Top

Published in:

Open Access 01-12-2017 | Research article

Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting

Authors: Claire Harris, Kelly Allen, Cara Waller, Tim Dyer, Vanessa Brooke, Marie Garrubba, Angela Melder, Catherine Voutier, Anthony Gust, Dina Farjou

Published in: BMC Health Services Research | Issue 1/2017

Abstract

Background

This is the seventh in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was a systematic, integrated, evidence-based program for resource allocation within a large Australian health service. It aimed to facilitate proactive use of evidence from research and local data; evidence-based decision-making for resource allocation including disinvestment; and development, implementation and evaluation of disinvestment projects. From the literature and responses of local stakeholders it was clear that provision of expertise and education, training and support of health service staff would be required to achieve these aims. Four support services were proposed. This paper is a detailed case report of the development, implementation and evaluation of a Data Service, Capacity Building Service and Project Support Service. An Evidence Service is reported separately.

Methods

Literature reviews, surveys, interviews, consultation and workshops were used to capture and process the relevant information. Existing theoretical frameworks were adapted for evaluation and explication of processes and outcomes.

Results

Surveys and interviews identified current practice in use of evidence in decision-making, implementation and evaluation; staff needs for evidence-based practice; nature, type and availability of local health service data; and preferred formats for education and training. The Capacity Building and Project Support Services were successful in achieving short term objectives; but long term outcomes were not evaluated due to reduced funding. The Data Service was not implemented at all. Factors influencing the processes and outcomes are discussed.

Conclusion

Health service staff need access to education, training, expertise and support to enable evidence-based decision-making and to implement and evaluate the changes arising from those decisions. Three support services were proposed based on research evidence and local findings. Local factors, some unanticipated and some unavoidable, were the main barriers to successful implementation. All three proposed support services hold promise as facilitators of EBP in the local healthcare setting. The findings from this study will inform further exploration.

Available only for authorised users

Harris C, Green S, Ramsey W, Allen K, King R. Sustainability in Health care by Allocating Resources Effectively (SHARE) 1: Introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting BMC health services research. 2017. doi:10.1186/s12913-017-2210-7.

Harris C, Allen K, Waller C, Dyer T, King R, Ramsey W. Sustainability in Health care by Allocating Resources Effectively (SHARE) 11: Reporting outcomes of an evidence-driven approach to disinvestment in a local healthcare setting. BMC Health Serv Res. 2017; in press

Harris C, Allen K, King R, Ramsey W, Kelly C, Thiagarajan M. Sustainability in Health care by Allocating Resources Effectively (SHARE) 2: Identifying opportunities for disinvestment in a local healthcare setting BMC health services research. 2017. doi:10.1186/s12913-017-2211-6.

Harris C, Allen K, Waller C, Brooke V. Sustainability in Health care by Allocating Resources Effectively (SHARE) 3: Examining how resource allocation decisions are made, implemented and evaluated in a local healthcare setting BMC health services research. 2017. doi:10.1186/s12913-017-2207-2.

Harris C, Ko H, Waller C, Sloss P, Williams P. Sustainability in Health care by Allocating Resources Effectively (SHARE) 4: Exploring opportunities and methods for consumer engagement in resource allocation in a local healthcare setting BMC health services research. 2017. doi:10.1186/s12913-017-2212-5.

Harris C, Allen K, Waller C, Green S, King R, Ramsey W et al. Sustainability in Health care by Allocating Resources Effectively (SHARE) 5: Developing a model for evidence-driven resource allocation in the local healthcare setting BMC health services research. 2017. doi:10.1186/s12913-017-2208-1.

Harris C, Allen K, Brooke V, Dyer T, Waller C, King R et al. Sustainability in Health care by Allocating Resources Effectively (SHARE) 6: Investigating methods to identify, prioritise, implement and evaluate disinvestment projects in a local healthcare setting. BMC health services research. 2017. doi:10.1186/s12913-017-2269-1.

