DOCSLIB.ORG

Improving Knowledge Translation for Increased Engagement and Impact in Healthcare

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Improving Knowledge Translation for Increased Engagement and Impact in Healthcare Open access Research & reporting methodology BMJ Open Qual: first published as 10.1136/bmjoq-2020-000983 on 17 September 2020. Downloaded from Improving knowledge translation for increased engagement and impact in healthcare Kathy Eljiz ,1 David Greenfield,1 Anne Hogden,1 Robyn Taylor,1 Nazlee Siddiqui ,1 Maria Agaliotis ,1 Marianna Milosavljevic2 To cite: Eljiz K, Greenfield D, ABSTRACT to healthcare stakeholders.9 Traditionally, Hogden A, et al. Improving Ineffective knowledge dissemination contributes to a research report, such as a thesis or large knowledge translation for clinical practice and service improvements not being increased engagement report, has been the source of information realised. Meaningful knowledge translation can occur and impact in healthcare. to develop posters, presentations and manu- through the understanding and matching of appropriate 10 BMJ Open Quality scripts. These methods of dissemination communication mediums that are relevant for different 2020;9:e000983. doi:10.1136/ are used, and highly valued, by academics, bmjoq-2020-000983 stakeholders or audiences. To this end, we present a dissemination instrument, the ‘REAch and Diffusion of universities and funding bodies. However, if ► Additional material is health iMprovement Evidence’ (README) checklist, for knowledge is to be more effectively spread published online only. To view, the communication of research findings, integrating to end- users of healthcare, then it must be please visit the journal online both traditional and newer communication mediums. identified and communicated beyond tradi- (http:// dx. doi. org/ 10. 1136/ Additionally, we propose a ‘Strategic Translation and 11 bmjoq- 2020- 000983). tional means. Combining traditional and Engagement Planning’ (STEP) tool, for use when deciding evolving communication methods of knowl- which mediums to select. The STEP tool challenges the edge generation and dissemination is key.12 A Received 29 March 2020 need for communicating complex and simple information successful research study is a repository from Revised 13 August 2020 against the desire for passive or active stakeholder which information can be presented through Accepted 18 August 2020 interaction. Used collaboratively by academics and copyright. health professionals, README and STEP can promote co- multiple communication methods including production of research, subsequent diffusion of knowledge, research reports, posters, stakeholder and and develop the capacity and skills of all stakeholders. academic conference presentations, peer- reviewed articles, pitches, webinars and podcasts. These different communication INTRODUCTION methods will be more, or less, relevant to http://bmjopenquality.bmj.com/ Healthcare and university sectors devote different stakeholders or audiences. The task substantial resources to researching, is understanding and matching the two for publishing and informing best practice for meaningful knowledge diffusion. clinical care and the delivery of services. To achieve an improved return on research In 2016, Australia committed $A6.5bil- investment, involving knowledge users in 1 2 the research process, including the dissem- lion, the USA US$171.8billion and the 13 UK £755.5million3 to health and medical ination of findings, is an important step. research. Flowing from this global invest- Coproduction, and the subsequent diffu- ment in research, up to two million papers sion of knowledge, needs to be undertaken © Author(s) (or their are published annually.4 Consequently, collaboratively by academics and practi- 14 on September 28, 2021 by guest. Protected employer(s)) 2020. Re- use decision makers face the unenviable task of tioners. Developing the capacity and skills permitted under CC BY-NC. No of all stakeholders is driving improvements commercial re- use. See rights filtering through this ever- evolving mountain and permissions. Published by of knowledge to identify the right material to in the conduct and communication of health 15 BMJ. underpin policy, service and practice guide- research, as witnessed by the emergence of 1Australian Institute of Health lines.5 Keeping up-to- date in this environ- new academic roles, such as the embedded 16 Service Management, University ment is a continual, but critical, challenge, if academic, and university- health organisa- 17 of Tasmania, Sydney, New South we are to capitalise on the significant invest- tion collaborations in Australia and Canada. Wales, Australia 6 2Research Operations, Illawarra ment in research. Similarly, providing access to study findings Shoalhaven Local Health Ineffective knowledge dissemination results and tailoring communication methods for District, Wollongong, New South in clinical practice and service improvements multiple audiences or stakeholders assists Wales, Australia not being realised.7 This is due to the incom- with knowledge uptake.18 19 To enable inno- Correspondence to plete or non-specific targeted reporting of vative knowledge to spread, further work is 8 Associate Professor Kathy Eljiz; study outcomes. Typically, research findings required to encourage communication of Kathy. Eljiz@ utas. edu. au are determined by researchers and presented research that is clear and engaging, ensures Eljiz K, et al. BMJ Open Quality 2020;9:e000983. doi:10.1136/bmjoq-2020-000983 1 Open access BMJ Open Qual: first published as 10.1136/bmjoq-2020-000983 on 17 