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Perceptions of Barriers and Facilitators to a Pilot Implementation of an Algorithm-Supported Care Navigation Model of Care: A Qualitative Study.
- Source :
- Healthcare (2227-9032); Dec2023, Vol. 11 Issue 23, p3011, 17p
- Publication Year :
- 2023
-
Abstract
- We aimed to explore managerial and project staff perceptions of the pilot implementation of an algorithm-supported care navigation model, targeting people at risk of hospital readmission. The pilot was implemented from May to November 2017 at a Victorian health service (Australia) and provided to sixty-five patients discharged from the hospital to the community. All managers and the single clinician involved participated in a semi-structured interview. Participants (n = 6) were asked about their perceptions of the service design and the enablers and barriers to implementation. Interviews were transcribed verbatim and analysed according to a framework approach, using inductive and deductive techniques. Constructed themes included the following: an algorithm alone is not enough, the health service culture, leadership, resources and the perceived patient experience. Participants felt that having an algorithm to target those considered most likely to benefit was helpful but not enough on its own without addressing other contextual factors, such as the health service's capacity to support a large-scale implementation. Deductively mapping themes to the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework highlighted that a formal facilitation would be essential for future sustainable implementations. The systematic identification of barriers and enablers elicited critical information for broader implementations of algorithm-supported models of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH facility employees
MEDICAL quality control
HEALTH facilities
MATHEMATICAL models
RESEARCH methodology
PATIENT readmissions
PATIENT-centered care
INTERVIEWING
HEALTH outcome assessment
HUMAN services programs
RISK assessment
QUALITATIVE research
CONCEPTUAL structures
MEDICAL care research
PSYCHOSOCIAL factors
THEORY
QUALITY assurance
PATIENT care
DATA analysis software
ALGORITHMS
DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 11
- Issue :
- 23
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 174113235
- Full Text :
- https://doi.org/10.3390/healthcare11233011