Seminar 2: Translating mental health care research into policy in the real world

Prof Luis Salvador Carulla [email protected] • Innovation Scientific Discovery • Hypothesis testing • Expt. approach

Scientific • Replication of previous studies • Scoping a systematic reviews Corroboration • Metanalysis • Translation to the real world • Local context Implementation • Expert knowledge • Rapid Synthesis, Impact analysis

2 Modeling Community New visualisation tools for analysis of MH Care KPIs

TO5 TO6 TO7.1

Sectorization PD1+PD41

PRother

PR8+PR11 PD2+PD3

PR4+PR6new

PD4other PR5+PR7

PR4+PR6notnew UR2stay Relative Efficiency & Relative Technical UR2readmissions PR1-PR3 Efficiency Benchmarking

ANÁLISIS DE LA EFICIENCIA TÉCNICA RELATIVA ORIENTADO A INPUTS ESCENARIO 1: ATENCIÓN HOSPITALARIA DE AGUDOS (R2) 1,00 ERCILLA

BARAKALDO URIBE

GERNIKA ETXANIZ 0,95 AJURIAGUERRA

REKALDE OTXARKOAGA Social VALOR MEDIO DEL ESCENARIO 0,90 DURANGO

RELATIVA

1] -

GALDAKAO

[0 TÉCNICA

SCALA INPUTS E Network 0,85 - DISPOSITIVOS POR 100.000 HABITANTES

- PLAZAS POR 100.000 HABITANTES FICIENCIA E - PSIQUIATRAS POR 100.000 HABITANTES - PSICÓLOGOS+DUE POR 100.000 HABITANTES - TOTAL DE PROFESIONALES POR 100.000 HABITANTES Analysis 0,80 OUTPUTS - ALTAS POR 1.000 HABITANTES - DÍAS DE ESTANCIA POR INGRESO - REINGRESOS EN MENOS DE 30 DÍAS POR 100 ALTAS 0,75

ORIENTADO A INPUTS: MINIMIZACIÓN DE ÁREAS DE SALUD MENTAL INPUTS PRODUCIENDO LOS MISMOS OUTPUTS Health care waste

“Research:Research increasingon value, research: reducing waste”: A“more novel research onarea research of to identify the factors associated with successful replication of basic research and translation to scientificapplication in health knowledge care”. • Waste of research is critical to setting up the road map of future research agenda, and for planning and implementation • Rising interest in the health sector whereas there is a huge gap in social sciences and disabilities. • This is particularly relevant in the context of the development of NDIS and the MH care reform in Australia

Lancet series Jan. 2014 4 Research Waste

Chalmers et al, Lancet, 2014 5 Gap between research and practice-policy

Research waste Body of research that has been funded and completed but has not been fully applied to policy and practice either because it is not useful, there is no awareness or because there are problems of will, know-how, and/or capacity by the target organization.

Determinants • Personal characteristics of researchers • Semantic interoperability • Dissemination strategies • Use of visualisation techniques • Time frame • Partnership alliances

6 New designs for Innovation strategies

• Alternative models to traditional EBM * • Innovation and implementation new methods • Accelerate implementation • Rapid synthesis • Spreading • Scaling-up • Technology analysis • Impact analysis

*The Improvement Guide, 2nd Edition, Langley, Moen, Nolan, et.al., Jossey-Bass 2009 Knowledge to Action

Graham, Logan, Harrison et al. (2006). Lost in knowledge translation: Time for a map? J Contin Educ Health Prof. Winter;26(1):13-24. 8 9 2009 BARCELONA DECLARATION Bridging knowledge in Long Term Care and Support

• Political stand to make bridging and knowledge transfer key components of any program in the fields of disability and aging

2012 TORONTO DECLARATION Bridging knowledge, practice and policy in disabilities and ageing

http://www.badinetwork.org/ Thanks [email protected]