The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty.
Purpose: The purpose of this paper is to discuss three potential contributions from implementation science that can help clinicians and researchers to design and evaluate more effective integrated care programmes for older people with frailty. Design/methodology/approach: This viewpoint paper focuse...
| Publicado en: | Journal of Integrated Care Vol. 27; no. 3; pp. 232 - 241 |
|---|---|
| Autores principales: | , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Emerald Publishing Limited
2019
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137645676&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137645676 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14769018 FWI jtl: Journal of Integrated Care issn: 14769018 maglogo: N pubinfo: dt: 2019 vid: 27 iid: 3 pid: 465 pub: Emerald Publishing Limited artinfo: ui: 137645676 137645676 137645676 10.1108/JICA-07-2018-0048 137645676 ppf: 232 ppct: 9 formats: tig: atl: The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty. aug: au: Sadler, Euan Sandall, Jane Sevdalis, Nick Wilson, Dan affil: King's Improvement Science and Centre for Implementation Science, Health Service & Population Research Department, King's College London, London, UK sug: subj: Implementation Science Health Care Delivery, Integrated Evaluation Frailty Syndrome In Old Age Aged Stakeholder Participation Program Implementation Treatment Outcomes Aged: 65+ years ab: Purpose: The purpose of this paper is to discuss three potential contributions from implementation science that can help clinicians and researchers to design and evaluate more effective integrated care programmes for older people with frailty. Design/methodology/approach: This viewpoint paper focuses on three contributions: stakeholder engagement, using implementation science frameworks, and assessment of implementation strategies and outcomes. Findings: Stakeholder engagement enhances the acceptability of interventions to recipients and providers and improves reach and sustainability. Implementation science frameworks assess provider, recipient and wider context factors enabling and hindering implementation, and guide selection and tailoring of appropriate implementation strategies. The assessment of implementation strategies and outcomes enables the evaluation of the effectiveness and implementation of integrated care programmes for this population. Research limitations/implications: Implementation science provides a systematic way to think about why integrated care programmes for older people with frailty are not implemented successfully. The field has an evidence base, including how to tailor implementation science strategies to the local setting, and assess implementation outcomes to provide clinicians and researchers with an understanding of how their programme is working. The authors draw out implications for policy, practice and future research. Originality/value: Different models to deliver integrated care to support older people with frailty exist, but it is not known which is most effective, for which individuals and in which clinical or psychosocial circumstances. Implementation science can play a valuable role in designing and evaluating more effective integrated care programmes for this population. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|