September 2020. Downloaded from tailored messaging, provides accessible information and The checklist is to be used by first identifying the promotes dialogue.20 21 main audience or stakeholders and the primary focus The writing of study designs for manuscripts has been or outcome the researchers are seeking to achieve. This formalised with a number of guidelines published.22 means that the research team can decide on the commu- These include Consolidated Standards of Reporting nication medium/s most appropriate for their goals. This Trials (CONSORT) for randomised controlled trials,23 decision then determines the structure of the communi- Strengthening the Reporting of Observational Studies cation method and the associated questions that need to in Epidemiology (STROBE) for observational studies,24 be considered in developing the dissemination output. Preferred Reporting Items for Systematic Reviews and Each communication method is described, along with Meta- Analyses (PRISMA) for systematic reviews25 and the main target audience or stakeholders, the primary Standards for Quality Improvement Reporting Excel- focus or outcomes, structure and main questions lence for quality improvement studies.26 These guidelines addressed. These criteria allow us to assess and categorise provide practical steps to assist researchers to structure the different communication methods, focusing on who and include minimum elements of information in a the audience is, what a specific medium can achieve, and manuscript, thereby improving rigour, replicability and providing the structure and key questions to be addressed credibility. To communicate research findings beyond in the presentation of findings. We include both tradi- manuscripts, guidelines for reporting research through a tional communication methods, such as peer reviewed variety of communication methods are needed for health journal articles, reports and presentations, and evolving studies. communication methods, such as webinars, podcasts A significant challenge is knowing how to target and infographics. Evolving communication methods are being increasingly recognised as important for the and structure the dissemination of research to stake- 28 29 holders through appropriate communication methods. dissemination and uptake of research. Designing, disseminating and implementing research27 with stakeholders are crucial in the uptake of research. Research report To this end, we present a dissemination instrument, the The research report is the most traditional, or formal, of ‘REAch and Diffusion of health iMprovement Evidence’ communication methods, with its purpose and structure (README) checklist, for the communication of research established in academia. The research report’s primary copyright. findings, integrating both traditional and newer commu- audience is academic and knowledgeable healthcare nication methods. Additionally, to aid in the dissemina- professionals. These reports are extended documents, tion of knowledge, we propose a ‘Strategic Translation with the length varying from an ‘organisational report’ ranging from 20 000 words, to a ‘thesis’ of up to 100 000 and Engagement Planning’ (STEP) tool. The STEP tool words. The primary purpose is to communicate the challenges individuals to consider need of communi- study’s theoretical contribution, implications and rigour. cating simple or complex information against the desire Ensuring consistency between the components, building for passive or active stakeholder interaction. http://bmjopenquality.bmj.com/ a logical evidence trail and transparency in reporting30 The tools were derived using three iterative processes. are central qualities of the research report. First, team members individually scanned the health- Fundamental to the diffusion of report findings are care context to assess how research studies were being the presentation and writing conventions appropriate disseminated. Second, individuals reviewed their own for a formal report, including headings, page numbers, and colleagues experience of presentations at healthcare graphics, figures, tables, references, using
Load more

Recommended publications
  • Global Online Interest in Telehealth, Telemedicine, Telerehabilitation, and Related Search Terms Amid the COVID-19 Pandemic: an Infodemiological Study
    ORIGINAL ARTICLE Global Online Interest in Telehealth, Telemedicine, Telerehabilitation, and Related Search Terms Amid the COVID-19 Pandemic: An Infodemiological Study Carl Froilan D. Leochico, PTRP, MD,1,2 Edgardo Miguel V. Austria, MD1 and Adrian I. Espiritu, MD3,4 1Department of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines 2Department of Physical Medicine and Rehabilitation, St. Luke’s Medical Center - Quezon City and Global City, Philippines 3Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines 4Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines ABSTRACT Background. Catalyzed by the coronavirus disease 2019 (COVID-19) pandemic that restricted non-essential travel, awareness of the value of telehealth increased among healthcare providers and consumers. Telerehabilitation, a subset of telehealth and telemedicine, refers explicitly to the remote provision of rehabilitation services. However, since the majority were new to the concept of telerehabilitation, which was commonly interchanged with other related terms (e.g., telehealth, telemedicine, teletherapy, telecare, telepractice, etc.), and relevant internationally recognized guidelines were not available pre-pandemic, many turned to online resources to learn more about it. However, such might create confusion with the terminologies. Objective.
    [Show full text]
  • Summary of Research
    Ellen Balka, Ph.D, PI. Knowledge to Action: Supporting Continuity of Care and Practice Research through Secondary use of EMR data. Amount Requested, Year 1: $100,000 Summary of Research Proposal Summary of Research Background: In 2003, the Vancouver Coastal Health Authority (VCH) chose Mid-Main Community Health Centre (Mid-Main) as one of the clinics to receive primary health care renewal funds. A portion of the funding has been used to purchase and implement an electronic medical record (EMR) system that has some capacity to support chronic disease management through patient registries. In implementing their electronic medical record, Mid-Main has had ongoing contact with Elaine Grenon, Director of New Practice Design with the VCH Primary Health Care Network. In addition, Mid-Main has worked with Dr. Ellen Balka (professor and research scientist at Vancouver Coastal Health) who is the principal investigator of ACTION for Health, a 4-year, $3 million project that has focussed on the role of technology in the production, consumption, and use of health information. Since 2003, several ACTION for Health research projects have been carried out at Mid-Main, including a project which investigated the implementation and use of Wolf Medical Systems’ electronic medical record. The proposed project seeks to build on existing partnerships between Mid-Main, Wolf Medical Systems, VCH, and Balka’s research group through 3 related ‘knowledge to action’ projects of interest to all parties. Objectives: Project objectives are to support the translation of knowledge to action through: 1. Demonstration of enhanced use of data from electronic medical records in support of continuity of care in clinical settings and practice research.
    [Show full text]
  • Identification of Knowledge Translation Theories, Models Or Frameworks Suitable for Health Technology Reassessment: a Survey of International Experts
    Open access Original research BMJ Open: first published as 10.1136/bmjopen-2020-042251 on 22 June 2021. Downloaded from Identification of knowledge translation theories, models or frameworks suitable for health technology reassessment: a survey of international experts Rosmin Esmail ,1,2,3,4 Heather M Hanson,1,2 Jayna Holroyd- Leduc,1,2,3,4,5 Daniel J Niven,1,2,3,6 Fiona M Clement1,3 To cite: Esmail R, Hanson HM, ABSTRACT Strengths and limitations of this study Holroyd- Leduc J, et al. Objective Health technology reassessment (HTR) is a field Identification of knowledge focused on managing a technology throughout its life cycle ► This was the first study to solicit the perspectives of translation theories, models for optimal use. The process results in one of four possible or frameworks suitable international health technology reassessment (HTR) recommendations: increase use, decrease use, no change for health technology and knowledge translation (KT) international experts or complete withdrawal of the technology. However, reassessment: a survey of on the suitability of KT theories, models and frame- implementation of these recommendations has been international experts. BMJ Open works (TMFs) for HTR. 2021;11:e042251. doi:10.1136/ challenging. This paper explores knowledge translation ► Purposeful and snowball sampling was employed to (KT) theories, models and frameworks (TMFs) and their bmjopen-2020-042251 obtain HTR and KT experts from different jurisdic- suitability for implementation of HTR recommendations. Prepublication history and tions with a depth and breadth of knowledge in both ► Design Cross- sectional survey. additional supplemental material KT and HTR to ensure a representative sample.
