Phuc Dang, Ph.D. Student, University of Victoria Madelyn P. Law, Ph.D., Brock University Laura Cousens, Ph.D., Brock University Miya Narushima, Ph.D., Brock University Using Network Analysis to Understand and Advance Falls Prevention Referral Pathways
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Using Network Analysis to Understand and Advance Falls Prevention Referral Pathways
Using Network Analysis to Understand and Advance Falls Prevention Referral Pathways. Phuc Dang, Ph.D. Student, University of Victoria Madelyn P. Law, Ph.D., Brock University Laura Cousens , Ph.D., Brock University Miya Narushima , Ph.D., Brock University. Background. - PowerPoint PPT Presentation
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Ph uc Dang , Ph .D. S tuden t , Un i ve rs i t y o f V i c to r i aMade l yn P. Law, Ph .D. , B r ock Un ive r s i t yLaur a Cousens , Ph .D. , Br ock Un ive r s i t yMiya Nar ush ima , Ph .D. , Br ock Un ive r s i t y
Using Network Analysis to Understand and Advance Falls Prevention Referral Pathways
Background
Falls result in negative health outcomes and have major health care cost implicationso [Public Health Agency of Canada (PHAC), 2006]
1 in 3 older adults in Canada will experience at least one fall annuallyo (Scott, Peck, & Kendall, 2004; Tinetti & Speechley, 1989)
Falls are the leading cause of hospitalization among seniors in Canadao (PHAC, 2006)
In 2004, falls accounted for $6.2 billion or 31% of Canada’s overall injury costo (SMARTRISK, 2009)
Falls Prevention Landscape
International
Prevention of Falls
Network Europe –
Network of Various
Stakeholders
National
Canadian Falls
Prevention Curriculum
Falls Prevention Initiative
Provincial
Falls and Fall Injuries
Best Practice
Guideline (RNAO)
Integrated Provincial
Falls Prevention
Project (LHIN)
Niagara Region
43 Agencies (e.g., CCAC, Rehabilitation, Physical
Activity, Support Services)
Rationale
Fall Prevention Network of Niagara (FPNN) identified referral pathways between agencies as a core area to explore and make improvements
FPNN partnered with Brock University and Health Nexus to develop a network survey and network maps
Review of Literature
Foundational Research in Network
Analysis
Social networks (Valente, 2010; Scott,
1998; Borgatti, Mehra, Brass, & Labianca,
2009)Graph theory (Valente,
2010)Anthropology (Valente,
2010)
Organizational Sciences Research
Collaboration (Powell et al., 1996; Barley, Freeman, & Hybels,
Research Framingo Community-based participatory research (CBPR)
could have been applied
Implications
Practice implicationso Marketing strategies to educate office staff on
programs available
o Develop a standardized referral form
o Develop an electronic database of falls prevention programs
o Utilize electronic system in primary care
o Create opportunities for face-to-face meetings
Implications – Client Feedback Loop
Future Directions
Interventional Studyo Develop electronic standardized referral form
and test its effectiveness
Theoretical Studyo Understand the role of primary care in ensuring
effective falls prevention referrals
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