Wallace J, Byrne C, Clarke M. Improving the uptake of systematic reviews: a systematic review of intervention effectiveness and relevance. BMJ Open. 2014;4(10):e005834. doi:10.1136/bmjopen-2014-005834.PubMedPubMedCentralCrossRef

Ellen ME, Leon G, Bouchard G, Ouimet M, Grimshaw JM, Lavis JN. Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study. Implement Sci. 2014;9(1):179. doi:10.1186/s13012-014-0179-8.PubMedPubMedCentralCrossRef

10.

Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res. 2014;14(1):2. doi:10.1186/1472-6963-14-2.PubMedPubMedCentralCrossRef

11.

Nutley T, Reynolds HW. Improving the use of health data for health system strengthening. Glob Health Action. 2013;6:20001. doi:10.3402/gha.v6i0.20001.CrossRef

12.

Solomons NM, Spross JA. Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review. J Nurs Manag. 2011;19(1):109–20. doi:10.1111/j.1365-2834.2010.01144.x.PubMedCrossRef

13.

Harris C, Garrubba M, Allen K, King R, Kelly C, Thiagarajan M, et al. Development, implementation and evaluation of an evidence-based program for introduction of new health technologies and clinical practices in a local healthcare setting. BMC Health Serv Res. 2015;15(1):575. doi:10.1186/s12913-015-1178-4.PubMedPubMedCentralCrossRef

14.

Gagliardi AR, Majewski C, Victor JC, Baker GR. Quality improvement capacity: a survey of hospital quality managers. Qual Saf Health Care. 2010;19(1):27–30. doi:10.1136/qshc.2008.029967.PubMedCrossRef

15.

Tricco AC, Cardoso R, Thomas SM, Motiwala S, Sullivan S, Kealey MR, et al. Barriers and facilitators to uptake of systematic reviews by policy makers and health care managers: a scoping review. Implement Sci. 2016;11(1):4. doi:10.1186/s13012-016-0370-1.PubMedPubMedCentralCrossRef

16.

Mayer J, Nachtnebel A. Disinvesting from ineffective technologies: lessons learned from current programs. Int J Technol Assess Health Care. 2015:1–8. doi:10.1017/s0266462315000641.

17.

Gerdvilaite J, Nachtnebel A. Disinvestment: overview of disinvestment experiences and challenges in selected countries. HTA- Projektbericht., vol nr. 57. Vienna: Ludwig Boltzmann Institut für Health Technology Assessment; 2011.

18.

Daniels T, Williams I, Robinson S, Spence K. Tackling disinvestment in health care services. The views of resource allocators in the English NHS. J Health Organ Manag. 2013;27(6):762–80.PubMedCrossRef

19.

Hollingworth W, Rooshenas L, Busby J, Hine CE, Badrinath P, Whiting PF, et al. Using clinical practice variations as a method for commissioners and clinicians to identify and prioritise opportunities for disinvestment in health care: a cross-sectional study, systematic reviews and qualitative study. Southampton: Queen’s Printer and Controller of HMSO; 2015. p. 2015.

20.

Rooshenas L, Owen-Smith A, Hollingworth W, Badrinath P, Beynon C, Donovan JL. "I won't call it rationing...": an ethnographic study of healthcare disinvestment in theory and practice. Soc Sci Med. 2015;128:273–81. doi:10.1016/j.socscimed.2015.01.020.PubMedCrossRef

21.

Leggett L, MacKean G, Noseworthy T, Sutherland L, Clement F. Current status of health technology reassessment of non-drug technologies: survey and key informant interviews. Health Res Policy Sys. 2012; doi:10.1186/1478-4505-10-38.

22.

Eddama O, Coast J. A systematic review of the use of economic evaluation in local decision-making. Health policy (Amsterdam, Netherlands). 2008;86(2–3):129-141. doi:10.1016/j.healthpol.2007.11.010.

23.

