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Implementation of Complex Interventions

Lessons Learned From the Patient-Centered Outcomes Research Institute Transitional Care Portfolio

Dados Bibliográficos

ID9104482
AutoresSabina B Gesell (0000-0002-1997-9816, Department of Social Sciences and Health Policy, autor correspondente), Janet Prvu Bettger (0000-0001-9708-8413, Duke University School of Medicine, Duke Roybal Center on Aging, Durham, NC), Raymona H Lawrence (0000-0001-6554-3354, Georgia Southern University), Jing Li (0000-0001-7792-4322, University of Kentucky), Jeanne Hoffman (0000-0002-0566-5728, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA), Jeanne M Hoffman (0000-0002-3525-3839, University of Washington), Barbara J Lutz (0000-0003-1308-7312, University of North Carolina Wilmington), Corita R Grudzen (0000-0003-3039-8497, New York University, autor correspondente), Corita Grudzen (NYU Grossman School of Medicine), Anna Johnson (0000-0001-5120-4837, University of North Carolina at Chapel Hill), Anna M Johnson (University of North Carolina at Chapel Hill), Jerry A Krishnan (0000-0001-5525-4778, Institute for Healthcare Delivery Design, Office of the Vice Chancellor for Health Affairs), Lewis L Hsu (0000-0002-3156-2378, University of Illinois Chicago), Dorien Zwart (0000-0003-0098-4882, Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands), Malcolm V Williams (0000-0001-6107-0457, University of Kentucky HealthCare), Mark V Williams (University of Kentucky HealthCare), Jeffrey L Schnipper (0000-0001-7072-0781, Brigham Health Hospital Medicine Unit and Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA)
Ano2021
Volume59
FascículoSuppl 4
PáginasS344-S354
Data de publicação2021-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001591
PMID34228016
OpenAlexW3178075234
IdiomaEN
Citações recebidas3
Referências citadas42

BACKGROUND: Despite the well-documented risks to patient safety associated with transitions from one care setting to another, health care organizations struggle to identify which interventions to implement. Multiple strategies are often needed, and studying the effectiveness of these complex interventions is challenging. OBJECTIVE: The objective of this study was to present lessons learned in implementing and evaluating complex transitional care interventions in routine clinical care. RESEARCH DESIGN: Nine transitional care study teams share important common lessons in designing complex interventions with stakeholder engagement, implementation, and evaluation under pragmatic conditions (ie, using only existing resources), and disseminating findings in outlets that reach policy makers and the people who could ultimately benefit from the research. RESULTS: Lessons learned serve as a guide for future studies in 3 areas: (1) Delineating the function (intended purpose) versus form (prespecified modes of delivery of the intervention); (2) Evaluating both the processes supporting implementation and the impact of adaptations; and (3) Engaging stakeholders in the design and delivery of the intervention and dissemination of study results. CONCLUSION: These lessons can help guide future pragmatic studies of care transitions

Business · Function (biology) · Health care · Intervention (counseling) · Medical education · Political science · Process management · Psychological intervention · Public relations · Stakeholder · Stakeholder engagement · Transitional care · Health Policy Implementation Science · Heart Failure Treatment and Management · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

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Obras citantes distintas3
Citações por ano0,6
Intervalo de citações2021 - 2026 (6)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 2
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