Implementation of a Statewide Outcome Monitoring System: Lessons Learned From Substance Abuse Treatment Provider Staff
| Autor: | Elizabeth Evans, Yih-Ing Hser, Cheryl Teruya, Mary R. Hardy |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Time Factors media_common.quotation_subject Midstream MEDLINE 030508 substance abuse Outcome monitoring 03 medical and health sciences 0302 clinical medicine Nursing Outcome Assessment Health Care Humans Medicine Confidentiality media_common Data collection business.industry Data Collection Public Health Environmental and Occupational Health Focus Groups Discretion Focus group 030227 psychiatry Ethics Clinical Female Substance Abuse Treatment Centers 0305 other medical science business Substance abuse treatment |
| Zdroj: | Qualitative Health Research. 16:337-352 |
| ISSN: | 1552-7557 1049-7323 |
| DOI: | 10.1177/1049732305279137 |
| Popis: | The authors analyze the pilot implementation of a statewide automated outcome monitoring system (OMS) in California, using the perspectives of substance abuse treatment providers responsible for its day-to-day operation. To gain a better understanding of changes experienced by staff and their perceptions of barriers and facilitators of implementation, they conducted 28 focus groups designed to inform midstream adjustments to the system prior to its possible roll-out. Qualitative analysis of the focus group data revealed five important factors influencing implementation: the treatment provider's ethos, the time-consuming nature of the OMS, staff buy-in, resources, and counselor and program discretion. Lessons learned underscored the importance of taking into consideration aspects of organizational change and institutional resources and infrastructure when implementing a major change such as an automated OMS. Findings might be useful to those designing and implementing similar systems or other large organizational change initiatives. |
| Databáze: | OpenAIRE |
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