    [Show full text]
  • Client Independence Development Model in Wound
    Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 5 April 2021 doi:10.20944/preprints202104.0134.v1 Client Independence Development Model in Wound TreatmentSelf-Based Treatment and Telenursing Nursing as Visible: A Study Literature (Paradigm of Nursing 21st century) ¹Indah Nursanti ,² Moses Glorino Rumambo Pandin Student at Faculty of Nursing, Airlangga University ² Lecture at Faculty of Cultural Science, Airlangga University Email: indah,[email protected] ABSTRACT Background: Nursing services provided by nurses are based on knowledge and competence in the field of nursing science developed in accordance with Client needs, scientific developments, and the demands of globalization. These health services include nursing services that are carried out responsibly, accountably, with quality, and safely by nurses who have obtained registration and permission to practice. Nursepreneur is innovation and courage to take risks and is ready to work hard to achieve goals with optimism. Which has important components namely: 1) quality, 2) role, 3) option and success. The post-pandemic new world, especially in the health care system, continues to grapple with the demands of costs to provide patient care and safety. By using the application of the nursing theory model. Purpose :. Assessing scientific studies on the application of evidence-based intervention in wound care using nursing theory, identifying the important role of telenursing in improving nursing services in Nerspreneurship, Method: literature study Conclusion: Telenursing in nursing focuses on providing nursing care through information technology, such as telephone, computers, and the Internet that can be used to improve treatment outcomes among older people, especially those with low literacy skills and low financial status (Esmaeilpour-BandBoni et al., 2020).
    [Show full text]
  • KT: the Rise of Implementation
    Knowledge Translation: The Rise of Implementation NOVEMBER 2020 Melanie Barwick | Raluca Dubrowski | Kadia Petricca The Hospital for Sick Children AMERICAN INSTITUTES FOR RESEARCH® | AIR.ORG Knowledge Translation: The Rise of Implementation NOVEMBER 2020 Melanie Barwick | Raluca Dubrowski | Kadia Petricca The Hospital for Sick Children 1400 Crystal Drive, 10th Floor Arlington, VA 22202-3239 202.403.5000 www.air.org Notice of Trademark: “American Institutes for Research” and “AIR” are registered trademarks. All other brand, product, or company names are trademarks or registered trademarks of their respective owners. Copyright © 2020 American Institutes for Research®. May be reproduced, distributed, and shared with appropriate attribution. Suggested citation: Barwick, M., Dubrowski, R., & Petricca, K. (2020). Knowledge translation: The rise of implementation. Washington, DC: American Institutes for Research. The contents of this document were developed under grant number 90DPKT0001 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this document do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government. Knowledge Translation: The Rise of Implementation Contents Page Introduction .................................................................................................................................
    [Show full text]
  • Introduction Knowledge Translation: What It Is and What It Isn’T
    Section 1 Introduction Chapter 1.1 Introduction Knowledge translation: What it is and what it isn’t Sharon E. Straus,1 Jacqueline Tetroe,2 and Ian D. Graham3 1Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Department of Medicine, University of Toronto, Toronto, ON, Canada 2Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada 3School of Nursing, University of Ottawa, Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada Key learning points Gaps between evidence and decision making occur across all decision makers including patients, health care professionals, managers, and policy makers. Knowledge translation is the synthesis, dissemination, exchange, and ethically sound application of knowledge to improve health, provide more effective health services and products, and strengthen the health care system. Globally health care systems are experiencing the challenges of improving the quality of care and decreasing the risk of adverse events [1]. Health systems fail to optimally use evidence (i.e. underuse, overuse, misuse of therapies, system failures) with resulting inefficiencies and reduced quantity and quality of life [2, 3]. For example, McGlynn and colleagues found that US adults received less than 55% of recommended care [4]. Simply provid- ing evidence from clinical research (such as through publication in journals Knowledge Translation in Health Care: Moving from Evidence to Practice, Second Edition. Sharon E. Straus, Jacqueline Tetroe and Ian D. Graham. Ó 2013 by John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. 3 4 Knowledge translation in health care or presentation at scientific meetings) is necessary but not sufficient for the provision of optimal care or decision making.
    [Show full text]
  • Knowledge Translation of Research Findings Jeremy M Grimshaw1*, Martin P Eccles2, John N Lavis3, Sophie J Hill4 and Janet E Squires5
    Grimshaw et al. Implementation Science 2012, 7:50 http://www.implementationscience.com/content/7/1/50 Implementation Science DEBATE Open Access Knowledge translation of research findings Jeremy M Grimshaw1*, Martin P Eccles2, John N Lavis3, Sophie J Hill4 and Janet E Squires5 Abstract Background: One of the most consistent findings from clinical and health services research is the failure to translate research into practice and policy. As a result of these evidence-practice and policy gaps, patients fail to benefit optimally from advances in healthcare and are exposed to unnecessary risks of iatrogenic harms, and healthcare systems are exposed to unnecessary expenditure resulting in significant opportunity costs. Over the last decade, there has been increasing international policy and research attention on how to reduce the evidence- practice and policy gap. In this paper, we summarise the current concepts and evidence to guide knowledge translation activities, defined as T2 research (the translation of new clinical knowledge into improved health). We structure the article around five key questions: what should be transferred; to whom should research knowledge be transferred; by whom should research knowledge be transferred; how should research knowledge be transferred; and, with what effect should research knowledge be transferred? Discussion: We suggest that the basic unit of knowledge translation should usually be up-to-date systematic reviews or other syntheses of research findings. Knowledge translators need to identify the key messages for different target audiences and to fashion these in language and knowledge translation products that are easily assimilated by different audiences. The relative importance of knowledge translation to different target audiences will vary by the type of research and appropriate endpoints of knowledge translation may vary across different stakeholder groups.