Niven DJ, Mrklas KJ, Holodinsky JK, Straus SE, Hemmelgarn BR, Jeffs LP, et al. Towards understanding the de-adoption of low-value clinical practices: a scoping review. BMC Med. 2015;13:255. doi:10.1186/s12916-015-0488-z.PubMedPubMedCentralCrossRef

24.

Riley BL, Robinson KL, Gamble J, Finegood DT, Sheppard D, Penney TL et al. Knowledge to action for solving complex problems: insights from a review of nine international cases. Health promotion and chronic disease prevention in Canada. 2015;35(3):47-53.

25.

Harris C, Garrubba M, Melder A, Voutier C, Waller C, King R, et al. Sustainability in Health care by Allocating Resources Effectively (SHARE) 8: Developing, implementing and evaluating an Evidence Dissemination Service in a local healthcare setting. BMC Health Serv Res. 2017; in press

26.

Michie S, Fixsen D, Grimshaw JM, Eccles MP. Specifying and reporting complex behaviour change interventions: the need for a scientific method. Implement Sci. 2009;4:40. doi:10.1186/1748-5908-4-40.PubMedPubMedCentralCrossRef

27.

Douet L, Milne R, Anstee S, Habens F, Young A, Wright D. The completeness of intervention descriptions in published National Institute of Health Research HTA-funded trials: a cross-sectional study. BMJ Open. 2014;4(1):e003713. doi:10.1136/bmjopen-2013-003713.PubMedPubMedCentralCrossRef

28.

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach. BMC Med Res Methodol. 2011;11:100. doi:10.1186/1471-2288-11-100.PubMedPubMedCentralCrossRef

29.

Baxter P, Jack S. Qualitative case study methodology: study design and implementation for novice researchers. Qual Rep. 2008;13(4):544–59.

30.

Gilson L. Health Policy and Systems Research: A Methodology Reader. Alliance for Health Policy and Systems Research, World Health Organization 2012. Available from: http://www.who.int/alliance-hpsr/alliancehpsr_reader.pdf. Accessed: 13 June 2017.

31.

Yin R. Case study research, design and method. 4th ed. London: Sage Publications Ltd; 2009.

32.

Harris C, Turner T, Wilkinson F. SEAchange: Guide to a pragmatic evidence-based approach to Sustainable, Effective and Appropriate change in health services. 2015. Available from: http://arrow.monash.edu.au/hdl/1959.1/1225377. Accessed: 13 June 2017.

33.

Meyer J. Qualitative research in health care. Using qualitative methods in health related action research. BMJ. 2000;320(7228):178–81.PubMedPubMedCentralCrossRef

34.

Meyer J. Evaluating action research. Age Ageing. 2000;29(Suppl 2):8–10.PubMedCrossRef

35.

NVivo qualitative data analysis software Version 8. QSR International Pty Ltd. 2008. http://www.qsrinternational.com/. Accessed 13 June 2017.

36.

Centre for Clinical Effectiveness. Sustainability in Health care by Allocating Resources Effectively (SHARE): Evaluation and Research Plan. Southern Health 2009. Available from: https://figshare.com/articles/Sustainability_in_Healthcare_by_Allocating_Resources_Effectively_SHARE_Evaluation_and_Research_Plan/3979575. Accessed: 13 June 2017.

37.

Glasgow RE, Klesges LM, Dzewaltowski DA, Estabrooks PA, Vogt TM. Evaluating the impact of health promotion programs: using the RE-AIM framework to form summary measures for decision making involving complex issues. Health Educ Res. 2006;21(5):688–94. doi:10.1093/her/cyl081.PubMedCrossRef

38.

Ramos KD, Schafer S, Tracz SM. Validation of the Fresno test of competence in evidence based medicine. BMJ. 2003;326(7384):319–21.PubMedPubMedCentralCrossRef

39.

