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Integration of Chronic Disease Rehabilitation Services Into Primary Care

Martin Fortin · 2011
ClinicalTrials.gov · Datasets · License: Public Domain · 2011
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asthmacardiovascular-diseasechronic-diseaseschronic-obstructive-pulmonary-diseasediabetesheart-failurenaprimary-care
The aim of PR1MaC is to establish a clinical intervention that will adapt and permanently integrate rehabilitation services into primary care settings, which would be the reference point in the health care system for people with Chronic diseases (CD). More specifically, the intervention will aim to: (1) clinically operationalize the mechanisms and tools necessary for delivery of integrated CD services, promoting continuity of care in response to the needs expressed by stakeholders; (2) implement and deploy rehabilitation services adapted to the realities of various clinical primary care settings and develop tools to ensure the sustainability of interventions beyond the rehabilitation period; and (3) support clinical primary care teams in the acquisition and maintenance of evidence-based practices for the targeted CDs.
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