Top

BMC Health Services Research

Published in:

Open Access 01-12-2018 | Research article

Sustainability in Health care by Allocating Resources Effectively (SHARE) 8: developing, implementing and evaluating an evidence dissemination service in a local healthcare setting

Authors: Claire Harris, Marie Garrubba, Angela Melder, Catherine Voutier, Cara Waller, Richard King, Wayne Ramsey

Published in: BMC Health Services Research | Issue 1/2018

Abstract

Background

This is the eighth 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 disinvestment within a large Australian health service. One of the aims was to explore methods to deliver existing high quality synthesised evidence directly to decision-makers to drive decision-making proactively. An Evidence Dissemination Service (EDS) was proposed. While this was conceived as a method to identify disinvestment opportunities, it became clear that it could also be a way to review all practices for consistency with current evidence. This paper reports the development, implementation and evaluation of two models of an in-house EDS.

Methods

Frameworks for development of complex interventions, implementation of evidence-based change, and evaluation and explication of processes and outcomes were adapted and/or applied. Mixed methods including a literature review, surveys, interviews, workshops, audits, document analysis and action research were used to capture barriers, enablers and local needs; identify effective strategies; develop and refine proposals; ascertain feedback and measure outcomes.

Results

Methods to identify, capture, classify, store, repackage, disseminate and facilitate use of synthesised research evidence were investigated. In Model 1, emails containing links to multiple publications were sent to all self-selected participants who were asked to determine whether they were the relevant decision-maker for any of the topics presented, whether change was required, and to take the relevant action. This voluntary framework did not achieve the aim of ensuring practice was consistent with current evidence. In Model 2, the need for change was established prior to dissemination, then a summary of the evidence was sent to the decision-maker responsible for practice in the relevant area who was required to take appropriate action and report the outcome. This mandatory governance framework was successful. The factors influencing decisions, processes and outcomes were identified.

Conclusion

An in-house EDS holds promise as a method of identifying disinvestment opportunities and/or reviewing local practice for consistency with current evidence. The resource-intensive nature of delivery of the EDS is a potential barrier. The findings from this study will inform further exploration.

Available only for authorised users

Harris C, Green S, Ramsey W, Allen K, Sustainability in Health KR. Care by allocating resources effectively (SHARE) 9: Conceptualising disinvestment in the local healthcare setting. BMC Health Serv Res. 2017; https://doi.org/10.1186/s12913-017-2388-8.

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 Serv Res. 2017; https://doi.org/10.1186/s12913-017-2208-1.

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 Serv Res. 2017; https://doi.org/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 Serv Res. 2017; https://doi.org/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 Serv Res. 2017; https://doi.org/10.1186/s12913-017-2212-5.

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 Serv Res. 2017; https://doi.org/10.1186/s12913-017-2269-1.

Harris C, Allen K, Waller C, Dyer T, Brooke V, Garrubba M, et al. 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. BMC Health Serv Res. 2017; https://doi.org/10.1186/s12913-017-2388-8.

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. Implementation science : IS. 2014;9(1):179. https://doi.org/10.1186/s13012-014-0179-8.CrossRefPubMedPubMedCentral

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. https://doi.org/10.1186/1472-6963-14-2.CrossRefPubMedPubMedCentral

10.

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. https://doi.org/10.1111/hir.12036.CrossRef

11.

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. https://doi.org/10.1186/1471-2458-12-751.CrossRefPubMedPubMedCentral

12.

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) https://doi.org/10.1136/bmjopen-2012-001220.

13.

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: A Journal of Research, Debate and Practice. 2011;7(3):277–305. https://doi.org/10.1332/174426411X579199.CrossRef

14.

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. https://doi.org/10.1111/j.1365-2834.2010.01144.x.CrossRefPubMed

15.

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. https://doi.org/10.1111/j.1471-1842.2010.00883.x.CrossRef

16.

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. https://doi.org/10.1111/j.1741-6787.2007.00095.x.CrossRef

17.

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. https://doi.org/10.1186/1472-6963-12-404.CrossRefPubMedPubMedCentral

18.

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. Implementation science : IS. 2016;11(1):4. https://doi.org/10.1186/s13012-016-0370-1.CrossRefPubMedPubMedCentral

19.

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. https://doi.org/10.1016/j.socscimed.2012.09.014.CrossRefPubMed

20.

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 Technol Assess. 2011;

21.

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: 24 Oct 2017.

22.

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. https://doi.org/10.1186/1743-8462-4-23.CrossRefPubMedPubMedCentral

23.

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)

24.

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 Serv Res. 2017; https://doi.org/10.1186/s12913-017-2210-7.

25.

Dobbins M, Hanna SE, Ciliska D, Manske S, Cameron R, Mercer SL, et al. A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies. Implementation science : IS. 2009;4:61. https://doi.org/10.1186/1748-5908-4-61.CrossRefPubMedPubMedCentral

26.