Clarke MA, Belden JL, Koopman RJ, Steege LM, Moore JL, Canfield SM, et al. Information needs and information-seeking behaviour analysis of primary care physicians and nurses: a literature review. Health Inf Libr J. 2013;30(3):178–90. doi:10.1111/hir.12036.CrossRef

40.

Gilman IP. Evidence-based information-seeking behaviors of occupational therapists: a survey of recent graduates. J Med Libr Assoc. 2011;99(4):307–10.PubMedPubMedCentralCrossRef

41.

O'Leary DF, Mhaolrunaigh SN. Information-seeking behaviour of nurses: where is information sought and what processes are followed? J Adv Nurs. 2012;68(2):379–90. doi:10.1111/j.1365-2648.2011.05750.x.PubMedCrossRef

42.

Kostagiolas PA, Aggelopoulou VA, Niakas D. A study of the information seeking behaviour of hospital pharmacists: empirical evidence from Greece. Health Inf Libr J. 2011;28(4):302–12. doi:10.1111/j.1471-1842.2011.00963.x.CrossRef

43.

Younger P. Internet-based information-seeking behaviour amongst doctors and nurses: a short review of the literature. Health Inf Libr J. 2010;27(1):2–10. doi:10.1111/j.1471-1842.2010.00883.x.CrossRef

44.

Kloda LA, Bartlett JC. Clinical information behavior of rehabilitation therapists: a review of the research on occupational therapists, physical therapists, and speech-language pathologists. J Med Libr Assoc. 2009;97(3):194–202.PubMedPubMedCentralCrossRef

45.

Prendiville TW, Saunders J, Fitzsimons J. The information-seeking behaviour of paediatricians accessing web-based resources. Arch Dis Child. 2009;94(8):633–5. doi:10.1136/adc.2008.149278.PubMedCrossRef

46.

Nail-Chiwetalu B, Bernstein RN. An assessment of the information-seeking abilities and needs of practicing speech-language pathologists. J Med Libr Assoc. 2007;95(2):182–188, e56-7. doi:10.3163/1536-5050.95.2.182.PubMedPubMedCentralCrossRef

47.

Kosteniuk JG, Morgan DG, D'Arcy CK. Use and perceptions of information among family physicians: sources considered accessible, relevant, and reliable. J Med Libr Assoc. 2013;101(1):32–7. doi:10.3163/1536-5050.101.1.006.PubMedPubMedCentralCrossRef

48.

Hider PN, Griffin G, Walker M, Coughlan E. The information-seeking behavior of clinical staff in a large health care organization. J Med Libr Assoc. 2009;97(1):47–50. doi:10.3163/1536-5050.97.1.009.PubMedPubMedCentralCrossRef

49.

Davies K, Harrison J. The information-seeking behaviour of doctors: a review of the evidence. Health Inf Libr J. 2007;24(2):78–94. doi:10.1111/j.1471-1842.2007.00713.x.CrossRef

50.

Coumou HC, Meijman FJ. How do primary care physicians seek answers to clinical questions? A literature review. J Med Libr Assoc. 2006;94(1):55–60.PubMedPubMedCentral

51.

Dawes M, Sampson U. Knowledge management in clinical practice: a systematic review of information seeking behavior in physicians. Int J Med Inform. 2003;71(1):9–15.PubMedCrossRef

52.

Evans BA, Snooks H, Howson H, Davies M. How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study. Implement Sci. 2013;8:17. doi:10.1186/1748-5908-8-17.PubMedPubMedCentralCrossRef

53.

Finch E, Cornwell P, Ward EC, McPhail SM. Factors influencing research engagement: research interest, confidence and experience in an Australian speech-language pathology workforce. BMC Health Serv Res. 2013;13:144.PubMedPubMedCentralCrossRef

54.

Nutley T. Improving data use in decision making: an intervention to strengthen health systems. 2012.

55.

