Evidence map›Paper›PMID 29358265›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Experiences of practice facilitators working on the Improved Delivery of Cardiovascular Care project: Retrospective case study.

Clare Liddy, Margo Rowan, Sophie-Claire Valiquette-Tessier, Paul Drosinis, Lois Crowe, William Hogg

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Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Clare LiddyClinician Investigator at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute and Associate Professor in the Department of Family Medicine at the University of Ottawa in Ontario. CLiddy@bruyere.org.
Margo RowanPrincipal Lead of Rowan Research and Evaluation and Assistant Professor in the Department of Family Medicine at the University of Ottawa.
Sophie-Claire Valiquette-TessierDoctoral student in the School of Psychology at the University of Ottawa.
Paul DrosinisResearch assistant at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute.
Lois CroweResearch Manager at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute.
William HoggProfessor in the Department of Family Medicine at the University of Ottawa and Senior Research Advisor at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

designCase studies of practice facilitators' narrative reports.

settingEastern Ontario.

participantsPrimary care practices that participated in the IDOCC project.

main outcome measuresCases 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.

resultsBarriers 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.

conclusionBoth 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.

Indexed as

CardiologyDelivery of Health CareHumansOntarioPractice Patterns, Physicians'Primary Health CareProgram EvaluationQuality ImprovementRetrospective Studies

Identifiers

PMID29358265
PMCPMC5962976

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.