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. 2020 Sep;29(9):746-755.
doi: 10.1136/bmjqs-2019-010059. Epub 2019 Dec 11.

Logic model framework for considering the inputs, processes and outcomes of a healthcare organisation-research partnership

Affiliations

Logic model framework for considering the inputs, processes and outcomes of a healthcare organisation-research partnership

Amir Alishahi Tabriz et al. BMJ Qual Saf. 2020 Sep.

Abstract

Background: The published literature provides few insights regarding how to develop or consider the effects of knowledge co-production partnerships in the context of delivery system science.

Objective: To describe how a healthcare organisation-university-based research partnership was developed and used to design, develop and implement a practice-integrated decision support tool for patients with a physician recommendation for colorectal cancer screening.

Design: Instrumental case study.

Participants: Data were ascertained from project documentation records and semistructured questionnaires sent to 16 healthcare organisation leaders and staff, research investigators and research staff members.

Results: Using a logic model framework, we organised the key inputs, processes and outcomes of a healthcare organisation-university-based research partnership. In addition to pragmatic researchers, partnership inputs included a healthcare organisation with a supportive practice environment and an executive-level project sponsor, a mid-level manager to serve as the organisational champion and continual access to organisational employees with relevant technical, policy and system/process knowledge. During programme design and implementation, partnership processes included using project team meetings, standing organisational meetings and one-on-one consultancies to provide platforms for shared learning and problem solving. Decision-making responsibility was shared between the healthcare organisation and research team. We discuss the short-term outcomes of the partnership, including how the partnership affected the current research team's knowledge and health system initiatives.

Conclusion: Using a logic model framework, we have described how a healthcare organisation-university-based research team partnership was developed. Others interested in developing, implementing and evaluating knowledge co-production partnerships in the context of delivery system science projects can use the experiences to consider ways to develop, implement and evaluate similar co-production partnerships.

Keywords: delivery system science; health care stakeholder engagement; implementation science; knowledge co-production; quality improvement.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1.
Figure 1.
Delivery System Sciences Framework
Figure 2.
Figure 2.
Email showed communications within a partnership

References

    1. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. The lancet. 2003;362(9391):1225–30. - PubMed
    1. Grol R. Successes and failures In the implementation of evidence-based guidelines for clinical practice. Med Care. 2001;39(8):II-46–II-54. - PubMed
    1. Shay LA, Lafata JE. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med Decis Making. 2015;35(1):114–31. - PMC - PubMed
    1. Stacy R, Torrence WA, Mitchell CR. Perceptions of knowledge, beliefs, and barriers to colorectal cancer screening. J Cancer Educ. 2008;23(4):238–40. - PubMed
    1. Jimbo M, Rana GK, Hawley S, Holmes-Rovner M, Kelly-Blake K, Nease DE Jr, et al. What is lacking in current decision aids on cancer screening? CA Cancer J Clin. 2013;63(3):193–214. - PMC - PubMed

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