Duckett S, Breadon P, Romanes D, Fennessy P, Nolan J. Questionable care: Stopping ineffective treatments. Grattan Institute 2015. Available from: http://grattan.edu.au/wp-content/uploads/2015/08/828-Questionable-Care3.pdf. Accessed: 13 June 2017.

56.

Mitton C, Dionne F, Donaldson C. Managing healthcare budgets in times of austerity: the role of program budgeting and marginal analysis. Appl Health Econ Health Policy. 2014;12(2):95–102. doi:10.1007/s40258-013-0074-5.PubMedPubMedCentralCrossRef

57.

Polisena J, Clifford T, Elshaug AG, Mitton C, Russell E, Skidmore B. Case studies that illustrate disinvestment and resource allocation decision-making processes in health care: a systematic review. Int J Technol Assess Health Care. 2013;29(2):174–84. doi:10.1017/s0266462313000068.PubMedCrossRef

58.

Henshall C, Schuller T, Mardhani-Bayne L. Using health technology assessment to support optimal use of technologies in current practice: the challenge of “disinvestment”. Int J Technol Assess Health Care. 2012;28(3):203–10. doi:10.1017/s0266462312000372.PubMedCrossRef

59.

Robinson S, Williams I, Dickinson H, Freeman T, Rumbold B. Priority-setting and rationing in healthcare: evidence from the English experience. Soc Sci Med. 2012;75(12):2386–93. doi:10.1016/j.socscimed.2012.09.014.PubMedCrossRef

60.

Jorm L. Routinely collected data as a strategic resource for research: priorities for methods and workforce. Public health research & practice. 2015;25(4):e2541540. doi:10.17061/phrp2541540.CrossRef

61.

Cornelissen E, Mitton C, Davidson A, Reid RC, Hole R, Visockas AM et al. Changing priority setting practice: The role of implementation in practice change. Health policy (Amsterdam, Netherlands). 2014. doi:10.1016/j.healthpol.2014.04.010.

62.

van Panhuis WG, Paul P, Emerson C, Grefenstette J, Wilder R, Herbst AJ, et al. A systematic review of barriers to data sharing in public health. BMC Public Health. 2014;14:1144. doi:10.1186/1471-2458-14-1144.PubMedPubMedCentralCrossRef

63.

LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC Public Health. 2012;12:751. doi:10.1186/1471-2458-12-751.PubMedPubMedCentralCrossRef

64.

Marks L, Weatherly H, Mason A. Prioritizing investment in public health and health equity: what can commissioners do? Public Health. 2013;127(5):410–8. doi:10.1016/j.puhe.2013.01.027.PubMedCrossRef

65.

Braa J, Heywood A, Sahay S. Improving quality and use of data through data-use workshops: Zanzibar, United Republic of Tanzania. Bull World Health Organ. 2012;90(5):379–84. doi:10.2471/blt.11.099580.PubMedPubMedCentralCrossRef

66.

Wallace J, Nwosu B, Clarke M. Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers' perceptions. BMJ Open. 2012;2(5) doi:10.1136/bmjopen-2012-001220.

67.

Moore G, Redman S, Haines M, Todd A. What works to increase the use of research in population health policy and programmes: a review. Evidence and Policy. 2011;7(3):277–305. doi:10.1332/174426411X579199.CrossRef

68.

Gagliardi AR. "more bang for the buck": exploring optimal approaches for guideline implementation through interviews with international developers. BMC Health Serv Res. 2012;12:404. doi:10.1186/1472-6963-12-404.PubMedPubMedCentralCrossRef

69.

MacKean G, Noseworthy T, Elshaug AG, Leggett L, Littlejohns P, Berezanski J, et al. Health technology reassessment: the art of the possible. Int J Technol Assess Health Care. 2013;29(04):418–23. doi:10.1017/S0266462313000494.PubMedPubMedCentralCrossRef

70.

