Challenges of implementation and implementation research: Learning from an intervention study designed to improve tumor registry reporting:

SAGE Open Medicine

Ann ScheckMcAlearney¹ 

关键词: Implementation research;    intervention study;    breast cancer therapies;    innovation implementation;    case study;    tumor registries;   

DOI  :  10.1177/2050312116666215

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:Implementation of interventions designed to improve the quality of medical care often proceeds differently from what is planned. Improving existing conceptual models to better understand the sources of these differences can help future projects avoid these pitfalls and achieve desired effectiveness. To inform an adaptation of an existing theoretical model, we examined unanticipated changes that occurred in an intervention designed to improve reporting of adjuvant therapies for breast cancer patients at a large, urban academic medical center.Methods:Guided by the complex innovation implementation conceptual framework, our study team observed and evaluated the implementation of an intervention designed to improve reporting to a tumor registry. Findings were assessed against the conceptual framework to identify boundary conditions and modifications that could improve implementation effectiveness.Results:The intervention successfully increased identification of the managing medical oncologist and t...

【 授权许可】

CC BY