Table 1
Incentives and barriers of the implementation of the RAI Instruments first period.
| Incentives | Barriers | |
|---|---|---|
| National context | Comparative research programs | Overlapping clinical practices between stakeholders |
| Better quality of care and information provided | ||
| Target Population | LTCF residents and older community care clients with unmet needs | |
| Persons involved | Voluntary clinicians and researchers | Managers and decisions makers not involved |
| Impacts on providers | Better assessment of residents needs | Existence of internal assessment instrument |
| Participation of residents and caregivers | Fear of practice standardization | |
| Reinforcement of the multidisciplinary care team | Issues with work organization | |
| Improvement of gerontology knowledge | Lack of connection between research and the clinics | |
| RAI characteristics | Quality of data | Time required for assessment using all 280 items |
| Unique assessment with series of applications | ||
| Training | 4-days training | No electronic version of the RAI during clinical studies |
| Leadership | InterRAI France organization | No clinical physicians involved in leadership |
| Participation of an academic public health physician in InterRAI consortium |
Table 2
Incentives and barriers of the implementation of the RAI Instruments second period.
| Incentives | Barriers | |
|---|---|---|
| National context | Integrated model of care with a national pilot | Low integration level |
| Step by step implementation | ||
| Target Population | Older people with complex health and social needs | |
| Persons involved | Voluntary community-based case managers | No other users |
| Impacts on providers | Improving the case management process with the care planning | Other stakeholders were using different tools |
| Legitimation of the role of CM | Lack of appropriation of other applications of the instruments | |
| RAI instrument characteristics | Standardized and homogenized data collection | |
| Training | 5 days training and local support | |
| Electronic version of the instruments | ||
| Leader ship | Mixed leadership of academic and clinical physicians |