Realist evaluation of a pilot intervention implementing interprofessional and interinstitutional processes for transitional care.

Details

Serval ID
serval:BIB_E0B91E7DAB7E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Realist evaluation of a pilot intervention implementing interprofessional and interinstitutional processes for transitional care.
Journal
Home health care services quarterly
Author(s)
Schusselé Filliettaz S., Moiroux S., Marchand G., Gilles I., Peytremann-Bridevaux I.
ISSN
1545-0856 (Electronic)
ISSN-L
0162-1424
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
40
Number
4
Pages
302-323
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
In 2016, in Switzerland, we implemented transitional interprofessional and interinstitutional shared decision-making processes (IIPs) between a short-stay inpatient care unit (SSU) and primary care professionals. Between 2018 and 2019, we evaluated this intervention using a realist design to answer the following questions: for whom, with whom, in which context and how have IIPs been implemented? Our initial theory was tested via interviews with patients, primary care professionals and staff from the SSU. Results showed that a patient's stay at the SSU, with actors committed to facilitating IIPs, reinforced the perceived appropriateness and implementation of those IIPs. However, this appropriateness varied according to different contextual elements, such as the complexity of needs, preexisting collaborative practices and the purpose of the inpatient stay. Since IIPs occurred in a context of fragmented practices, proactive and sustained efforts are required of the actors implementing them and the organizations supporting them.
Keywords
Public Health, Environmental and Occupational Health, Community and Home Care, Health Policy, health services research, interprofessional relations, patient-centered care, realist evaluation, transitional care
Pubmed
Web of science
Open Access
Yes
Create date
27/10/2021 12:55
Last modification date
05/01/2022 7:36
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