From Theory to Implementation
Adaptations to a Quality Improvement Initiative According to Implementation Context
Dados Bibliográficos
As countries continue to invest in quality improvement (QI) initiatives in health facilities, it is important to acknowledge the role of context in implementation. We conducted a qualitative study between February 2019 and January 2020 to explore how a QI initiative was adapted to enable implementation in three facility types: primary health centres, public hospitals and private facilities in Lagos State, Nigeria. Despite a common theory of change, implementation of the initiative needed to be adapted to accommodate the local needs, priorities and organisational culture of each facility type. Across facility types, inadequate human and capital resources constrained implementation and necessitated an extension of the initiative's duration. In public facilities, the local governance structure was adapted to facilitate coordination, but similar adaptations to governance were not possible for private facilities. Our findings highlight the importance of anticipating and planning for the local adaptation of QI initiatives according to implementation environment
Business · Epistemology · Geography · Management science · Operations management · Process management · Quality management · Community Health and Development · Computer Science · Engineering · Global Maternal and Child Health · Health Policy Implementation Science · Psychology
Implementation, context and complexity
Attempting rigour and replicability in thematic analysis of qualitative research data; a case study of codebook development
Mortality due to low-quality health systems in the universal health coverage era
High-quality health systems in the Sustainable Development Goals era
Are We There Yet? Data Saturation in Qualitative Research
Purposeful Sampling in Qualitative Research Synthesis
Through Their Eyes
Exploring Quality of Primary Care for Patients Who Experience Homelessness and the Clinicians Who Serve Them
Facilitators and Barriers of Community-Level Quality Improvement for Maternal and Newborn Health in Tanzania
Productivity loss in performance groups
| Obras citantes distintas | 3 |
|---|---|
| Citações por ano | 1,5 |
| Intervalo de citações | 2024 - 2024 (1) |
| Velocidade de citação | recent |
| Altamente citado | Não |
| Tipos de citação | Neutras: 3 |