Dobbins M, Jack S, Thomas H, Kothari A. Public health decision-makers' informational needs and preferences for receiving research evidence. Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing. 2007;4(3):156–63. https://doi.org/10.1111/j.1741-6787.2007.00089.x.CrossRef

27.

Dobbins M, Ciliska D, Cockerill R, Barnsley J, DiCenso A. A framework for the dissemination and utilization of research for health-care policy and practice. Online J Knowl Synth Nurs. 2002;9:7.PubMed

28.

Haynes RB, Holland J, Cotoi C, McKinlay RJ, Wilczynski NL, Walters LA, et al. McMaster PLUS: a cluster randomized clinical trial of an intervention to accelerate clinical use of evidence-based information from digital libraries. Journal of the American Medical Informatics Association : JAMIA. 2006;13(6):593–600. https://doi.org/10.1197/jamia.M2158.CrossRefPubMedPubMedCentral

29.

Lavis JN. How can we support the use of systematic reviews in policymaking? PLoS Med. 2009;6(11):e1000141. https://doi.org/10.1371/journal.pmed.1000141.CrossRefPubMedPubMedCentral

30.

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. https://doi.org/10.1111/j.1365-2648.2011.05750.x.CrossRefPubMed

31.

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

32.

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. Implementation science : IS. 2013;8:17. https://doi.org/10.1186/1748-5908-8-17.CrossRefPubMedPubMedCentral

33.

Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. The Milbank quarterly. 2004;82(4):581–629. https://doi.org/10.1111/j.0887-378X.2004.00325.x.CrossRefPubMedPubMedCentral

34.

Fronsdal KB, Facey K, Klemp M, Norderhaug IN, Morland B, Rottingen JA. Health technology assessment to optimize health technology utilization: using implementation initiatives and monitoring processes. Int J Technol Assess Health Care. 2010;26(3):309–16. https://doi.org/10.1017/s0266462310000309.CrossRefPubMed

35.

Monash Health. http://www.monashhealth.org/. Accessed 24 Oct 2017.

36.

Department of Health Victoria. Activity Based Funding https://www2.health.vic.gov.au/hospitals-and-health-services/funding-performance-accountability/activity-based-funding. Accessed Sept 29 2017.

37.

Harris C, Allen K, King R, Ramsey W, Green S. 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

38.

Campbell NC, Murry E, Darbyshire J, Emery J, Farmer A, Griffiths F, et al. Designing and evaluating complex interventions to improve health care. BMJ. 2007;334:455–9.CrossRefPubMedPubMedCentral

39.

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: https://figshare.com/articles/SEAchange_Guide_to_a_pragmatic_evidence-based_approach_to_Sustainable_Effective_and_Appropriate_change_in_health_services/4060173. Accessed 24 Oct 2017.

40.

NVivo qualitative data analysis software Version 8. QSR International Pty Ltd. 2008. http://www.qsrinternational.com/. Accessed 24 Oct 2017.

41.

Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362(9391):1225–30.CrossRefPubMed

42.

Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust. 2004;180(6 Suppl):S57–60.PubMed

43.

NSW Health. A framework for building capacity to improve health. Better Health Centre, NSW Health Department, Sydney. 2001.

44.

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: 24 Oct 2017.

45.

Sullivan TM, Strachan M, Timmons BK. Guide to Monitoring and Evaluating Health Information Products and Services. 2007. Available from: https://www.k4health.org/sites/default/files/guide-to-monitoring-and-evaluating-health-information.pdf. Accessed: 24 Oct 2017.

46.

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

47.

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

48.

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. https://doi.org/10.1136/bmjopen-2014-005834.CrossRefPubMedPubMedCentral

49.

Harris C, Brooke V, Turner T, Wilkinson F. Implementation of evidence-based paediatric guidelines: evaluation of complex interventions based on a theoretical framework. Centre for Clinical Effectiveness 2007. Available from: https://figshare.com/articles/Implementation_of_evidence-based_paediatric_guidelines_evaluation_of_complex_interventions_based_on_a_theoretical_framework/4060176. Accessed 24 Oct 2017.

50.

Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decision makers? The Milbank quarterly. 2003;81(2):221–48. 171-2CrossRefPubMedPubMedCentral

51.

Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O'Mara L, et al. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implementation science : IS. 2009;4:23. https://doi.org/10.1186/1748-5908-4-23.CrossRefPubMedPubMedCentral

52.

Van Eerd D, Newman K, DeForge R, Urquhart R, Cornelissen E, Dainty KN. Knowledge brokering for healthy aging: a scoping review of potential approaches. Implementation science : IS. 2016;11(1):140. https://doi.org/10.1186/s13012-016-0504-5.CrossRefPubMedPubMedCentral

53.

Glegg SM, Hoens A. Role Domains of knowledge brokering: a model for the health care setting. Journal of neurologic physical therapy : JNPT. 2016;40(2):115–23. https://doi.org/10.1097/npt.0000000000000122.CrossRefPubMed

54.

