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Development and implementation of the Ontario Stroke System: the use of evidence
Author(s) -
Jill I. Cameron,
Susan Rappolt,
Mary Lewis,
Renée Lyons,
Grace Warner,
Frank L. Silver
Publication year - 2007
Publication title -
international journal of integrated care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.083
H-Index - 32
ISSN - 1568-4156
DOI - 10.5334/ijic.201
Subject(s) - service delivery framework , qualitative research , process management , focus group , nursing , process (computing) , service (business) , integrated care , medical education , medicine , business , health care , political science , sociology , computer science , marketing , social science , operating system , law
Introduction The Ontario Stroke System was developed to enhance the quality and continuity of stroke care provided across the care continuum. Research Objective To identify the role evidence played in the development and implementation of the Ontario Stroke System. Methods</b> This study employed a qualitative case study design. In-depth interviews were conducted with six members of the Ontario Stroke System provincial steering committee. Nine focus groups were conducted with: Regional Program Managers, Regional Education Coordinators, and seven acute care teams. To supplement these findings interviews were conducted with eight individuals knowledgeable about national and international models of integrated service delivery. <b>Results</b> Our analyses identified six themes. The first four themes highlight the use of evidence to support the process of system development and implementation including: 1) informing system development; 2) mobilizing governmental support; 3) getting the system up and running; and 4) integrating services across the continuum of care. The final two themes describe the foundation required to support this process: 1) human capacity and 2) mechanisms to share evidence. <b>Conclusion</b> This study provides guidance to support the development and implementation of evidence-based models of integrated service delivery</div><div class="block xl:hidden"></div><div class="flex items-center justify-between border-t border-grey-300 pt-2.5 md:border-none"><div class="w-full flex justify-between md:w-3/4"><div class="flex justify-between md:justify-normal w-full "><button data-continuous-event-id="read#page#title#tab#null#nonPremium#redirect#id#10.5334/ijic.201" title="" tabindex="0" class="flex items-center justify-center cursor-pointer duration-200 leading-relaxed font-normal text-white hover:text-slate-950 active:text-slate-950 active:shadow-sm hover:shadow-md active:shadow-sms bg-primary hover:bg-primary-50 active:bg-primary-100 text-base py-1 px-4 pointer rounded-md justify-center mr-4 w-auto md:w-28 lg:w-32" data-test="readLinkBtn" type="button">Read</button><button data-continuous-event-id="cite#page#title#tab#null#nonPremium#noRedirect#id#10.5334/ijic.201" title="" tabindex="0" class="flex items-center duration-200 hover:bg-slate-100 font-normal active:bg-slate-300 hover:border-transparent active:border-transparent text-base py-1 px-4 pointer rounded-md justify-center border border-slate-950 text-grey-900 mr-4 border border-slate-950 w-auto md:w-28" data-test="citeBtn" type="button">Cite</button><button data-continuous-event-id="export#page#title#tab#null#nonPremium#noRedirect#id#10.5334/ijic.201" title="" tabindex="0" class="flex items-center duration-200 hover:bg-slate-100 font-normal active:bg-slate-300 hover:border-transparent active:border-transparent text-base py-1 px-4 inline-flex whitespace-nowrap pointer rounded-md justify-center border border-slate-950 text-grey-900" data-test="exportBtn" type="button"><span class="mr-2"><svg class=" " xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" width="12" height="14"><path d="M1.7055 5.7025L1 5L6 0L11 5L10.2955 5.7025L6.5 1.9125V11H5.5V1.9125L1.7055 5.7025Z"></path><path d="M11 13V11H12V13C12 13.2652 11.8946 13.5196 11.7071 13.7071C11.5196 13.8946 11.2652 14 11 14H1C0.868767 13.9996 0.738897 13.9734 0.617811 13.9228C0.496725 13.8722 0.386794 13.7982 0.2943 13.7051C0.201807 13.612 0.128562 13.5016 0.0787513 13.3802C0.0289404 13.2588 0.00353956 13.1287 0.00399995 12.9975L0 13V11H1V13H11Z"></path></svg></span>Export</button></div></div><div class="hidden md:flex justify-between lg:ml-4"><div class="hidden md:block"><div class="flex"><button title="" tabindex="0" class="flex items-center duration-200 hover:bg-slate-100 font-normal active:bg-slate-300 hover:border-transparent active:border-transparent text-base py-1 px-4 inline-flex whitespace-nowrap pointer rounded-md justify-center border border-slate-950 text-grey-900" data-test="addToListBtn" type="button"><span class="mr-2"><svg class=" " xmlns="http://www.w3.org/2000/svg" viewBox="0 0 15 16" width="20" height="20" fill="none"><path d="M5.625 3.625H4.375C3.68464 3.625 3.125 4.18464 3.125 4.875V12.375C3.125 13.0654 3.68464 13.625 4.375 13.625H10.625C11.3154 13.625 11.875 13.0654 11.875 12.375V4.875C11.875 4.18464 11.3154 3.625 10.625 3.625H9.375M5.625 3.625C5.625 4.31536 6.18464 4.875 6.875 4.875H8.125C8.81536 4.875 9.375 4.31536 9.375 3.625M5.625 3.625C5.625 2.93464 6.18464 2.375 6.875 2.375H8.125C8.81536 2.375 9.375 2.93464 9.375 3.625M7.5 8H9.375M7.5 10.5H9.375M5.625 8H5.63125M5.625 10.5H5.63125" stroke="#18181B" stroke-width="1.5" stroke-linecap="round"></path></svg></span>Add to List</button></div></div></div></div><div class="px-2 text-center border-t-2 border-grey-200 mt-10 py-8 text-base md:text-lg"><p class="mr-1" data-test="unauthenticatedUser">The content you want is available to Zendy users.</p>Already have an account? 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