The Implementation Research Scientific Conference in Bilbao comes at a crucial juncture in which it is essential to think about how Implementation Science and practice may work together in order to facilitate the translation of evidence-based interventions into routine clinical practice aiming to increase their reach, adoption, implementation and maintenance.
JADECARE has been accepted as a presenter to this conference on “The Implementation strategy for the transfer and adoption of successfully proven good practices on digitally enabled integrated person-centred care to heterogeneous contexts”: In the framework of speeding up the adoption of integrated person-centred care solutions in Europe by improving their capacity to redesign and improve their healthcare systems, the EU funded “Joint Action on digitally enabled integrated person-centred care” intends to support the transformation of health systems by addressing the transfer and adoption of four “original Good Practices” (oGPs) to 21 settings of “Next Adopters” (NAs) from 14 European countries holding different levels of maturity of integrated care. A three-step implementation strategy has been developed for enabling the transfer of experiences and knowledge:
- Pre-implementation (planning and preparation): the NAs analyzed their contexts with the SWOT analysis and identified more than 150 local needs aligned with oGPs‘ key elements (study visits organized). As a consequence, 64 interventions were defined targeting more than 4 million people.
- Implementation (roll-out and operation): the NAs deployed their action plans by means of two PDSA Cycles monitored by more than 350 KPIs. In ten structured thematic workshops they exchanged their experience about the transfer process.
- Post-implementation (impact assessment and learning): the NAs analyzed the implementation process through the CFIR and reported the whole experience using SQUIRE 2.0 guidelines. Moreover, the implementation strategy is assessed by NAs (end users) to evaluate its impact and usability.
JADECARE impacts on European health systems by implementing innovative digital integrated care solutions and helping to change the model of care provision. It sets the base to implement integrated care at large scale by delivering know how to transfer innovative and tailored practices and generating evidence that aspires to produce benefits beyond the project.
Implementation Research and Practice:The biggest problem that undermines the quality of our health services is not the lack of research, but rather the lack of real implementation of the knowledge that research generates. The real translation into clinical health practice of effective interventions for health promotion and prevention of chronic diseases remains an unresolved challenge in health systems worldwide. Additionally, a considerable proportion of the interventions provided to patients in the healthcare context lack solid evidence of the effectiveness. The elimination or reduction of this low-value care can lead to improvements in the quality of care and its results in terms of population health while reducing costs.
Implementation Science seeks to address and reduce this translational gap by studying and understanding: