Assessing the scalability of innovations in primary care: a cross-sectional study.

Cross-Sectional Studies Diffusion of Innovation Health Promotion / organization & administration Humans Primary Health Care / organization & administration Process Assessment, Health Care / methods Program Development Quebec Surveys and Questionnaires

Journal

CMAJ open
ISSN: 2291-0026
Titre abrégé: CMAJ Open
Pays: Canada
ID NLM: 101620603

Informations de publication

Date de publication:
Historique:
entrez: 4 10 2020
pubmed: 5 10 2020
medline: 5 10 2020
Statut: epublish

Résumé

Canadian health funding currently prioritizes scaling up for evidence-based primary care innovations, but not all teams prepare for scaling up. We explored scalability assessment among primary care innovators in the province of Quebec to evaluate their preparedness for scaling up. We performed a cross-sectional survey from Feb. 18 to Mar. 18, 2019. Eligible participants were 33 innovation teams selected for the 2019 Quebec College of Family Physicians' Symposium on Innovations. We conducted a Web-based survey in 2 sections: innovation characteristics and the Innovation Scalability Self-administered Questionnaire. The latter includes 16 criteria (scalability components) grouped into 5 dimensions: theory (1 criterion), impact (6 criteria), coverage (4 criteria), setting (3 criteria) and cost (2 criteria). We classified innovation types using the Out of 33 teams, 24 participated (72.7%), with 1 innovation each. The types of innovation were management (15/24), prevention (8/24) and therapeutic (1/24). Most management innovations focused on patient navigation (9/15). In order of frequency, teams had assessed theory (79.2%) and impact (79.2%) criteria, followed by cost (77.1%), setting (59.7%) and coverage (54.2%). Most innovations (16/24) had assessed 10 criteria or more, including 10 management innovations, 5 prevention innovations and 1 therapeutic innovation. Implementation fidelity was the least assessed criterion (6/24). The scalability assessments of a primary care innovation varied according to its type. Management innovations, which were the most prevalent and assessed the most scalability components, appear to be most prepared for primary care scale-up in Canada.

Sections du résumé

BACKGROUND
Canadian health funding currently prioritizes scaling up for evidence-based primary care innovations, but not all teams prepare for scaling up. We explored scalability assessment among primary care innovators in the province of Quebec to evaluate their preparedness for scaling up.
METHODS
We performed a cross-sectional survey from Feb. 18 to Mar. 18, 2019. Eligible participants were 33 innovation teams selected for the 2019 Quebec College of Family Physicians' Symposium on Innovations. We conducted a Web-based survey in 2 sections: innovation characteristics and the Innovation Scalability Self-administered Questionnaire. The latter includes 16 criteria (scalability components) grouped into 5 dimensions: theory (1 criterion), impact (6 criteria), coverage (4 criteria), setting (3 criteria) and cost (2 criteria). We classified innovation types using the
RESULTS
Out of 33 teams, 24 participated (72.7%), with 1 innovation each. The types of innovation were management (15/24), prevention (8/24) and therapeutic (1/24). Most management innovations focused on patient navigation (9/15). In order of frequency, teams had assessed theory (79.2%) and impact (79.2%) criteria, followed by cost (77.1%), setting (59.7%) and coverage (54.2%). Most innovations (16/24) had assessed 10 criteria or more, including 10 management innovations, 5 prevention innovations and 1 therapeutic innovation. Implementation fidelity was the least assessed criterion (6/24).
INTERPRETATION
The scalability assessments of a primary care innovation varied according to its type. Management innovations, which were the most prevalent and assessed the most scalability components, appear to be most prepared for primary care scale-up in Canada.

Identifiants

DOI: 10.9778/cmajo.20200030 PMID: 33011682 PMC: PMC7567510
pubmed: 33011682
pii: 8/4/E613
doi: 10.9778/cmajo.20200030
pmc: PMC7567510
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

E613-E618

Subventions

Organisme : CIHR
ID : FDN-159931
Pays : Canada

Informations de copyright

Copyright 2020, Joule Inc. or its licensors.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Ali Ben Charif (A)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Hervé Tchala Vignon Zomahoun (HTV)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

José Massougbodji (J)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Lobna Khadhraoui (L)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Maxine Dumas Pilon (MD)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Elise Boulanger (E)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Amédé Gogovor (A)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Marie-Josée Campbell (MJ)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

Marie-Ève Poitras (MÈ)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que.

France Légaré (F)

VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que. france.legare@mfa.ulaval.ca.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Assessing the scalability of innovations in...
questionsmedicales.fr › Sciences de l'information › Communication › Diffusion des innovations › Assessing the scalability of innovations in...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Éducation pour la santé › Promotion de la santé › Assessing the scalability of innovations in...
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questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Assessing the scalability of innovations in...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de processus en soins de santé › Assessing the scalability of innovations in...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Mise au point de programmes › Assessing the scalability of innovations in...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Québec › Assessing the scalability of innovations in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Assessing the scalability of innovations in...