Evaluating the Barriers and Facilitators to Implementing a Novel Referral System for Outpatient Geriatric Services: The Geri-Hub Quality Improvement Initiative.
Background: In healthcare systems prioritizing care of older adults, resource limitations and escalating demand often impede access to outpatient specialized geriatric services. Objectives: This study, theoretically guided by the Consolidated Framework for Implementation Research (CFIR), aimed to ex...
| Publicado en: | Health Services Insights pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/30/2024
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| 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=179362318&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179362318 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 8/30/2024 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 179362318 179362318 179362318 10.1177/11786329241274482 179362318 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating the Barriers and Facilitators to Implementing a Novel Referral System for Outpatient Geriatric Services: The Geri-Hub Quality Improvement Initiative. aug: au: Lim Fat, Guillaume Kokorelias, Kristina M Foronda, Erica Sadasivan, Bindhu Romanovsky, Lindy affil: Division of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada sug: subj: Program Implementation Evaluation Referral and Consultation Outpatient Service Psychosocial Factors Health Services for Older Persons Psychosocial Factors Community Health Services Gerontologic Care Quality Improvement Methods Human Qualitative Studies Outpatients Funding Source Academic Medical Centers Personnel, Health Facility Psychosocial Factors Feedback Waiting Lists Geriatricians Psychosocial Factors Prospective Studies Health Facility Administrators Psychosocial Factors Flexible Scheduling Access to Information Professional Role Conceptual Framework Descriptive Research Convenience Sample Semi-Structured Interview Questionnaires Interview Guides Thematic Analysis Descriptive Statistics Data Analysis Software Diffusion of Innovation Medical Practice, Evidence-Based Implementation Science Program Development Health Care Delivery Work Experiences Accountability Organizational Policies Legislation, Medical Financial Support Interprofessional Relations Communication Organizational Culture Organizational Change Attitude to Change Needs Assessment Collaboration Teamwork Multidisciplinary Care Team Program Planning Reflection ab: Background: In healthcare systems prioritizing care of older adults, resource limitations and escalating demand often impede access to outpatient specialized geriatric services. Objectives: This study, theoretically guided by the Consolidated Framework for Implementation Research (CFIR), aimed to explore barriers and facilitators in implementing a centralized "Geri-Hub." The Geri-Hub is a centralized intake system established within 2 hospital systems to coordinate outpatient and community-based services for older adults, aiming to connect them with the most appropriate care in a timely manner. Methods: Qualitative insights were gathered from healthcare professionals at 2 academic institutions in the process of consolidating services. Through open-ended surveys and semi-structured interviews, we solicited feedback on referral management, waiting times, and overall work experiences. Results: Thirteen frequently referring providers and a cohort of 9 geriatricians, along with 4 administrators, contributed to the study. Geriatricians emphasized streamlined referrals, flexible scheduling for urgent cases, and a target wait time of 3 months. Administrators stressed standardized referral procedures, defined roles, and accessible referral information. Discussion: The findings underscored the need for straightforward referral processes, enhanced communication on referral statuses, and reduced wait times. Optimizing these processes could potentially mitigate resource utilization issues and improve patient outcomes in healthcare systems. This research highlights the critical role of timely access to geriatric services during transformative phases in healthcare delivery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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