion to galvanize interest and take on a leadership role was critical to both sustaining and scaling, a finding reported by others [26, 41, 42].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [42]
A key intervention-based factor was access to well-developed clinic processes and tools.
“A key intervention-based factor was access to well-developed clinic processes and tools, which aligns with earlier recommendations of making the innovation easy to scale [41] and having a model provided [42].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [42]
Cites
Lincoln, Y. S., Guba, E. G., & Pilotta, J. J. (1985) · International Journal of Intercultural Relations · doi:10.1016/0147-1767(85)90062-8 · Cited by 45,787 · see citing works
Davis, D., O'Brien, M. A. T., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999) · JAMA · doi:10.1001/jama.282.9.867 · Cited by 2,364 · see citing works
Krueger, R. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-189 · Cited by 1,520 · see citing works
Health Promotion Planning: An Educational and Environmental Approach
Green, L. W., & Kreuter, M. W. (1991) · Cited by 1,286 · see citing works
Evidence for the effectiveness of CME. A review of 50 randomized controlled trials
Davis, D. A. (1992) · JAMA · doi:10.1001/jama.268.9.1111 · Cited by 1,065 · see citing works
Missed and Delayed Diagnosis of Dementia in Primary Care: Prevalence and Contributing Factors
Bradford, A., Kunik, M. E., Schulz, P., Williams, S. P., & Singh, H. (2009) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e3181a6bebc · Cited by 969 · see citing works
The determinants of successful collaboration: A review of theoretical and empirical studies
San Martín-Rodríguez, L., Beaulieu, M.-D., D'Amour, D., & Ferrada-Videla, M. (2005) · Journal of Interprofessional Care · doi:10.1080/13561820500082677 · Cited by 815 · see citing works
Xyrichis, A., & Lowton, K. (2008) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2007.01.015 · Cited by 556 · see citing works
Documentation and Evaluation of Cognitive Impairment in Elderly Primary Care Patients
Callahan, C. M., Hendrie, H. C., & Tierney, W. M. (1995) · Annals of Internal Medicine · doi:10.7326/0003-4819-122-6-199503150-00004 · Cited by 521 · see citing works
Diagnosis and treatment of dementia: 2. Diagnosis
Feldman, H., Jacova, C., Robillard, A., Garcia, A. A., Chow, T. W., BORRIE, M. J., Schipper, H. M., Blair, M., Kertesz, A., & Chertkow, H. M. (2008) · Canadian Medical Association Journal · doi:10.1503/cmaj.070798 · Cited by 350 · see citing works
Team working and effectiveness in health care
Borrill, C. S., West, M. A., Shapiro, D., & Rees, A. (2000) · British Journal of Healthcare Management · doi:10.12968/bjhc.2000.6.8.19300 · Cited by 308 · see citing works
the EVIDEM-ED project, Koch, T., & Iliffe, S. (2010) · BMC Family Practice · doi:10.1186/1471-2296-11-52 · Cited by 275 · cited 2× · see citing works
“A systematic review of barriers to dementia diagnosis in primary care identifi ed challenges at three levels: patient or societal factors, physician factors, and system factors (Koch & Iliffe, 2010 ).”
BackgroundColeman, E. A., Grothaus, L. C., Sandhu, N., & Wagner, E. H. (1999) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1999.tb03832.x · Cited by 221 · see citing works
The doctor dilemma in interprofessional education and care: how and why will physicians collaborate?
