scholarly journals Addressing comprehensive primary healthcare in Gujarat through mHealth intervention: Early implementation experience with TeCHO+ programme

2020 ◽  
Vol 9 (1) ◽  
pp. 340 ◽  
Author(s):  
Somen Saha ◽  
Priya Kotwani ◽  
Apurvakumar Pandya ◽  
Chintan Patel ◽  
Komal Shah ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Mhealth Intervention ◽  
Early Implementation ◽  
Implementation Experience

Managing care integration during the implementation of large-scale reforms

2017 ◽  
Vol 25 (1) ◽  
pp. 6-16 ◽  
Author(s):  
Helen Dickinson ◽  
Gemma Carey
Keyword(s):  
Large Scale ◽  
Structured Interviews ◽  
Content Type ◽  
Care Integration ◽  
Early Implementation ◽  
Commonwealth Government ◽  
Boundary Issues ◽  
And Control ◽  
Institutional Boundaries ◽  
Implementation Experience

Purpose The National Disability Insurance Scheme (NDIS) is a new program for the provision of support to people with disabilities in Australia. The purpose of this paper is to explore the early implementation experience of this scheme, with a particular focus on the implications of this scheme for issues of care integration. Design/methodology/approach Semi-structured interviews were conducted with 26 policymakers in the Commonwealth government charged with the design and implementation of the NDIS. Findings The authors find somewhat of a lack of clarity concerning the boundaries of the NDIS and how it will work with a range of different services in the provision of seamless and consumer-directed care. Many of the same kinds of debates about interfaces with services were detected in this study as have been highlighted in relation to UK individual funding schemes. If the NDIS is truly to support individuals with disabilities to achieve choice and control, important work will need to be undertaken in to overcome organizational and institutional boundaries. Originality/value There is little empirical data relating to the implementation of the NDIS to date. This is the first study to explore boundary issues in relation to care integration.

GMPLS-based control plane for optical networks: early implementation experience

2002 ◽  
Author(s):  
Hang Liu ◽  
Dimitrios Pendarakis ◽  
Nooshin Komaee ◽  
Debanjan Saha
Keyword(s):  
Optical Networks ◽  
Control Plane ◽  
Early Implementation ◽  
Implementation Experience

Factors influencing early stage healthcare-academia partnerships

2018 ◽  
Vol 31 (1) ◽  
pp. 28-40
Author(s):  
Håkan Uvhagen ◽  
Mia von Knorring ◽  
Henna Hasson ◽  
John Øvretveit ◽  
Johan Hansson
Keyword(s):  
Primary Healthcare ◽  
Strategic Change ◽  
Early Stage ◽  
Healthcare Services ◽  
Model Framework ◽  
Educational Activities ◽  
Content Type ◽  
Factors Influencing ◽  
Early Implementation ◽  
Intermediate Outcomes

Purpose The purpose of this paper is to explore factors influencing early implementation and intermediate outcomes of a healthcare-academia partnership in a primary healthcare setting. Design/methodology/approach The Academic Primary Healthcare Network (APHN) initiative was launched in 2011 in Stockholm County, Sweden and included 201 primary healthcare centres. Semi-structured interviews were conducted in 2013-2014 with all coordinating managers (n=8) and coordinators (n=4). A strategic change model framework was used to collect and analyse data. Findings Several factors were identified to aid early implementation: assignment and guidelines that allowed flexibility; supportive management; dedicated staff; facilities that enabled APHN actions to be integrated into healthcare practice; and positive experiences from research and educational activities. Implementation was hindered by: discrepancies between objectives and resources; underspecified guidelines that trigger passivity; limited research and educational activities; a conflicting non-supportive reimbursement system; limited planning; and organisational fragmentation. Intermediate outcomes revealed that various actions, informed by the APHN assignment, were launched in all APHNs. Practical implications The findings can be rendered applicable by preparing stakeholders in healthcare services to optimise early implementation of healthcare-academia partnerships. Originality/value This study increases understanding of interactions between factors that influence early stage partnerships between healthcare services and academia in primary healthcare settings.

scholarly journals The Role of Family Medicine Training in Addressing Workforce Challenges in Rural Liberia – Early Implementation Experience

2021 ◽  
Vol 87 (1) ◽  
Author(s):  
Ibrahim Sanoe ◽  
Kolu Beyan-Davies ◽  
Sarah Anyango ◽  
Gerald Ekwen ◽  
Jacquelin Pierre ◽  
...  
Keyword(s):  
Family Medicine ◽  
Early Implementation ◽  
Implementation Experience

scholarly journals Introducing Nurse Practitioners Into Norwegian Primary Healthcare—Experiences and Learning

2020 ◽  
Vol 34 (1) ◽  
pp. 21-34 ◽  
Author(s):  
Elisabeth Holm Hansen ◽  
Erika Boman ◽  
Pia Bing-Jonsson ◽  
Lisbeth M. Fagerstrom
Keyword(s):  
Registered Nurses ◽  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Implementation Process ◽  
Advanced Practice Nursing ◽  
Nurse Leaders ◽  
Suitable Model ◽  
Advanced Practice ◽  
Early Implementation ◽  
Audio Recordings

Background and PurposeNurse practitioners (NPs) are well established internationally, and Norway is now in the first phase of implementing their role. The aim of this study was to describe the reflections of nurse leaders and general practitioners (GPs) on the establishment of the new NP role in primary healthcare.MethodsThis study was qualitative and longitudinal. Written reports and audio recordings from 11 meetings with nurse leaders and GPs during 3 years in 3 municipalities were analyzed by a thematic analysis.ResultsFour themes were identified: the need for enhanced clinical competence among registered nurses, the need for reorganization of advanced practice, the need for negotiating professional barriers, and demanding economic situations. Nurse leaders and GPs were generally positive toward NPs, but they had difficulty in clarifying their roles and how to organize them in the existing work models. This was due to economic pressures, different needs in departments, and shift work. Nurse leaders and GPs agreed that NPs should not replace physicians but perform the tasks of advanced practice nursing in a more expert way. Nurse leaders also wanted NPs to be a resource for registered nurses. It was important to gain trust in the new role not only of GPs but also of registered nurses.Implications for PracticeIt is extremely important that an implementation group is proactive in finding a suitable model for the implementation process. Clarification of the roles, tasks, and responsibilities of NPs at an early implementation stage could make the process easier.

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