Using implementation facilitation to foster clinical practice quality and adherence to evidence in challenged settings: a qualitative study.

ABSTRACT:

Background

We evaluated a facilitation strategy to help clinical sites likely to experience challenges implement evidence-based Primary Care-Mental Health Integration (PC-MHI) care models within the context of a Department of Veterans Affairs (VA) initiative. This article describes our assessment of whether implementation facilitation (IF) can foster development of high quality PC-MHI programs that adhere to evidence, are sustainable and likely to improve clinical practices and outcomes.

Methods

Utilizing a matched pair design, we conducted a qualitative descriptive evaluation of the IF strategy in sixteen VA primary care clinics. To assess program quality and adherence to evidence, we conducted one-hour structured telephone interviews, at two time points, with clinicians an

SUBMITTER: Ritchie MJ 

PROVIDER: S-EPMC5397744 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature