Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams
The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address contextual factors influencing imp...
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| Veröffentlicht in: | Primary health care research & development 2019-06, Vol.20, p.e107, Article e107 |
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| creator | Ploeg, Jenny Wong, Sabrina T Hassani, Kasra Yous, Marie-Lee Fortin, Martin Kendall, Claire Liddy, Clare Markle-Reid, Maureen Petrovic, Bojana Dionne, Emilie Scott, Cathie M Wodchis, Walter P |
| description | The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address contextual factors influencing implementation of CBPHC innovations. In primary care settings, consideration of contextual factors when implementing change has been recognized as critically important to success. However, contextual factors are rarely recorded, analyzed or considered when implementing change. The lack of consideration of contextual factors has negative implications not only for successfully implementing primary health care (PHC) innovations, but also for their sustainability and scalability. For this evaluation, data collection was conducted using self-administered questionnaires and follow-up telephone interviews with team representatives. We used a combination of directed and conventional content analysis approaches to analyze the questionnaire and interview data. Representatives from all 12 teams completed the questionnaire and 11 teams participated in the interviews; 40 individuals participated in this evaluation. Four themes representing contextual factors that impacted the implementation of CBPHC innovations were identified: (I) diversity of jurisdictions (II) complexity of interactions and collaborations (III) policy, and (IV) the multifaceted nature of PHC. The teams used six strategies to address these contextual factors including: (1) conduct an environmental scan at the beginning (2) maintaining engagement among partners and stakeholders by encouraging open and inclusive communication; (3) contextualizing the innovation for different settings; (4) anticipating and addressing changes, delays, and the need for additional resources; (5) fostering a culture of research and innovation among partners and stakeholders; and (6) ensuring information about the innovation is widely available. Implementing CBPHC innovations across jurisdictions is complex and involves navigating through multiple contextual factors. Awareness of the dynamic nature of context should be considered when implementing innovations. |
| doi_str_mv | 10.1017/S1463423619000483 |
| format | Article |
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In primary care settings, consideration of contextual factors when implementing change has been recognized as critically important to success. However, contextual factors are rarely recorded, analyzed or considered when implementing change. The lack of consideration of contextual factors has negative implications not only for successfully implementing primary health care (PHC) innovations, but also for their sustainability and scalability. For this evaluation, data collection was conducted using self-administered questionnaires and follow-up telephone interviews with team representatives. We used a combination of directed and conventional content analysis approaches to analyze the questionnaire and interview data. Representatives from all 12 teams completed the questionnaire and 11 teams participated in the interviews; 40 individuals participated in this evaluation. Four themes representing contextual factors that impacted the implementation of CBPHC innovations were identified: (I) diversity of jurisdictions (II) complexity of interactions and collaborations (III) policy, and (IV) the multifaceted nature of PHC. The teams used six strategies to address these contextual factors including: (1) conduct an environmental scan at the beginning (2) maintaining engagement among partners and stakeholders by encouraging open and inclusive communication; (3) contextualizing the innovation for different settings; (4) anticipating and addressing changes, delays, and the need for additional resources; (5) fostering a culture of research and innovation among partners and stakeholders; and (6) ensuring information about the innovation is widely available. Implementing CBPHC innovations across jurisdictions is complex and involves navigating through multiple contextual factors. Awareness of the dynamic nature of context should be considered when implementing innovations.</description><identifier>ISSN: 1463-4236</identifier><identifier>EISSN: 1477-1128</identifier><identifier>DOI: 10.1017/S1463423619000483</identifier><identifier>PMID: 32800024</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Adult ; Attitude of Health Personnel ; Canada ; Cancer ; Chronic illnesses ; Collaboration ; Community ; Community Health Services - organization & administration ; Content analysis ; Corporate culture ; Data collection ; Development ; Diffusion of Innovation ; Female ; Health Personnel - psychology ; Health Personnel - statistics & numerical data ; Health Policy ; Humans ; Initiatives ; Innovations ; Intersectoral Collaboration ; Low income groups ; Male ; Medical research ; Middle Aged ; Native peoples ; Older people ; Primary care ; Primary Health Care - organization & administration ; Qualitative Research ; Questionnaires ; Teams</subject><ispartof>Primary health care research & development, 2019-06, Vol.20, p.e107, Article e107</ispartof><rights>2019 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019 2019 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-16b37c1160f5651ff63d4344f6b1f72b862fce3e8af5146ef37b118eb47b87cd3</citedby><cites>FETCH-LOGICAL-c427t-16b37c1160f5651ff63d4344f6b1f72b862fce3e8af5146ef37b118eb47b87cd3</cites><orcidid>0000-0001-8168-8449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060818/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060818/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32800024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ploeg, Jenny</creatorcontrib><creatorcontrib>Wong, Sabrina T</creatorcontrib><creatorcontrib>Hassani, Kasra</creatorcontrib><creatorcontrib>Yous, Marie-Lee</creatorcontrib><creatorcontrib>Fortin, Martin</creatorcontrib><creatorcontrib>Kendall, Claire</creatorcontrib><creatorcontrib>Liddy, Clare</creatorcontrib><creatorcontrib>Markle-Reid, Maureen</creatorcontrib><creatorcontrib>Petrovic, Bojana</creatorcontrib><creatorcontrib>Dionne, Emilie</creatorcontrib><creatorcontrib>Scott, Cathie