Whitehead, C. R. (2007) · Medical Education · doi:10.1111/j.1365-2923.2007.02893.x · Cited by 153 · see citing works
Enhancing Dementia Care: A Primary Care–Based Memory Clinic
Lee, L. S., Hillier, L. M., Stolee, P., Heckman, G. A., Gagnon, M., McAiney, C. A., & Harvey, D. W. (2010) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2010.03130.x · Cited by 146 · see citing works
Self-citationImproving access to dementia care: Development and evaluation of a rural and remote memory clinic
Morgan, D., Crossley, M., Kirk, A., D’Arcy, C., Stewart, N. J., Biem, J., Forbes, D. A., Harder, S. L., Basran, J., Bello-Haas, V. P. M. D., et al. (2009) · Aging & Mental Health · doi:10.1080/13607860802154432 · Cited by 143 · see citing works
Lingard, L. A., Vanstone, M. G., Durrant, M., Fleming‐Carroll, B., Lowe, M., Rashotte, J., Sinclair, L. B., & Tallett, S. E. (2012) · Academic Medicine · doi:10.1097/acm.0b013e318271fc82 · Cited by 141 · see citing works
Geriatric Education in the Health Professions: Are We Making Progress?
Bardach, S. H., & Rowles, G. D. (2012) · The Gerontologist · doi:10.1093/geront/gns006 · Cited by 140 · see citing works
Barrett, J. J., Haley, W. E., Harrell, L. E., & Powers, R. E. (1997) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-199706000-00006 · Cited by 124 · see citing works
Whole mind and shared mind in clinical decision-making
Epstein, R. M. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.06.035 · Cited by 104 · see citing works
Patient-Centered Medical Homes in Ontario
Rosser, W., Colwill, J. M., Kasperski, J., & Wilson, L. (2010) · New England Journal of Medicine · doi:10.1056/nejmp0911519 · Cited by 78 · see citing works
Beyond Transfer of Training: Engaging Systems to Improve Performance
Broad, M. L. (1984) · Cited by 77 · see citing works
The Roles of Senior Management in Quality Improvement Efforts: What Are the Key Components?
Bradley, E. H., Holmboe, E. S., Mattera, J. A., Roumanis, S. A., Radford, M. J., & Krumholz, H. M. (2003) · Journal of Healthcare Management · doi:10.1097/00115514-200301000-00005 · Cited by 76 · see citing works
Jolley, D. J., Benbow, S., & Grizzell, M. (2006) · Postgraduate Medical Journal · doi:10.1136/pgmj.2005.040592 · Cited by 71 · see citing works
Chronic disease management: a primer for physicians
Scott, I. A. (2008) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2007.01524.x · Cited by 70 · see citing works
The Memory Clinic: A New Approach to the Detection of Dementia
van der Cammen, T. J. M., Simpson, J. M., Fraser, R., Preker, A. S., & Exton‐Smith, A. N. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.3.359 · Cited by 61 · see citing works
Patients’ and health professionals’ perceptions of teamwork in primary care
Pullon, S. R. H., McKinlay, E. M., Stubbe, M. H., Todd, L., & Badenhorst, C. (2011) · Journal of Primary Health Care · doi:10.1071/hc11128 · Cited by 56 · see citing works
Lee, L. S., Weston, W. W., & Hillier, L. M. (2013) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.21163 · Cited by 53 · see citing works
Self-citationHollander, M. J., & Prince, M. J. (2013) · Healthcare Quarterly · doi:10.12927/hcq.2013.19497 · Cited by 49 · see citing works
The effect of continuing professional education on health care outcomes: lessons for dementia care
Rampatige, R., Dunt, D. R., Doyle, C., Day, S., & Dort, P. V. (2009) · International Psychogeriatrics · doi:10.1017/s1041610209008746 · Cited by 34 · see citing works
Positive thinking on dementia in primary care: Gnosall Memory Clinic.
Greening, L., Greaves, I., Greaves, N., & Jolley, D. J. (2009) · PubMed · Cited by 30 · see citing works
Damery, S. L., Clifford, S., & Wilson, S. (2010) · BMC Family Practice · doi:10.1186/1471-2296-11-20 · Cited by 26 · see citing works
Chronic Disease Prevention and Management: Implications for Health Human Resources in 2020
Orchard, M. C., Green, E., Sullivan, T. J., Greenberg, A., & Mai, V. (2013) · Healthcare Quarterly · doi:10.12927/hcq.2013.19496 · Cited by 17 · see citing works
Chronic disease management and the home-care alternative in Ontario, Canada
Tsasis, P. (2009) · Health Services Management Research · doi:10.1258/hsmr.2009.009002 · Cited by 14 · see citing works
Care for chronic conditions for indigenous Australians: Key informants’ perspectives on policy
Baeza, J. I., Bailie, R. S., & Lewis, J. M. (2009) · Health Policy · doi:10.1016/j.healthpol.2009.03.012 · Cited by 11 · see citing works
Old News: Why the 90‐Year Crisis in Medical Elder Care?
