The Transmural Trauma Care Model can be implemented well but some barriers and facilitators should be considered during implementation: a mixed methods study
| Autor: | Johanna M. van Dongen, Vincent de Groot, Frank W. Bloemers, M.H. Donker, Edwin Geleijn, Suzanne H. Wiertsema, Raymond W. J. G. Ostelo |
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| Přispěvatelé: | Rehabilitation medicine, APH - Societal Participation & Health, Amsterdam Movement Sciences, Surgery, AMS - Rehabilitation & Development, AMS - Sports, APH - Quality of Care, Epidemiology and Data Science, AMS - Musculoskeletal Health, Amsterdam Neuroscience - Neuroinfection & -inflammation, Health Economics and Health Technology Assessment, APH - Methodology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Emergency Medical Services media_common.quotation_subject medicine.medical_treatment Fidelity Physical Therapy Sports Therapy and Rehabilitation RM1-950 Trauma Process evaluation Framework method Patient satisfaction SDG 3 - Good Health and Well-being Multidisciplinary approach medicine Outpatient clinic Humans Qualitative Research media_common Rehabilitation Primary Health Care business.industry Focus Groups Trauma care Focus group Patient Satisfaction Research Design Family medicine Implementation Physical therapy Therapeutics. Pharmacology business Fractures |
| Zdroj: | Wiertsema, S H, Donker, M H, van Dongen, J M, Geleijn, E, Bloemers, F W, Ostelo, R W JG & de Groot, V 2021, ' The Transmural Trauma Care Model can be implemented well but some barriers and facilitators should be considered during implementation: a mixed methods study ', Journal of Physiotherapy, vol. 67, no. 4, pp. 298-307 . https://doi.org/10.1016/j.jphys.2021.08.017 Journal of Physiotherapy, Vol 67, Iss 4, Pp 298-307 (2021) Wiertsema, S H, Donker, M H, van Dongen, J M, Geleijn, E, Bloemers, F W, Ostelo, R WJG & de Groot, V 2021, ' The Transmural Trauma Care Model can be implemented well but some barriers and facilitators should be considered during implementation : a mixed methods study ', Journal of Physiotherapy, vol. 67, no. 4, pp. 298-307 . https://doi.org/10.1016/j.jphys.2021.08.017 Journal of Physiotherapy, 67(4), 298-307. Australian Physiotherapy Association |
| ISSN: | 1836-9553 |
| DOI: | 10.1016/j.jphys.2021.08.017 |
| Popis: | Questions What is the reach, dose delivered, dose received and fidelity of the Transmural Trauma Care Model (TTCM)? What are the barriers and facilitators associated with the implementation of the TTCM? Design Mixed-methods process evaluation with quantitative evaluation of the extent to which the TTCM was implemented as intended and qualitative evaluation of barriers and facilitators to its implementation. Participants Focus group participants included trauma patients, trauma surgeons, hospital-based physiotherapists and primary care network physiotherapists. Outcome measures Implementation was assessed with reach, dose delivered, dose received and fidelity. Data analysis A framework method was used to analyse the focus groups and the ‘constellation approach’ was used to categorise barriers and facilitators into three categories: structure, culture and practice. Results The TTCM’s reach was 81%, its dose delivered was 99% and 100%, and its dose received was 95% and 96% for the multidisciplinary TTCM consultation hours at the outpatient clinic for trauma patients and the primary care network physiotherapists, respectively. Various fidelity scores ranged from 66 to 93%. Numerous barriers and facilitators associated with the implementation of the TTCM were identified and categorised. Conclusion This process evaluation showed that the TTCM was largely implemented as intended. Furthermore, various facilitators and barriers were identified that need to be considered when implementing the TTCM more widely. Differences were found among stakeholders but they were generally of the opinion that if the barriers were overcome, the quality of care and patient satisfaction were likely to improve significantly after implementing the TTCM. Registration NTR5474. |
| Databáze: | OpenAIRE |
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