Grant: Knowledge Synthesis Grant

University of British Columbia

$100,000.00

Indicators and measurement tools for health systems integration: A knowledge synthesis

EF 2014-15

Résumé

Background: Health systems integration remains a key goal of healthcare reform as a means to improve quality of care and decrease utilization of resources. In a prior knowledge synthesis, two of the Principal Applicants (NO/ES) identified 10 universal principles (e.g., comprehensive services across the continuum of care, care delivered by interprofessional teams) that need to be considered for successful health systems integration. An important gap that emerged in the knowledge synthesis was the lack of indicators and tools to measure integration hampering our ability to measure progress towards health systems integration. The goal of this knowledge synthesis is to identify indicators and tools for measuring health systems integration. Our primary research question is how can we measure health systems integration? Two sub-questions include: 1) What are appropriate indicators for each of the 10 key integration principles? and 2) What measurement tools are used to measure these indicators? Approach: We will first identify appropriate indicators for each of the 10 key principles for successful integration. We will draw on literature scans and a panel of integration experts, knowledge-users, providers, and patients to generate a preliminary list of indicators. Using a modified Delphi approach, the panel (n=30-35 members) will validate these indicators and reach consensus on the three to five most relevant indicators for each key principle. We will then conduct a systematic search for measurement tools to measure the indicators. The search will focus on peer reviewed literature using databases such as Medline, EMBASE, CINAHL, ABI Inform, and Business Source Premier. We will follow standard processes developed and refined in our previous work to rate the relevancy of abstracts and full articles, assess the quality of studies, and extract and synthesize information. Team: The research team brings together researchers and knowledge-users from two Canadian provinces (BC and AB) and Brazil with expertise in health systems policy and planning, systematic reviews, and library sciences. Having team members from Brazil will increase the generalizability of the results from this knowledge synthesis. We have the resources (access to research staff and graduate students, library access), expertise, and processes to successfully and expediently conduct this work. Knowledge Translation (KT): Integrated KT includes engagement of knowledge users in identification of relevant indicators through the Delphi approach and regular team meetings. We will develop user friendly materials with key findings for dissemination for end-of-grant KT. Materials will be targeted to specific audiences such as knowledge-user team members and their organizations. Journal publications and presentations at provincial, national, and international conferences will be completed. We will also host a knowledge dissemination event with researchers, knowledge-users, and government representatives from the three jurisdictions using internet technology (e.g., Web-ex). Significance: Our knowledge synthesis will directly benefit the work in various jurisdictions concerned with developing integrated health systems. Having the ability to measure success of different strategies through appropriate indicators and tools will ultimately lead to better design of healthcare systems and better health outcomes.

Ministère

Canadian Institutes of Health Research

Programme

Knowledge Synthesis Grant

Bénéficiaire

University of British Columbia

Emplacement

British Columbia, Canada

Type de bénéficiaire

Academia

Type

Grant

Source

CIHR Funding Decisions Database

Tel que publié

308758

Name

Oelke Nelly

Region

British Columbia

Country

Canada

Orgtype

Institution Paid; Research Institution

Instname2

Health Services and Policy Research

Theme2

Health systems / services

Prcname2

Knowledge Synthesis Grant

Projecttitle

Indicators and measurement tools for health systems integration: A knowledge synthesis

Programtype2

Operating Grants

Orgnameinp2

University of British Columbia

Cihramount2

$100,000

Cihrequipment2

Programname2

Knowledge Synthesis Grant

Keyworddelim

Health Services Research; Indicators; Integrated Health Services; Integration; Knowledge Synthesis; Measurement Tools; Systematic Review

Competitiondate

201404

Approvedterm2

1 yr 0 mth

Pinamesdelim

Oelke, Nelly; Neuner, Andrew; Lima, Maria Alice D; Suter, Esther

Approvedterm

1 an 0 mois

Cihrcontribution2

~ $100,000~ $0~

Abstract

<html> <body> Background: Health systems integration remains a key goal of healthcare reform as a means to improve quality of care and decrease utilization of resources. In a prior knowledge synthesis, two of the Principal Applicants (NO/ES) identified 10 universal principles (e.g., comprehensive services across the continuum of care, care delivered by interprofessional teams) that need to be considered for successful health systems integration. An important gap that emerged in the knowledge synthesis was the lack of indicators and tools to measure integration hampering our ability to measure progress towards health systems integration. The goal of this knowledge synthesis is to identify indicators and tools for measuring health systems integration. Our primary research question is how can we measure health systems integration? Two sub-questions include: 1) What are appropriate indicators for each of the 10 key integration principles? and 2) What measurement tools are used to measure these indicators? Approach: We will first identify appropriate indicators for each of the 10 key principles for successful integration. We will draw on literature scans and a panel of integration experts, knowledge-users, providers, and patients to generate a preliminary list of indicators. Using a modified Delphi approach, the panel (n=30-35 members) will validate these indicators and reach consensus on the three to five most relevant indicators for each key principle. We will then conduct a systematic search for measurement tools to measure the indicators. The search will focus on peer reviewed literature using databases such as Medline, EMBASE, CINAHL, ABI Inform, and Business Source Premier. We will follow standard processes developed and refined in our previous work to rate the relevancy of abstracts and full articles, assess the quality of studies, and extract and synthesize information. Team: The research team brings together researchers and knowledge-users from two Canadian provinces (BC and AB) and Brazil with expertise in health systems policy and planning, systematic reviews, and library sciences. Having team members from Brazil will increase the generalizability of the results from this knowledge synthesis. We have the resources (access to research staff and graduate students, library access), expertise, and processes to successfully and expediently conduct this work. Knowledge Translation (KT): Integrated KT includes engagement of knowledge users in identification of relevant indicators through the Delphi approach and regular team meetings. We will develop user friendly materials with key findings for dissemination for end-of-grant KT. Materials will be targeted to specific audiences such as knowledge-user team members and their organizations. Journal publications and presentations at provincial, national, and international conferences will be completed. We will also host a knowledge dissemination event with researchers, knowledge-users, and government representatives from the three jurisdictions using internet technology (e.g., Web-ex). Significance: Our knowledge synthesis will directly benefit the work in various jurisdictions concerned with developing integrated health systems. Having the ability to measure success of different strategies through appropriate indicators and tools will ultimately lead to better design of healthcare systems and better health outcomes. <div> </div> </body> </html>

Voir les données sources CIHR Funding Decisions Database (Canadian Institutes of Health Research)