Diachun, L. L., Charise, A., & Lingard, L. A. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2012.04029.x · Cited by 7 · see citing works
Fillit, H. M. (2007) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2007.09.003 · Cited by 5 · see citing works
Barriers to Care in Chronic Disease: How to Bridge the Treatment Gap
Shahady, E. J. (2006) · The consultant · Cited by 4 · see citing works
Maximizing available time. Family doctors' challenges with dementia.
Nazerali, N. (2006) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Mulvale, G., Embrett, M., & Razavi, S. D. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0492-1 · Cited by 253 · see citing works
“with different chronic diseases [11–13].”
Lourida, I., Abbott, R. A., Rogers, M., Lang, I. A., Stein, K., Kent, B., & Thompson Coon, J. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0528-y · Cited by 100 · see citing works
Primary Care–Based Memory Clinics: Expanding Capacity for Dementia Care
Lee, L. S., Hillier, L. M., Heckman, G. A., Gagnon, M., BORRIE, M. J., Stolee, P., & Harvey, D. W. (2014) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980814000233 · Cited by 70 · see citing works
Self-citationStrategies to improve dental health in elderly patients with cognitive impairment
Rozas, N. S., Sadowsky, J. M., & Jeter, C. B. (2017) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2016.12.022 · Cited by 55 · see citing works
Implementing post diagnostic dementia care in primary care: a mixed-methods systematic review
Frost, R., Rait, G., Aw, S., Brunskill, G., Wilcock, J., Robinson, L., Knapp, M., Hogan, N., Harrison Dening, K., Allan, L., et al. (2021) · Aging & Mental Health · doi:10.1080/13607863.2020.1818182 · Cited by 39 · see citing works
Phillipson, L., Goodenough, B., Reis, S. L., & Fleming, R. (2016) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000028 · Cited by 38 · see citing works
Driving and dementia: Efficient approach to driving safety concerns in family practice.
Lee, L. S., & Molnar, F. (2017) · PubMed Central · Cited by 28 · see citing works
Self-citationMorgan, D., Kosteniuk, J., O’Connell, M. E., Seitz, D., Elliot, V., Bayly, M., Chow, A. F., & Cameron, C. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07550-0 · Cited by 20 · see citing works
Lee, L. S., Hillier, L. M., Lu, S. K., Martin, S. D., Pritchard, S. J., Janzen, J. A., & Slonim, K. (2019) · Neurodegenerative Disease Management · doi:10.2217/nmt-2018-0031 · Cited by 22 · see citing works
Self-citationLee, L. S., Molnar, F., Hillier, L. M., Patel, T., & Slonim, K. (2021) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980821000052 · Cited by 23 · see citing works
Self-citationA Decade of Dementia Care Training: Learning Needs of Primary Care Clinicians
Lee, L. S., Hillier, L. M., Patel, T., & Weston, W. W. (2020) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000288 · Cited by 20 · see citing works
Self-citationLee, L. S., Hillier, L. M., & Weston, W. W. (2017) · Gerontology & Geriatrics Education · doi:10.1080/02701960.2017.1373350 · Cited by 23 · see citing works
Self-citationChow, A. F., Morgan, D., Bayly, M., Kosteniuk, J., & Elliot, V. (2019) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980818000727 · Cited by 17 · see citing works
Lee, L. S., Hillier, L. M., & Gregg, S. (2019) · Health & Social Care in the Community · doi:10.1111/hsc.12829 · Cited by 15 · see citing works
Self-citationFamily physicians’ Perspectives On Memory Clinics in Primary Care
