Identification of Implementation Strategies Using the CFIR-ERIC Matching Tool to Mitigate Barriers in a Primary Care Model for Older Veterans.
Background and Objectives As the proportion of the U.S. population over 65 and living with complex chronic conditions grows, understanding how to strengthen the implementation of age-sensitive primary care models for older adults, such as the Veterans Health Administration's Geriatric Patient-Aligne...
| Publicado en: | Gerontologist Vol. 63; no. 3; pp. 439 - 451 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=162734678&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 162734678 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Apr2023 vid: 63 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 162734678 10.1093/geront/gnac157 ppf: 439 ppct: 12 formats: tig: atl: Identification of Implementation Strategies Using the CFIR-ERIC Matching Tool to Mitigate Barriers in a Primary Care Model for Older Veterans. aug: au: Shin, Marlena H Montano, Anna-Rae L Adjognon, Omonyêlé L Harvey, Kimberly L L Solimeo, Samantha L Sullivan, Jennifer L affil: Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System , Boston, Massachusetts , USA Center of Innovation in Long-Term Services and Supports, VA Providence Healthcare System , Providence, Rhode Island , USA School of Public Health, Brown University , Providence, Rhode Island , USA School of Public Health, Boston University , Boston, Massachusetts , USA VA Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Health Care System , Iowa City, Iowa , USA Department of General Internal Medicine, University of Iowa Carver College of Medicine , Iowa City, Iowa , USA su: United States Health services accessibility Human services programs Primary health care Information resources Communication Content analysis Veterans' hospitals Strategic planning Research methodology Surveys Conceptual structures Research funding sug: subj: Health services accessibility Human services programs Primary health care Information resources Communication Content analysis United States General (except paediatric) hospitals Veterans' hospitals Strategic planning Research methodology Surveys Conceptual structures Research funding keyword: Consolidated Framework for Implementation Research Expert Recommendations for Implementing Change Implementation science Patient-centered medical home Veterans Health Administration Consolidated Framework for Implementation Research Expert Recommendations for Implementing Change Implementation science Patient-centered medical home Veterans Health Administration ab: Background and Objectives As the proportion of the U.S. population over 65 and living with complex chronic conditions grows, understanding how to strengthen the implementation of age-sensitive primary care models for older adults, such as the Veterans Health Administration's Geriatric Patient-Aligned Care Teams (GeriPACT), is critical. However, little is known about which implementation strategies can best help to mitigate barriers to adopting these models. We aimed to identify barriers to GeriPACT implementation and strategies to address these barriers using the Consolidated Framework for Implementation Research–Expert Recommendations for Implementing Change (CFIR-ERIC) Matching Tool. Research Design and Methods We conducted a content analysis of qualitative responses obtained from a web-based survey sent to GeriPACT members. Using a matrix approach, we grouped similar responses into key barrier categories. After mapping barriers to CFIR, we used the Tool to identify recommended strategies. Results Across 53 Veterans Health Administration hospitals, 32% of team members (n = 197) responded to our open-ended question about barriers to GeriPACT care. Barriers identified include Available Resources, Networks & Communication, Design Quality & Packaging, Knowledge & Beliefs, Leadership Engagement, and Relative Priority. The Tool recommended 12 Level 1 (e.g. conduct educational meetings) and 24 Level 2 ERIC strategies (e.g. facilitation). Several strategies (e.g. conduct local consensus discussions) cut across multiple barriers. Discussion and Implications Strategies identified by the Tool can inform on-going development of the GeriPACT model's effective implementation and sustainment. Incorporating cross-cutting implementation strategies that mitigate multiple barriers at once may further support these next steps. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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