    [Show full text]
  • Sustainability of Knowledge Translation Interventions in Healthcare Decision- Making: a Scoping Review Andrea C
    Tricco et al. Implementation Science (2016) 11:55 DOI 10.1186/s13012-016-0421-7 RESEARCH Open Access Sustainability of knowledge translation interventions in healthcare decision- making: a scoping review Andrea C. Tricco1,2, Huda M. Ashoor1, Roberta Cardoso1, Heather MacDonald1, Elise Cogo1, Monika Kastner1,2, Laure Perrier3, Ann McKibbon4, Jeremy M. Grimshaw5,6 and Sharon E. Straus1,7* Abstract Background: Knowledge translation (KT, also known as research utilization, and sometimes referring to implementation science) is a dynamic and iterative process that includes the synthesis, dissemination, exchange, and ethically sound application of knowledge to improve health. A KT intervention is one which facilitates the uptake of research. The long-term sustainability of KT interventions is unclear. We aimed to characterize KT interventions to manage chronic diseases that have been used for healthcare outcomes beyond 1 year or beyond the termination of initial grant funding. Methods: We conducted a scoping review by searching MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Campbell from inception until February 2013. We included experimental, quasi-experimental, and observational studies providing information on the sustainability of KT interventions for managing chronic diseases in adults and focusing on end-users including patients, clinicians, public health officials, health service managers, and policy-makers. Articles were screened and abstracted by two reviewers, independently. The data were charted and results described narratively. Results: We included 62 studies reported in 103 publications (total 260,688 patients) plus 41 companion reports after screening 12,328 titles and abstracts and 464 full-text articles.
    [Show full text]
  • How Do Clinicians Use Implementation
    Armson et al. Implementation Science (2018) 13:79 https://doi.org/10.1186/s13012-018-0765-2 RESEARCH Open Access How do clinicians use implementation tools to apply breast cancer screening guidelines to practice? Heather Armson1,2* , Stefanie Roder2, Tom Elmslie2,3, Sobia Khan4 and Sharon E. Straus4,5 Abstract Background: Implementation tools (iTools) may enhance uptake of guidelines. However, little evidence exists on their use by primary care clinicians. This study explored which iTools clinicians used and how often; how satisfied clinicians were with the tools; whether tool use was associated with practice changes; and identified mediators for practice change(s) related to breast cancer screening (BCS). Methods: Canadian primary care providers who are members of the Practice-Based Small Group Learning Program (n = 1464) were invited to participate in this mixed methods study. An educational module was discussed in a small group learning context, and data collection included an on-line survey, practice reflection tools (PRTs), and interviews. The module included both the Canadian Task Force on Preventive Health Care revised guideline on BCS and iTools for clinician and/or patient use. After discussing the module and at 3 months, participants completed PRTs identifying their planned practice change(s) and documenting implementation outcome(s). Use of the iTools was explored via online survey and individual interviews. Results: Seventy participants agreed to participate. Of these, 48 participated in the online survey, 43 completed PRTs and 14 were interviewed. Most survey participants (77%) reported using at least one of seven tools available for implementing BCS guideline. Of these (78%) reported using more than one tool.
