Implementing care programmes for frail older people: A project management perspective |
| |
| Affiliation: | 1. Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, P.O. Box 616, 6200, Maastricht MD, The Netherlands;2. Fontys University of Applied Sciences, School of Nursing, P.O. Box 347, 5600, Eindhoven AH, The Netherlands;3. Department of Medical Humanities, EMGO Institute for Health and Care research, Vu University Medical Centre, Van der Boeschorststraat 7, 1007, Amsterdam MB, The Netherlands;4. Department of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University. P.O. Box 616, 6200, Maastricht MD, The Netherlands;1. Department of Surgery, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA;2. Department of Surgery, NorthShore University HealthSystems, Evanston, IL, USA;3. Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA;1. Department of Urology, Mount Sinai Hospital, New York, NY;2. Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY;3. Department of Surgery, Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan-Kettering Cancer Center, New York, NY;1. Department of Health Behavior, University of Alabama at Birmingham School of Public Health, 1665 University Boulevard, Birmingham, AL 35294, USA;2. Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Health Outcomes Program, University of Colorado Denver, Denver, CO, USA;3. Department of Surgery, University of Utah, Salt Lake City, UT, USA;4. QCMetrix, Waltham, MA, USA;5. Department of Surgery, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL 35294, USA |
| |
| Abstract: | ObjectiveTo examine the issues that influenced the implementation of programmes designed to identify and support frail older people in the community in the Netherlands.MethodsQualitative research methods were used to investigate the perspectives of project leaders, project members and members of the steering committee responsible for the implementation of the programmes. Interviews were conducted in 2009 (n = 10) and in 2012 (n = 13) and a focus group was organised in 2012 (n = 5).Main FindingsThe interviews revealed that the implementation was influenced by the extent and quality of collaboration between organisations, adaptation to existing structures, future funding for the programmes and project leadership. A good relationship between participating organisations and professionals is required for successful implementation. A lack of clear project leadership and structural funding hampers the implementation of complex programmes in primary care settings.Implications for practiceThe findings of this study are useful for organisations and professionals who are planning to implement complex programmes. Identifying barriers concerning institutional collaboration, adaptation to existing structures, leadership and continuation of financial support at an early stage of the implementation process can support practitioners in overcoming them. |
| |
| Keywords: | Implementation Care for older people Frailty Management Qualitative research |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
