Department of Rehabilitation.
Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Quebec City.
JBI Evid Implement. 2021 Apr 9;19(2):149-161. doi: 10.1097/XEB.0000000000000281.
Prioritization tools aim to manage access to care by ranking patients equitably in waiting lists based on determined criteria. Patient prioritization has been studied in a wide variety of clinical health services, including rehabilitation contexts. We created a web-based patient prioritization tool (PPT) with the participation of stakeholders in two rehabilitation programs, which we aim to implement into clinical practice. Successful implementation of such innovation can be influenced by a variety of determinants. The goal of this study was to explore facilitators and barriers to the implementation of a PPT in rehabilitation programs.
We used two questionnaires and conducted two focus groups among service providers from two rehabilitation programs. We used descriptive statistics to report results of the questionnaires and qualitative content analysis based on the Consolidated Framework for Implementation Research.
Key facilitators are the flexibility and relative advantage of the tool to improve clinical practices and produce beneficial outcomes for patients. Main barriers are the lack of training, financial support and human resources to sustain the implementation process.
This is the first study that highlights organizational, individual and innovation levels facilitators and barriers for the implementation of a prioritization tool from service providers' perspective.
优先排序工具旨在通过根据既定标准在等待名单上公平地对患者进行排名，从而管理医疗服务的可及性。患者优先排序已经在广泛的临床医疗服务中进行了研究，包括康复环境。我们在两个康复项目的利益相关者的参与下创建了一个基于网络的患者优先排序工具（PPT），我们旨在将其纳入临床实践。此类创新的成功实施可能受到各种决定因素的影响。本研究的目的是探讨康复项目中实施 PPT 的促进因素和障碍。
我们使用了两个问卷，并在两个康复项目的服务提供者中进行了两次焦点小组讨论。我们使用描述性统计来报告问卷的结果，并基于实施研究的综合框架进行定性内容分析。
关键的促进因素是该工具的灵活性和相对优势，可改善临床实践并为患者带来有益的结果。主要障碍是缺乏培训、财务支持和人力资源来维持实施过程。
这是第一项从服务提供者的角度强调实施优先排序工具的组织、个人和创新层面促进因素和障碍的研究。