M</creatorcontrib><creatorcontrib>Wodchis, Walter P</creatorcontrib><title>Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams</title><title>Primary health care research & development</title><addtitle>Prim Health Care Res Dev</addtitle><description>The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address contextual factors influencing implementation of CBPHC innovations. In primary care settings, consideration of contextual factors when implementing change has been recognized as critically important to success. However, contextual factors are rarely recorded, analyzed or considered when implementing change. The lack of consideration of contextual factors has negative implications not only for successfully implementing primary health care (PHC) innovations, but also for their sustainability and scalability. For this evaluation, data collection was conducted using self-administered questionnaires and follow-up telephone interviews with team representatives. We used a combination of directed and conventional content analysis approaches to analyze the questionnaire and interview data. Representatives from all 12 teams completed the questionnaire and 11 teams participated in the interviews; 40 individuals participated in this evaluation. Four themes representing contextual factors that impacted the implementation of CBPHC innovations were identified: (I) diversity of jurisdictions (II) complexity of interactions and collaborations (III) policy, and (IV) the multifaceted nature of PHC. The teams used six strategies to address these contextual factors including: (1) conduct an environmental scan at the beginning (2) maintaining engagement among partners and stakeholders by encouraging open and inclusive communication; (3) contextualizing the innovation for different settings; (4) anticipating and addressing changes, delays, and the need for additional resources; (5) fostering a culture of research and innovation among partners and stakeholders; and (6) ensuring information about the innovation is widely available. Implementing CBPHC innovations across jurisdictions is complex and involves navigating through multiple contextual factors. Awareness of the dynamic nature of context should be considered when implementing innovations.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Canada</subject><subject>Cancer</subject><subject>Chronic illnesses</subject><subject>Collaboration</subject><subject>Community</subject><subject>Community Health Services - organization & administration</subject><subject>Content analysis</subject><subject>Corporate culture</subject><subject>Data collection</subject><subject>Development</subject><subject>Diffusion of Innovation</subject><subject>Female</subject><subject>Health Personnel - psychology</subject><subject>Health Personnel - statistics & numerical data</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Initiatives</subject><subject>Innovations</subject><subject>Intersectoral Collaboration</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medical research</subject><subject>Middle 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Martin</au><au>Kendall, Claire</au><au>Liddy, Clare</au><au>Markle-Reid, Maureen</au><au>Petrovic, Bojana</au><au>Dionne, Emilie</au><au>Scott, Cathie M</au><au>Wodchis, Walter P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams</atitle><jtitle>Primary health care research & development</jtitle><addtitle>Prim Health Care Res Dev</addtitle><date>2019-06-28</date><risdate>2019</risdate><volume>20</volume><spage>e107</spage><pages>e107-</pages><artnum>e107</artnum><issn>1463-4236</issn><eissn>1477-1128</eissn><abstract>The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address contextual factors influencing implementation of CBPHC innovations. In primary care settings, consideration of contextual factors when implementing change has been recognized as critically important to success. However, contextual factors are rarely recorded, analyzed or considered when implementing change. The lack of consideration of contextual factors has negative implications not only for successfully implementing primary health care (PHC) innovations, but also for their sustainability and scalability. For this evaluation, data collection was conducted using self-administered questionnaires and follow-up telephone interviews with team representatives. We used a combination of directed and conventional content analysis approaches to analyze the questionnaire and interview data. Representatives from all 12 teams completed the questionnaire and 11 teams participated in the interviews; 40 individuals participated in this evaluation. Four themes representing contextual factors that impacted the implementation of CBPHC innovations were identified: (I) diversity of jurisdictions (II) complexity of interactions and collaborations (III) policy, and (IV) the multifaceted nature of PHC. The teams used six strategies to address these contextual factors including: (1) conduct an environmental scan at the beginning (2) maintaining engagement among partners and stakeholders by encouraging open and inclusive communication; (3) contextualizing the innovation for different settings; (4) anticipating and addressing changes, delays, and the need for additional resources; (5) fostering a culture of research and innovation among partners and stakeholders; and (6) ensuring information about the innovation is widely available. Implementing CBPHC innovations across jurisdictions is complex and involves navigating through multiple contextual factors. Awareness of the dynamic nature of context should be considered when implementing innovations.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>32800024</pmid><doi>10.1017/S1463423619000483</doi><orcidid>https://orcid.org/0000-0001-8168-8449</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Attitude of Health Personnel Canada Cancer Chronic illnesses Collaboration Community Community Health Services - organization & administration Content analysis Corporate culture Data collection Development Diffusion of Innovation Female Health Personnel - psychology Health Personnel - statistics & numerical data Health Policy Humans Initiatives Innovations Intersectoral Collaboration Low income groups Male Medical research Middle Aged Native peoples Older people Primary care Primary Health Care - organization & administration Qualitative Research Questionnaires Teams |
| title | Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams |
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