Schmidt DE. The development of a disinvestment framework to guide resource allocation decisions in health service delivery organizations. The University of British Columbia 2010. Available from: https://open.library.ubc.ca/cIRcle/collections/ubctheses/24/items/1.0073252. Accessed: 13 June 2017.

71.

Elshaug AG, Hiller JE, Tunis SR, Moss JR. Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices. Australia and New Zealand health policy. 2007;4:23. doi:10.1186/1743-8462-4-23.PubMedPubMedCentralCrossRef

72.

Williams I, McIver S, Moore D, Bryan S. The use of economic evaluations in NHS decision making: A review and empirical investigation. Health Technol Assess; 2008;12(7).

73.

Larmour I, Pignataro S, Barned KL, Mantas S, Korman MG. A therapeutic equivalence program: evidence-based promotion of more efficient use of medicines. Med J Aust. 2011;194(12):631–4.PubMed

74.

Smith AB, Semler L, Rehman EA, Haddad ZG, Ahmadzadeh KL, Crellin SJ, et al. A cross-sectional study of medical student knowledge of evidence-based medicine as measured by the Fresno test of evidence-based medicine. J Emerg Med. 2016;50(5):759–64. doi:10.1016/j.jemermed.2016.02.006.PubMedCrossRef

75.

Thomas RE, Kreptul D. Systematic review of evidence-based medicine tests for family physician residents. Fam Med. 2015;47(2):101–17.PubMed

76.

Robert G, Harlock J, Williams I. Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services. Implement Sci. 2014;9(1):123. doi:10.1186/s13012-014-0123-y.PubMedPubMedCentralCrossRef

77.

Haas M, Hall J, Viney R, Gallego G. Breaking up is hard to do: why disinvestment in medical technology is harder than investment. Aust Health Rev. 2012;36(2):148–52. doi:10.1071/AH11032.PubMedCrossRef

78.

Ibargoyen-Roteta N, Gutierrez-Ibarluzea I, Asua J. Guiding the process of health technology disinvestment. Health policy (Amsterdam, Netherlands). 2010;98(2–3):218-226. doi:10.1016/j.healthpol.2010.06.018.

79.

Bryan S, Mitton C, Donaldson C. Breaking the addiction to technology adoption. Health Econ. 2014;23(4):379–83. doi:10.1002/hec.3034.PubMedCrossRef

80.

Stafinski T, Menon D, McCabe C, Philippon DJ. To fund or not to fund: development of a decision-making framework for the coverage of new health technologies. PharmacoEconomics. 2011;29(9):771–80. doi:10.2165/11539840-000000000-00000.PubMedCrossRef

81.

Organisation for Economic Co-operation and Development. The OECD Health Project: Health Technologies and Decision Making. OECD Publishing 2005. Available from: http://www.keepeek.com/Digital-Asset-Management/oecd/science-and-technology/health-technologies-and-decision-making_9789264016224-en#page1. Accessed: 13 June 2017.

82.

Revere D, Turner AM, Madhavan A, Rambo N, Bugni PF, Kimball A, et al. Understanding the information needs of public health practitioners: a literature review to inform design of an interactive digital knowledge management system. J Biomed Inform. 2007;40(4):410–21. doi:10.1016/j.jbi.2006.12.008.PubMedCrossRef

83.

Boivin A, Lehoux P, Lacombe R, Burgers J, Grol R. Involving patients in setting priorities for healthcare improvement: a cluster randomized trial. Implementation science : IS. 2014;9:24. doi:10.1186/1748-5908-9-24.PubMedPubMedCentralCrossRef

84.

Robinson S, Glasby J, Allen K. It ain't what you do it's the way that you do it': lessons for health care from decommissioning of older people's services. Health Soc Care Community. 2013;21(6):614–22. doi:10.1111/hsc.12046.PubMed

85.

Donaldson C, Bate A, Mitton C, Dionne F, Ruta D. Rational disinvestment. QJM. 2010;103(10):801–7. doi:10.1093/qjmed/hcq086.PubMedCrossRef

86.

