Core implementation strategies for improving cirrhosis care in the Veterans Health Administration.

ABSTRACT:

Background and aims

The Veterans Health Administration (VHA) provides care for more than 80,000 veterans with cirrhosis. This longitudinal, multimethod evaluation of a cirrhosis care quality improvement program aimed to (1) identify implementation strategies associated with evidence-based, guideline-concordant cirrhosis care over time, and (2) use qualitative interviews to operationalize strategies for a manualized intervention.

Approach and results

VHA providers were surveyed annually about the use of 73 implementation strategies to improve cirrhosis care in fiscal years 2018 (FY18) and 2019 (FY19). Implementation strategies linked to guideline-concordant cirrhosis care were identified using bivariate statistics and comparative configurational methods. Semistructured interv

SUBMITTER: Yakovchenko V 

PROVIDER: S-EPMC9288973 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature