The Use of Implementation Science to Foster Innovative Collaborations in Seniors Care...22nd International Conference on Integrated Care, May 23-25, 2022, Odense, Denmark.

Introduction: The City of Toronto (Canada) is a diverse city of over 2.7 million residents, of which approximately 15% are seniors. There are several indicators that seniors are at risk for poor health, which can be exacerbated by factors such as income, housing, gender and language; increasing thei...

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Published in:International Journal of Integrated Care (IJIC) Vol. 22; pp. 1 - 2
Main Authors: Hitzig, Sander, Sheppard, Christine, Kokorelias, Kristina
Format: abstract proceedings Journal Article
Published: Ubiquity Press 2022 Special Issue
Online Access:View this record in EBSCOhost
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        atl: The Use of Implementation Science to Foster Innovative Collaborations in Seniors Care...22nd International Conference on Integrated Care, May 23-25, 2022, Odense, Denmark.
      aug:
        au:
          Hitzig, Sander
          Sheppard, Christine
          Kokorelias, Kristina
        affil: Sunnybrook Research Institute, St. John's Rehab Research Program, Canada
      sug:
        subj:
          Implementation Science Utilization
          Diffusion of Innovation
          Collaboration
          Health Care Delivery, Integrated
          Conceptual Framework
          Congresses and Conferences Denmark
          Denmark
      ab: Introduction: The City of Toronto (Canada) is a diverse city of over 2.7 million residents, of which approximately 15% are seniors. There are several indicators that seniors are at risk for poor health, which can be exacerbated by factors such as income, housing, gender and language; increasing their risk of social isolation, and resulting in poor quality of life. Along the continuum of care, there have been increased efforts to develop new integrated models of care for seniors, which are complex to develop and implement since they often require providers to work across silos and sectors. Objectives: To illustrate how implementation science can serve as a useful framework to bring stakeholders together to collaborate to design, implement and evaluate new models of care for seniors. Specifically, the Consolidated Framework for Implementation Research (CFIR), which is an implementation science framework that highlights barriers and facilitators to implementation of complex interventions, was adopted by our team to ensure that the perspectives of all relevant stakeholders were accounted for in the design and evaluation of two new interventions to meet the health and social care needs of seniors. Key Findings: Within the context of two programs for seniors, including the development of an integrated seniors housing model and patient navigation, the CFIR was used to: 1) identify and engage stakeholders (patients/clients, family members, providers and policy-makers); 2) direct what evidence needed to be generated to support decision-making and planning on how to design these interventions (qualitative interviews, literature reviews, consensus-building activities); 3) guide the refinement of these program during implementation, and; 4) identify meaningful metrics to showcase program effectiveness. Consequently, the implementation approach led to the successful adoption of both programs by facilitating the uptake of the generated evidence at both the practice and policy levels. Conclusions: The health and social care needs of seniors are complex, and requires innovative approaches to foster greater collaborations across silos and sectors. An implementation science approach can be highly effective in building successful collaborations by fostering trust across stakeholder groups, which can focus efforts on finding solutions to barriers to implementation. Implications for applicability/transferability: The use of the CFIR has been successfully applied to support the development of several senior-related complex interventions, and can be adapted by other groups seeking to use an implementation science approach to generate their own novel solutions to meeting the health and social care needs of seniors.
      pubtype: Academic Journal
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        abstract
        proceedings
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      ougenre: Article
    language: English
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