Gifford W, Davies B, Edwards N, Griffin P, Lybanon V. Managerial leadership for nurses' use of research evidence: an integrative review of the literature. Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing. 2007;4(3):126–45. doi:10.1111/j.1741-6787.2007.00095.x.CrossRef

87.

Ibargoyen-Roteta N, Gutiérrez-Ibarluzea I, Asua J. Report on the development of the GuNFT Guideline. Guideline for Not Funding existing health Technologies in health care systems. Quality Plan for the NHS of the MHSP: Basque Office for Health Technology Assessment (Osteba), 2009.

88.

Bowers B, Cohen LW, Elliot AE, Grabowski DC, Fishman NW, Sharkey SS, et al. Creating and supporting a mixed methods health services research team. Health Serv Res. 2013;48(6 Pt 2):2157–80. doi:10.1111/1475-6773.12118.

89.

Cilenti D, Brownson RC, Umble K, Erwin PC, Summers R. Information-seeking behaviors and other factors contributing to successful implementation of evidence-based practices in local health departments. Journal of public health management and practice : JPHMP. 2012;18(6):571–6. doi:10.1097/PHH.0b013e31825ce8e2.PubMedPubMedCentralCrossRef

90.

Garner S, Docherty M, Somner J, Sharma T, Choudhury M, Clarke M, et al. Reducing ineffective practice: challenges in identifying low-value health care using Cochrane systematic reviews. J Health Serv Res Policy. 2013;18(1):6–12. doi:10.1258/jhsrp.2012.012044.PubMedCrossRef

91.

Vest JR, Kirk HM, Issel LM. Quality and integration of public health information systems: a systematic review focused on immunization and vital records systems. Online journal of public health informatics. 2012;4(2). doi:10.5210/ojphi.v4i2.4198.

92.

Giles-Corti B, Sallis JF, Sugiyama T, Frank LD, Lowe M, Owen N. Translating active living research into policy and practice: one important pathway to chronic disease prevention. J Public Health Policy. 2015;36(2):231–43. doi:10.1057/jphp.2014.53.PubMedCrossRef

93.

HealthPACT. Disinvestment in Australia and New Zealand. Health Policy Advisory Committee on Technology 2013. Available from: http://www.health.qld.gov.au/healthpact/docs/papers/workshop/disinvestment-report.pdf. Accessed 13 June 2017.

94.

Hughes E, McKenny K. Decommissioning and disinvestment toolkit 2013–2014 Rayleigh. Essex: Castle Point and Rochford Clinical Commissioning Group; 2013.

95.

Watt AM, Hiller JE, Braunack-Mayer AJ, Moss JR, Buchan H, Wale J, et al. The ASTUTE health study protocol: deliberative stakeholder engagements to inform implementation approaches to healthcare disinvestment. Implement Sci. 2012;7:101. doi:10.1186/1748-5908-7-101.PubMedPubMedCentralCrossRef

96.

Murthy L, Shepperd S, Clarke MJ, Garner SE, Lavis JN, Perrier L, et al. Interventions to improve the use of systematic reviews in decision-making by health system managers, policy makers and clinicians. Cochrane database of systematic reviews (Online). 2012;9:CD009401. doi:10.1002/14651858.CD009401.pub2.

97.

Wallace J, Byrne C, Clarke M. Making evidence more wanted: a systematic review of facilitators to enhance the uptake of evidence from systematic reviews and meta-analyses. Int J Evid Based Healthc. 2012;10(4):338–46. doi:10.1111/j.1744-1609.2012.00288.x.PubMedCrossRef

98.

Perrier L, Mrklas K, Lavis JN, Straus SE. Interventions encouraging the use of systematic reviews by health policymakers and managers: a systematic review. Implementation science : IS. 2011;6:43. doi:10.1186/1748-5908-6-43.PubMedPubMedCentralCrossRef

99.

