Engaging Operational Partners Is Critical for Successful Implementation of Research Products: a Coincidence Analysis of Access-Related Projects in the Veterans Affairs Healthcare System.
Engaging Operational Partners Is Critical for Successful Implementation of Research Products: a Coincidence Analysis of Access-Related Projects in the Veterans Affairs Healthcare System.
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DOI：
10.1007/s11606-023-08115-5
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发表时间：
2023-07
影响因子：
5.7
通讯作者：
Adams, Megan A.
中科院分区：
文献类型：
--
作者：
Dodge, Jessica R.;Youles, Bradley;Caldararo, Jennifer;Sears, Erika D.;Caverly, Tanner J.;Ho, P. Michael;Shimada, Stephanie L.;Kaboli, Peter;Albright, Karen;Robinson, Stephanie A.;McNeal, Demetria M.;Damschroder, Laura;Saini, Sameer D.;Adams, Megan A.
退伍军人健康管理局（VHA）优先考虑及时获得护理，并在旨在优化退伍军人获取的研究方面投入了大量资金。然而，将研究付诸实践仍然具有挑战性。在这里，我们评估了最近的VHA访问相关的研究项目的实施状况，并探讨了成功实施的相关因素。我们对最近VHA资助或支持的项目（2015年1月至2020年7月）进行了投资组合审查，重点关注医疗服务（“访问投资组合”）。然后，我们确定了具有可实施的研究成果的项目，排除了那些（1）非研究/业务项目;（2）最近才完成的项目（即，在2020年1月1日或之后完成，这意味着它们不太可能有时间实施）;以及（3）没有提出可实施的交付成果。一项电子调查评估了每个项目的执行情况，并找出了执行可交付成果的障碍/促进因素。使用新的符合分析（CNA）方法分析结果。在286个Access Portfolio项目中，包括由20个VHA设施的32名调查员领导的36个项目。29个答复者完成了对32个项目的调查（答复率= 88.9%）。28%的项目报告说完全执行了项目的可交付成果，34%报告说部分执行了可交付成果，37%报告说没有执行任何可交付成果（即，所产生的工具/干预措施未付诸实践）。在调查中评估的14个可能的障碍/促进因素中，有两个通过CNA被确定为部分或全部实施项目可交付成果的“差异制造者”：（1）与国家VHA运营领导层的接触;（2）当地现场运营领导层的支持和承诺。这些研究结果经验突出的重要性，业务领导参与的研究成果的成功实施。应扩大努力，加强研究界和VHA地方/国家业务领导人之间的沟通和参与，以确保VHA对研究的投资导致退伍军人护理的有意义的改善。退伍军人健康管理局（VHA）优先考虑及时获得护理，并在旨在优化退伍军人获取的研究方面投入了大量资金。然而，将研究结果应用于临床实践仍然具有挑战性，无论是在VHA内部还是外部。在这里，我们评估了最近的VHA访问相关的研究项目的实施状况，并探讨了成功实施的相关因素。只有两个因素被确定为将项目结果应用于实践的“差异制造者”：（1）与国家VHA领导层的合作或（2）当地现场领导层的支持和承诺。这些发现突出了领导参与的重要性，成功实施的研究成果。应扩大努力，加强研究界和VHA地方/国家领导人之间的沟通和参与，以确保VHA对研究的投资导致退伍军人护理的有意义的改善。在线版本包含补充材料，可通过10.1007/s11606-023-08115-5获得。
The Veterans Health Administration (VHA) has prioritized timely access to care and has invested substantially in research aimed at optimizing veteran access. However, implementing research into practice remains challenging. Here, we assessed the implementation status of recent VHA access-related research projects and explored factors associated with successful implementation. We conducted a portfolio review of recent VHA-funded or supported projects (1/2015–7/2020) focused on healthcare access (“Access Portfolio”). We then identified projects with implementable research deliverables by excluding those that (1) were non-research/operational projects; (2) were only recently completed (i.e., completed on or after 1/1/2020, meaning that they were unlikely to have had time to be implemented); and (3) did not propose an implementable deliverable. An electronic survey assessed each project’s implementation status and elicited barriers/facilitators to implementing deliverables. Results were analyzed using novel Coincidence Analysis (CNA) methods. Among 286 Access Portfolio projects, 36 projects led by 32 investigators across 20 VHA facilities were included. Twenty-nine respondents completed the survey for 32 projects (response rate = 88.9%). Twenty-eight percent of projects reported fully implementing project deliverables, 34% reported partially implementing deliverables, and 37% reported not implementing any deliverables (i.e., resulting tool/intervention not implemented into practice). Of 14 possible barriers/facilitators assessed in the survey, two were identified through CNA as “difference-makers” to partial or full implementation of project deliverables: (1) engagement with national VHA operational leadership; (2) support and commitment from local site operational leadership. These findings empirically highlight the importance of operational leadership engagement for successful implementation of research deliverables. Efforts to strengthen communication and engagement between the research community and VHA local/national operational leaders should be expanded to ensure VHA’s investment in research leads to meaningful improvements in veterans’ care. The Veterans Health Administration (VHA) has prioritized timely access to care and has invested substantially in research aimed at optimizing veteran access. However, implementing research findings into clinical practice remains challenging, both within and outside VHA. Here, we assessed the implementation status of recent VHA access-related research projects and explored factors associated with successful implementation. Only two factors were identified as “difference-makers” to adoption of project findings into practice: (1) engagement with national VHA leadership or (2) support and commitment from local site leadership. These findings highlight the importance of leadership engagement for successful implementation of research findings. Efforts to strengthen communication and engagement between the research community and VHA local/national leaders should be expanded to ensure VHA’s investment in research leads to meaningful improvements in veterans’ care. The online version contains supplementary material available at 10.1007/s11606-023-08115-5.
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DOI：
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发表时间：
2009-08-07
期刊：
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影响因子：
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期刊：
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影响因子：
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