Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception
Autor: | Christine N. Mackie, Cameron G. Estrich, Ellen Pliska, Kristin Rankin, David A. Goodman, Carla L. DeSisto, Charlan D. Kroelinger, Lisa F. Waddell |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Learning community
Health Informatics Health informatics Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Professional learning community Medicine Postpartum contraception Humans 030212 general & internal medicine Health Education Health policy Long-Acting Reversible Contraception lcsh:R5-920 Medical education 030219 obstetrics & reproductive medicine business.industry 4. Education Health Policy Research Postpartum Period Public Health Environmental and Occupational Health Health services research Health Plan Implementation Collaborative learning General Medicine Learning collaborative United States 3. Good health Implementation science Female lcsh:Medicine (General) business Postpartum period Health department Implementation strategies |
Zdroj: | Implementation Science : IS Implementation Science, Vol 12, Iss 1, Pp 1-9 (2017) |
ISSN: | 1748-5908 |
Popis: | Background Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes. During 2015–2016, the Learning Community included multi-disciplinary, multi-agency teams of state health officials, payers, clinicians, and health department staff from 13 states. This qualitative study was conducted to better understand the successes, challenges, and strategies that the 13 US states in the Learning Community used for increasing access to immediate postpartum LARC. Methods We conducted telephone interviews with each team in the Learning Community. Interviews were semi-structured and organized by the eight domains of the Learning Community. We coded transcribed interviews for facilitators, barriers, and implementation strategies, using a recent compilation of expert-defined implementation strategies as a foundation for coding the latter. Results Data analysis showed three ways that the activities of the Learning Community helped in policy implementation work: structure and accountability, validity, and preparing for potential challenges and opportunities. Further, the qualitative data demonstrated that the Learning Community integrated six other implementation strategies from the literature: organize clinician implementation team meetings, conduct educational meetings, facilitation, promote network weaving, provide ongoing consultation, and distribute educational materials. Conclusions Convening a multi-state learning collaborative is a promising approach for facilitating the implementation of new reimbursement policies for evidence-based practices complicated by systems challenges. By integrating several implementation strategies, the Learning Community serves as a meta-strategy for supporting implementation. |
Databáze: | OpenAIRE |
Externí odkaz: |