Document Type
Article
Publication Date
8-2021
Publication Title
Medical Care
DOI
10.1097/MLR.0000000000001591
Abstract
Background:
Despite the well-documented risks to patient safety associated with transitions from one care setting to another, health care organizations struggle to identify which interventions to implement. Multiple strategies are often needed, and studying the effectiveness of these complex interventions is challenging.
Objective:
The objective of this study was to present lessons learned in implementing and evaluating complex transitional care interventions in routine clinical care.
Research Design:
Nine transitional care study teams share important common lessons in designing complex interventions with stakeholder engagement, implementation, and evaluation under pragmatic conditions (ie, using only existing resources), and disseminating findings in outlets that reach policy makers and the people who could ultimately benefit from the research.
Results:
Lessons learned serve as a guide for future studies in 3 areas: (1) Delineating the function (intended purpose) versus form (prespecified modes of delivery of the intervention); (2) Evaluating both the processes supporting implementation and the impact of adaptations; and (3) Engaging stakeholders in the design and delivery of the intervention and dissemination of study results.
Conclusion:
These lessons can help guide future pragmatic studies of care transitions.
Recommended Citation
Gesell, Sabina B., Janet Prvu Bettger, Raymona H. Lawrence, Jing Li, Jeanne Hoffman, Barbara J. Lutz, Corita R. Grudzen, Anna M. Johnson, Jerry A. Krishnan, Lewis Hsu, Dorien Zwart, Mark V. Williams, Jeffrey L. Schnipper.
2021.
"Implementation of Complex Interventions Lessons Learned From the Patient-Centered Outcomes Research Institute Transitional Care Portfolio."
Medical Care, 59: S344-S354: Wolters Kluwer Health, Inc..
doi: 10.1097/MLR.0000000000001591 pmid: 34228016
https://digitalcommons.georgiasouthern.edu/hpmb-facpubs/330
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Community Health Commons, Community Health and Preventive Medicine Commons, Health Policy Commons
Comments
Georgia Southern University faculty member, [first name and last name] [authored, co-authored, edited or co-edited] Implementation of Complex Interventions Lessons Learned From the Patient-Centered Outcomes Research Institute Transitional Care Portfolio.