Lee, L. S., & Hillier, L. M. (2016) · Neurodegenerative Disease Management · doi:10.2217/nmt-2016-0031 · Cited by 12 · see citing works
Self-citationLee, L. S., Hillier, L. M., Lumley‐Leger, K., Molnar, F., Netwon, D., Stirling, L., & Milne, K. (2019) · Healthcare policy · doi:10.12927/hcpol.2019.25938 · Cited by 11 · see citing works
Self-citationLessons Learned in the Implementation of HealtheSteps: An Evidence-Based Healthy Lifestyle Program
Simmavong, P. K., Hillier, L. M., & Petrella, R. J. (2018) · Health Promotion Practice · doi:10.1177/1524839918759946 · Cited by 6 · see citing works
Self-citationThe Integrated Care Team: A Practice Model in Child and Family Services
Kelly, L. M., & Knowles, J. M. (2015) · Journal of Family Social Work · doi:10.1080/10522158.2015.1101728 · Cited by 5 · see citing works
Lee, L. S., Hillier, L. M., Lumley‐Leger, K., Molnar, F., Kay, K. A., Netwon, D., Stirling, L., & Milne, K. (2019) · World health & population · doi:10.12927/whp.2019.26057 · Cited by 5 · see citing works
Self-citationMiyagishima, R. (2016) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3g15th03 · Cited by 3 · see citing works
Luo, Y., Guan, X., Xiong, Q., & Wang, H. (2025) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2025.101561 · Cited by 2 · see citing works
Pun, J., Yu, Q. J., & Lee, M. K. C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.943840 · Cited by 2 · see citing works
O3‐10‐06: Dissemination and Implementation in Dementia Care: A Mixed‐Methods Systematic Review
Lourida, I., Abbott, R. A., Lang, I., Rogers, M., Kent, B., & Coon, J. T. (2016) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2016.06.566 · Cited by 1 · see citing works
Miyagishima, R., Drummond, N., Carroll, L., Hopper, T. L., Garies, S., & Williamson, T. S. (2020) · PubMed Central · Cited by 1 · see citing works
Lee, L. S., & Molnar, F. (2017) · Europe PMC (PubMed Central)
Self-citationPuspitasari, D. R., Astridivia, M., Sahida, K., & Handayani, D. S. (2016) · ASEAN/Asian Academic Society International Conference (AASIC) Proceeding Series (Indonesian Student Association in Thailand (Permitha))
Wong, G. H. Y., Ma, B. H., Lee, M. N. Y., & Dai, D. (2024) · Cambridge University Press eBooks · doi:10.1017/9781108989336.003
- Authors
- Lee, L., Hillier, L. M., & Weston, W. W.
- Affiliations
- Centre for Family Medicine (CA)
- Lawson Health Research Institute (CA)
- Western University (CA)
- Corresponding author
- Lee, Linda
- Venue
- Canadian Journal on Aging / La Revue canadienne du vieillissement
- Publisher
- Cambridge University Press (CUP)
- Published
- 2013-12-17
- Volume
- 33
- Issue
- 1
- Pages
- 49-59
- ISSN
- 0714-9808 (ISSN-L)
- 1710-1107
- OpenAlex
- W2159846592
- Cited by
- 27
- References
- 39
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 5 · 2018: 1 · 2017: 5 · 2016: 6 · 2015: 1 · 2014: 1
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal on Aging / La Revue canadienne du vieillissement (publishedVersion)
- PubMed (publishedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Funders
- Canadian Institutes of Health Research (212207)
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- memory clinics, multidisciplinary team, dementia care, primary care, interprofessional collaboration, knowledge transfer, practice change, continuing professional development, chronic disease management, Ontario
- MeSH terms
- Aged, 80 and over, Aging, Ambulatory Care, Dementia, Humans, Ontario, Patient Care Team, Primary Health Care, Surveys and Questionnaires, Interdisciplinary Communication
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