Young T, Rohwer A, Volmink J, Clarke M. What are the effects of teaching evidence-based health care (EBHC)? Overview of Systematic Reviews. PLoS One. 2014;9(1):e86706. doi:10.1371/journal.pone.0086706.PubMedPubMedCentralCrossRef

100.

Hotchkiss DR, Diana ML, Foreit KG. How can routine health information systems improve health systems functioning in low- and middle-income countries? Assessing the evidence base. Advances in health care management. 2012;12:25–58.PubMedCrossRef

101.

Fiander M, McGowan J, Grad R, Pluye P, Hannes K, Labrecque M, et al. Interventions to increase the use of electronic health information by healthcare practitioners to improve clinical practice and patient outcomes. Cochrane Database Syst Rev (Online). 2015;3:CD004749. doi:10.1002/14651858.CD004749.pub3.

102.

Peacock SJ, Mitton C, Ruta D, Donaldson C, Bate A, Hedden L. Priority setting in healthcare: towards guidelines for the program budgeting and marginal analysis framework. Expert Rev Pharmacoecon Outcomes Res. 2010;10(5):539–52. doi:10.1586/erp.10.66.PubMedCrossRef

103.

Flodgren G, Rojas-Reyes MX, Cole N, Foxcroft DR. Effectiveness of organisational infrastructures to promote evidence-based nursing practice. Cochrane database of systematic reviews (Online). 2012;2:CD002212. doi:10.1002/14651858.CD002212.pub2.

104.

Karkos B, Peters K. A magnet community hospital: fewer barriers to nursing research utilization. J Nurs Adm. 2006;36(7–8):377–82.PubMedCrossRef

105.

Rubenfeld GD. Cost-effective critical care: cost containment and rationing. Semin Respir Crit Care Med. 2012;33(4):413–20. doi:10.1055/s-0032-1322411.PubMedCrossRef

106.

Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009;65(2):371–81. doi:10.1111/j.1365-2648.2008.04878.x.PubMedCrossRef

107.

Okun S, McGraw D, Stang P, Larson E, Goldmann D, Kupersmith J, et al. Making the case for continuous learning from routinely collected data. Washington, DC: Institute of Medicine; 2013.

108.

Martelli N, Lelong AS, Prognon P, Pineau J. Hospital-based health technology assessment for innovative medical devices in university hospitals and the role of hospital pharmacists: learning from international experience. Int J Technol Assess Health Care. 2013;29(2):185–91. doi:10.1017/s0266462313000019.PubMedCrossRef

109.

Battista RN, Cote B, Hodge MJ, Husereau D. Health technology assessment in Canada. Int J Technol Assess Health Care. 2009;25(Suppl 1):53–60. doi:10.1017/s0266462309090424.PubMedCrossRef

110.

Freedman AM, Kuester SA, Jernigan J. Evaluating public health resources: what happens when funding disappears? Prev Chronic Dis. 2013;10:E190. doi:10.5888/pcd10.130130.PubMedPubMedCentralCrossRef

111.

National Health and Medical Research Council. Ethical considerations in quality assurance and evaluation activities. Canberra: Commonwealth of Australia; 2014.

Title: Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting
Authors: Claire Harris
Kelly Allen
Cara Waller
Tim Dyer
Vanessa Brooke
Marie Garrubba
Angela Melder
Catherine Voutier
Anthony Gust
Dina Farjou
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-017-2388-8

At a glance: The STEP trials

Springer Medicine

Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2017

Determining requirements for patient-centred care: a participatory concept mapping study

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention

Erratum to: Sustainability in Health care by Allocating Resources Effectively (SHARE) 5: developing a model for evidence-driven resource allocation in a local healthcare setting

Diabetes knowledge and utilization of healthcare services among patients with type 2 diabetes mellitus in Dhaka, Bangladesh

Trends in substance use admissions among older adults

Patient preferences for direct-to-consumer telemedicine services: a nationwide survey