Ali Ben Charif1, Hervé Tchala Vignon Zomahoun1, José Massougbodji1, Lobna Khadhraoui1, Maxine Dumas Pilon1, Elise Boulanger1, Amédé Gogovor1, Marie-Josée Campbell1, Marie-Ève Poitras1, France Légaré2. 1. VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que. 2. VITAM - Centre de recherche en santé durable (Ben Charif, Zomahoun, Massougbodji, Khadhraoui, Gogovor, Légaré), Québec, Que.; Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation (Ben Charif, Gogovor, Légaré), Université Laval; Health and Social Services Systems, Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit (Zomahoun, Massougbodji, Khadhraoui, Gogovor), Université Laval; Collège québécois des médecins de famille (Dumas Pilon, Boulanger, Campbell), Laval, Que.; Department of Family Medicine and Emergency Medicine (Poitras), Université de Sherbrooke, Sherbrooke, Que.; Department of Family Medicine and Emergency Medicine (Ben Charif, Légaré), Université Laval, Québec, Que.; Department of Family Medicine (Dumas Pilon) and School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences (Zomahoun), McGill University, Montréal, Que. france.legare@mfa.ulaval.ca.
Abstract
BACKGROUND: Canadian health funding currently prioritizes scaling up for evidence-based primary care innovations, but not all teams prepare for scaling up. We explored scalability assessment among primary care innovators in the province of Quebec to evaluate their preparedness for scaling up. METHODS: We performed a cross-sectional survey from Feb. 18 to Mar. 18, 2019. Eligible participants were 33 innovation teams selected for the 2019 Quebec College of Family Physicians' Symposium on Innovations. We conducted a Web-based survey in 2 sections: innovation characteristics and the Innovation Scalability Self-administered Questionnaire. The latter includes 16 criteria (scalability components) grouped into 5 dimensions: theory (1 criterion), impact (6 criteria), coverage (4 criteria), setting (3 criteria) and cost (2 criteria). We classified innovation types using the International Classification of Health Interventions. We performed a descriptive analysis using frequency counts and percentages. RESULTS: Out of 33 teams, 24 participated (72.7%), with 1 innovation each. The types of innovation were management (15/24), prevention (8/24) and therapeutic (1/24). Most management innovations focused on patient navigation (9/15). In order of frequency, teams had assessed theory (79.2%) and impact (79.2%) criteria, followed by cost (77.1%), setting (59.7%) and coverage (54.2%). Most innovations (16/24) had assessed 10 criteria or more, including 10 management innovations, 5 prevention innovations and 1 therapeutic innovation. Implementation fidelity was the least assessed criterion (6/24). INTERPRETATION: The scalability assessments of a primary care innovation varied according to its type. Management innovations, which were the most prevalent and assessed the most scalability components, appear to be most prepared for primary care scale-up in Canada. Copyright 2020, Joule Inc. or its licensors.
BACKGROUND: Canadian health funding currently prioritizes scaling up for evidence-based primary care innovations, but not all teams prepare for scaling up. We explored scalability assessment among primary care innovators in the province of Quebec to evaluate their preparedness for scaling up. METHODS: We performed a cross-sectional survey from Feb. 18 to Mar. 18, 2019. Eligible participants were 33 innovation teams selected for the 2019 Quebec College of Family Physicians' Symposium on Innovations. We conducted a Web-based survey in 2 sections: innovation characteristics and the Innovation Scalability Self-administered Questionnaire. The latter includes 16 criteria (scalability components) grouped into 5 dimensions: theory (1 criterion), impact (6 criteria), coverage (4 criteria), setting (3 criteria) and cost (2 criteria). We classified innovation types using the International Classification of Health Interventions. We performed a descriptive analysis using frequency counts and percentages. RESULTS: Out of 33 teams, 24 participated (72.7%), with 1 innovation each. The types of innovation were management (15/24), prevention (8/24) and therapeutic (1/24). Most management innovations focused on patient navigation (9/15). In order of frequency, teams had assessed theory (79.2%) and impact (79.2%) criteria, followed by cost (77.1%), setting (59.7%) and coverage (54.2%). Most innovations (16/24) had assessed 10 criteria or more, including 10 management innovations, 5 prevention innovations and 1 therapeutic innovation. Implementation fidelity was the least assessed criterion (6/24). INTERPRETATION: The scalability assessments of a primary care innovation varied according to its type. Management innovations, which were the most prevalent and assessed the most scalability components, appear to be most prepared for primary care scale-up in Canada. Copyright 2020, Joule Inc. or its licensors.
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Authors: Ali Ben Charif; Hervé Tchala Vignon Zomahoun; Amédé Gogovor; Mamane Abdoulaye Samri; José Massougbodji; Luke Wolfenden; Jenny Ploeg; Merrick Zwarenstein; Andrew J Milat; Nathalie Rheault; Youssoufa M Ousseine; Jennifer Salerno; Maureen Markle-Reid; France Légaré Journal: Health Res Policy Syst Date: 2022-03-24