Experiences of Practice Facilitators Working on the Improved Delivery of Cardiovascular Care Project: Retrospective Case Study

Overview

Journal Can Fam Physician

Specialties General Medicine
Public Health

Date 2018 Jan 24

PMID 29358265

Citations 1

Authors

Clare Liddy

Margo Rowan

Sophie-Claire Valiquette-Tessier

Paul Drosinis

Lois Crowe

William Hogg

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the barriers to and facilitators of practice facilitation experienced by participants in the Improving Delivery of Cardiovascular Care (IDOCC) project.

Design: Case studies of practice facilitators' narrative reports.

Setting: Eastern Ontario.

Participants: Primary care practices that participated in the IDOCC project.

Main Outcome Measures: Cases were identified by calculating sum scores in order to determine practices' performance relative to their peers. Two case exemplars were selected that scored within ± 1 SD of the total mean score, and a qualitative analysis of practice facilitators' narrative reports was conducted using a 5-factor implementation framework to identify barriers and facilitators. Narratives were divided into 3 phases: planning, implementation, and sustainability.

Results: Barriers and facilitators fluctuated over the intervention's 3 phases. Site A reported more barriers (n = 47) than facilitators (n = 38), while site B reported a roughly equal number of barriers (n = 144) and facilitators (n = 136). In both sites, the most common barriers involved organizational and provider factors and the most common facilitators were associated with innovation and structural factors.

Conclusion: Both practices encountered various barriers and facilitators throughout the IDOCC's 3 phases. The case studies reveal the complex interactions of these factors over time, and provide insight into the implementation of practice facilitation programs.

Citing Articles

Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study.

Nguyen A, Cuthel A, Rogers E, Devanter N, Pham-Singer H, Shih S J Prim Care Community Health. 2020; 11:2150132720984411.

PMID: 33356790 PMC: 7768565. DOI: 10.1177/2150132720984411.

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