    [Show full text]
  • Knowledge Mobilisation in Healthcare Organisations
    National Institute for Health Research Service Delivery and Organisation Programme Knowledge mobilisation in healthcare organisations: Synthesising evidence and theory using perspectives of organisational form, resource based view of the firm and critical theory Dr Tessa Crilly,1 Dr Ashok Jashapara,2 Ms Susan Trenholm,3 Ms Anna Peckham,4 Prof Graeme Currie,5 and Prof Ewan Ferlie (PI)6 1 Crystal Blue Consulting Ltd 2 Royal Holloway, University of London 3 King’s College, London 4 Independent, Librarian 5 Warwick Business School 6 King’s College, London Published June 2013 This project is funded by the Service Delivery and Organisation Programme © Queen’s Printer and Controller of HMSO 2013. This work was produced by Crilly et al. under the terms of a commissioning contract issued by the Secretary of State for Health. Project 09/1002/13 1 Address for correspondence: Prof Ewan Ferlie Department of Management King’s College London 150 Stamford Street London SE1 9NH Email: [email protected] This report should be referenced as follows: Crilly T, Jashapara A, Trenholm S, Peckham A, Currie G, Ferlie E. Knowledge mobilisation in healthcare organisations: Synthesising the evidence and theory using perspectives of organisational form, resource based view of the firm and critical theory. NIHR Health Services and Delivery Research programme; 2013. Relationship statement: This document is an output from a research project that was funded by the NIHR Service Delivery and Organisation (SDO) programme based at the National Institute for Health Research Evaluations, Trials and Studies Coordinating Centre (NETSCC) at the University of Southampton. The management of the project and subsequent editorial review of the final report was undertaken by the NIHR Service Delivery and Organisation (SDO) programme.
    [Show full text]
  • Evidence Brief: Exploring Models for Pharmacist Prescribing in Primary and Community Care Settings in Ontario
    u McMaster Health Forum Evidence >> Insight >> Action McMaster Healt Forum Evidence Brief: Exploring Models for Pharmacist Prescribing in Primary and Community Care Settings in Ontario 16 June 2015 1 Evidence >> Insight >> Action McMaster Health Forum McMaster Health Forum For concerned citizens and influential thinkers and doers, the McMaster Health Forum strives to be a leading hub for improving health outcomes through collective problem solving. Operating at regional/provincial levels and at national levels, the Forum harnesses information, convenes stakeholders, and prepares action-oriented leaders to meet pressing health issues creatively. The Forum acts as an agent of change by empowering stakeholders to set agendas, take well-considered actions, and communicate the rationale for actions effectively. Authors François-Pierre Gauvin, PhD, Scientific Lead, Evidence Synthesis and Francophone Outreach, McMaster Health Forum John N. Lavis, MD PhD, Director, McMaster Health Forum, and Professor, McMaster University Lisa McCarthy, PharmD M.Sc., Pharmacy Scientist, Women’s College Research Institute at Women’s College Hospital, and Assistant Professor (status), Leslie Dan Faculty of Pharmacy, University of Toronto Funding The evidence brief and the stakeholder dialogue it was prepared to inform were funded by the Government of Ontario through two Health System Research Fund grants: 1) “Fostering innovation and evaluating the effectiveness of Ontario pharmacist-led medication management programs,” an interdisciplinary multi-site research program known as OPEN – the Ontario Pharmacy Research Collaboration – based at the University of Waterloo; and 2) “Harnessing evidence and values for health system excellence,” an interdisciplinary research and knowledge-translation program at McMaster University. The McMaster Health Forum receives both financial and in-kind support from McMaster University.
    [Show full text]
  • Framework for the Implementation of a Telemedicine Service
    Framework for the Implementation of a Telemedicine Service Framework for the Implementation of a Telemedicine Service Washington, D.C. 2016 C Also published in Spanish (2016): Marco de Implementación de un Servicio de Telemedicina ISBN 978-92-75-31903-1 PAHO HQ Library Cataloguing-in-Publication Pan American Health Organization. Framework for the Implementation of a Telemedicine Service. Washington, DC : PAHO, 2016. 1. Telemedicine - standards. 2. Telemedicine – trends. 3. Public Policy in Health. 4. Medical Informatics. 5. Patient-Centered Care. I. Title. ISBN 978-92-75-11903-7 (NLM Classification: W 83) © Pan American Health Organization, 2016. All rights reserved. The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and inquiries should be addressed to the Communications Department, Pan American Health Organization, Washington, D.C., U.S.A. (www.paho.org/permissions). The Office of Knowledge Management, Bioethics and Research will be glad to provide the latest information on any changes made to the text, plans for new editions, and reprints and translations already available. Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Pro- tocol 2 of the Universal Copyright Convention. All rights are reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opin- ion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
    [Show full text]