Adoption and Initial Implementation of a National Integrated Care Programme for Diabetes: A Realist Evaluation.

ABSTRACT:

Background

The implementation of models of integrated care for chronic conditions is not well understood. We conducted a realist evaluation to determine how and why the implementation of the National Diabetes Programme in Ireland worked (or not).

Methods

Documentary analysis and qualitative interviews with a purposive sample of national stakeholders (n = 19), were used to develop an initial theory on expected programme delivery. We refined this theory using semi-structured interviews (n = 38) with professionals from different clinical disciplines involved in programme implementation.

Results

Locally important contexts facilitating implementation included staff experience of delivering diabetes care, capacity, and familiarity with the intended purpose of new clinical p

SUBMITTER: O'Neill K 

PROVIDER: S-EPMC9284993 | biostudies-literature | 2022 Jul-Sep

REPOSITORIES: biostudies-literature