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A Cross Sectional, Mixed-Method Cohort Study Evaluating the Implementation of Leading Better Value Care Initiatives

机译:横截面,混合方法队列研究评估了领先的价值护理举措的实施

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Objective: This study aimed to develop an understanding of the implementation of the Leading Better Value Care (LBVC) initiatives at a Local Health District (LHD). Methods: The study used a mixed method including literature reviews, survey and semi-structured interviews of the stakeholders who participated in the implementation of the state-wide LBVC program within a LHD. All information used in this study was de-identified and anonymous. Results: Twenty-two stakeholders responded to the survey reviewing the implementation process. Fifty-one percent of the participants reported that there was very good sharing of information and ideas within the LHD, where clinicians were provided with data to support better decision making (77%). The stakeholders were overall moderately to very satisfied (60%) with how the program was implemented within the LHD. A total of 10 interviews were conducted. Analysis of the transcripts identified four core themes linking different aspects of the implementation of the LBVC initiatives: 1) Engagement; 2) Understanding of implementation process; 3) Challenges; and, 4) Future strategies for implementation. This local learning will provide valuable information to develop strategies so as to improve the LBVC program and support the LHD in continuing to embed, scale and sustain the initiatives. Conclusion: This study has provided the experience of the stakeholders participating in the implementation of the LBVC program and how it was being implemented across the LHD. It has identified factors which contribute to improvement of future implementation of similar programs.
机译:目的:本研究旨在了解在当地卫生区(LHD)的领先价值护理(LBVC)举措的实施。方法:该研究采用了一种混合方法,包括参与LHD内全界LBVC计划的利益攸关方的文献审查,调查和半结构化访谈。本研究中使用的所有信息都被证明和匿名。结果:二十二名利益相关者回顾了实施过程的调查。 50%的参与者报告说,LHD内的信息和想法非常好,临床医生提供数据以支持更好的决策(77%)。利益攸关方全体间面以非常满意(60%),如何在LHD内实施。共有10次采访。对成绩单的分析确定了三个核心主题,这些核心主题与实施LBVC举措实施的不同方面有关:1)参与; 2)了解实施过程; 3)挑战; 4)未来的实施策略。本地学习将提供有价值的信息来制定战略,以改善LBVC计划,并支持LHD继续嵌入,规模和维持举措。结论:本研究提供了参与LBVC计划执行情况的利益相关者的经验以及如何在LHD上实施。它已确定有助于改善未来实施类似计划的因素。

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