دورية أكاديمية
Overcoming barriers to implementation: mapping implementation strategies in four hospital in home programs within the Veterans Health Administration.
| العنوان: | Overcoming barriers to implementation: mapping implementation strategies in four hospital in home programs within the Veterans Health Administration. |
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| المؤلفون: | Levine AA; Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA., Shin MH; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, West Roxbury, Massachusetts, USA., Adjognon OL; Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA.; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, West Roxbury, Massachusetts, USA., Engle RL; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, West Roxbury, Massachusetts, USA., Sullivan JL; COIN LTSS, Center of Innovation in Long-Term Services and Supports for Vulnerable Veterans, Providence, Rhode Island, USA.; Department of Health Services, Policy, and Practice, Brown University School of Public Health, West Roxbury, Massachusetts, USA. |
| المصدر: | Home health care services quarterly [Home Health Care Serv Q] 2024 Jul-Sep; Vol. 43 (3), pp. 173-190. Date of Electronic Publication: 2024 Jan 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Routledge Country of Publication: England NLM ID: 8000128 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-0856 (Electronic) Linking ISSN: 01621424 NLM ISO Abbreviation: Home Health Care Serv Q Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2009- : London : Routledge Original Publication: [New York] Haworth Press. |
| مواضيع طبية MeSH: | United States Department of Veterans Affairs*/organization & administration, Humans ; United States ; Qualitative Research ; Male ; Female ; Home Care Services, Hospital-Based/organization & administration ; Middle Aged ; Aged ; Interviews as Topic/methods ; Adult ; Home Care Services/standards ; Home Care Services/trends |
| مستخلص: | The Hospital at Home model, called Hospital-in-Home (HIH) in the Department of Veterans Affairs, delivers coordinated, high-value care aligned with older adult and caregiver preferences. Documenting implementation barriers and corresponding strategies to overcome them can address challenges to widespread adoption. To evaluate HIH implementation barriers and identify strategies to address them, we conducted interviews with 8 HIH staff at 4 hospitals between 2010 and 2013. We utilized qualitative directed content analysis guided by the Consolidated Framework for Implementation Research (CFIR) and mapped identified barriers to possible strategies using the CFIR-Expert Recommendations for Implementing Change (ERIC) Matching Tool. We identified 11 barriers spanning 5 CFIR domains. Three implementation strategies - identifying and preparing champions, conducting educational meetings, and capturing and sharing local knowledge - achieved high expert endorsement for each barrier. A mix of strategies targeting resources, organizational readiness and fit, and leadership engagement should be considered to support the sustainability and spread of HIH. |
| فهرسة مساهمة: | Keywords: Hospital at home; Veterans; implementation science; implementation strategies |
| تواريخ الأحداث: | Date Created: 20240104 Date Completed: 20240621 Latest Revision: 20240621 |
| رمز التحديث: | 20240621 |
| DOI: | 10.1080/01621424.2023.2301413 |
| PMID: | 38174378 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1545-0856 |
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| DOI: | 10.1080/01621424.2023.2301413 |