title: [Implementation of functional autonomy measurement system: barriers and facilitators in PISE-Dordogne project].
abstract: OBJECTIVE
  The objectives of the study were to identify the adjustments made during the implantation and the conditions favouring or limiting the SMAF utilisation.
  
  
  METHODS
  A multiqualitative quote was developed. The Functional autonomy measurement system (SMAF) was implanted in 11 French medico-social establishments. Analyses were made with the mixed type thematic method from Miles and Huberman.
  
  
  RESULTS
  Principal adjustments that have been made during implantation concern the informatics assistance and clinical support. Strategic, organizational and individual factors explained adhesion level of actors and the subsequent flow of implantation.
  
  
  CONCLUSIONS
  Establishment of SMAF and of the software eSMAF® in the medico-social establishments rests on a certain number of conditions which could be identified during the study. These conditions made it possible to work out structured recommendations for future implementations.
authors.affiliation: Centre de recherche sur le vieillissement, Centre de santé et des services sociaux, Institut universitaire de gériatrie, Sherbrooke (CSSS-IUGS), Québec.
authors.forename: Pauline
authors.initials: P
authors.lastname: Gervais
authors.forename: Réjean
authors.initials: R
authors.lastname: Hébert
authors.forename: Julie
authors.initials: J
authors.lastname: Lamontagne
authors.forename: Michel
authors.initials: M
authors.lastname: Tousignant
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D004282:Documentation / Q000379:methods; D005260:Female; D005544:Forecasting; D015577:Geriatric Assessment; D006284:Health Plan Implementation / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011792:Quebec; D012984:Software