Health System-Level Factors Influence the Implementation of Complex Innovations in Cancer Care

Robin Urquhart, Lois Jackson, Joan Sargeant, Geoffrey Porter, Eva Grunfeld
2015 Healthcare Policy | Politiques de Santé  
The movement of new knowledge and tools into healthcare settings continues to be a slow, complex and poorly understood process. In this paper, we present the system-level factors important to the implementation of synoptic reporting tools in two initiatives (or cases) in Nova scotia, Canada. Methods: This study used case study methodology. data were collected through interviews with key informants, document analysis, non-participant observation and tool use/examination. Analysis involved
more » ... sis involved production of case histories, analysis of each case and a cross-case analysis. Results: The healthcare system' s delivery and support structure, information technology infrastructure, policy environment and history of collaboration and inter-organizational relationships influenced tool implementation in the two cases. Conclusions: The findings provide an in-depth, nuanced understanding of how healthcare system components can influence the implementation of a new tool in clinical practice.
doi:10.12927/hcpol.2016.24444 fatcat:j4h6i6kp3ngl3mhlqbse4mrrcq