Lomas J. The in-between world of knowledge brokering. BMJ. 2007;334(7585):129–32. https://doi.org/10.1136/bmj.39038.593380.AE.CrossRefPubMedPubMedCentral

55.

Chambers D, Wilson PM, Thompson CA, Hanbury A, Farley K, Light K. Maximizing the impact of systematic reviews in health care decision making: a systematic scoping review of knowledge-translation resources. The Milbank quarterly. 2011;89(1):131–56. https://doi.org/10.1111/j.1468-0009.2011.00622.x.CrossRefPubMedPubMedCentral

56.

Rycroft-Malone J, Bucknall TK, editors. Models and frameworks for implementing evidence-based practice: linking evidence to action. Evidence-based nursing. Chichester: UK Wiley-Blackwell; 2010.

57.

Knowlton LW, Phillips CC. The Logic Model Guidebook. Better Strategies for Great Results. . Second ed. Thousand Oaks, California: SAGE Publications, Inc; 2013.

58.

W.K. Kellogg Foundation. Logic Model Development Guide. Using Logic Models to Bring Together Planning, Evaluation, and Action. 2004.

59.

National Library of Medicine Medical Subject Headings (MeSH). https://www.nlm.nih.gov/mesh/. Accessed 24 Oct 2017.

60.

International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification https://www.accd.net.au/Icd10.aspx. Accessed 24 Oct 2017.

61.

McMaster Evidence Updates. https://plus.mcmaster.ca/evidenceupdates/. Accessed 24 Oct 2017.

62.

Academy Health. Glossary of Terms Commonly Used in Health Care. Washington, USA. 2004. https://govinfo.library.unt.edu/chc/resources/AcademyHealth_glossary_rd.pdf. Accessed 24 Oct 2017.

63.

Dobbins M, Cockerill R, Barnsley J. Factors affecting the utilization of systematic reviews. A study of public health decision makers. Int J Technol Assess Health Care. 2001;17(2):203–14.CrossRefPubMed

64.

Dobbins M, DeCorby K, Twiddy T. A knowledge transfer strategy for public health decision makers. Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing. 2004;1(2):120–8. https://doi.org/10.1111/j.1741-6787.2004.t01-1-04009.x.CrossRef

65.

Armstrong R, Waters E, Crockett B, Keleher H. The nature of evidence resources and knowledge translation for health promotion practitioners. Health Promot Int. 2007;22(3):254–60. https://doi.org/10.1093/heapro/dam017.CrossRefPubMed

66.

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. https://doi.org/10.1097/PHH.0b013e31825ce8e2.CrossRefPubMedPubMedCentral

67.

Dobbins M, Rosenbaum P, Plews N, Law M, Fysh A. Information transfer: what do decision makers want and need from researchers? Implementation science : IS. 2007;2:20. https://doi.org/10.1186/1748-5908-2-20.CrossRefPubMedPubMedCentral

68.

Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane effective practice and Organization of Care Review Group. BMJ. 1998;317(7156):465–8.CrossRefPubMedPubMedCentral

69.

Grol R. Implementing guidelines in general practice care. Quality in health care : QHC. 1992;1(3):184–91.CrossRefPubMedPubMedCentral

70.

Healy J, Braithwaite J. Designing safer health care through responsive regulation. Med J Aust. 2006;184(10 Suppl):S56–9.PubMed

71.

Greenhalgh T, Humphrey C, Hughes J, Macfarlane F, Butler C, Pawson R. How do you modernize a health service? A realist evaluation of whole-scale transformation in london. The Milbank quarterly. 2009;87(2):391–416. https://doi.org/10.1111/j.1468-0009.2009.00562.x.CrossRefPubMedPubMedCentral

72.

Rogers E. Diffusion of innovations. 5th ed. New York: Free Press; 2003.

73.

Richardson J, McKie J. Increasing the options for reducing adverse events: results from a modified Delphi technique. Australia and New Zealand health policy. 2008;5:25. https://doi.org/10.1186/1743-8462-5-25.CrossRefPubMedPubMedCentral

74.

Cochrane Effective Practice and Organisation of Care Review Group (EPOC). Data Collection Checklist. Institute of Population Health, University of Ottawa. Available from: http://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/datacollectionchecklist.pdf. Accessed: 24 Oct 2017.

75.

Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Quality & safety in health care. 2005;14(1):26–33. https://doi.org/10.1136/qshc.2004.011155.CrossRef

76.

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. https://doi.org/10.1186/s12913-015-1178-4.CrossRefPubMedPubMedCentral

77.

Cochrane Library. http://www.cochranelibrary.com/. Accessed 24 Oct 2017.

78.

Hastings SE, Armitage GD, Mallinson S, Jackson K, Suter E. Exploring the relationship between governance mechanisms in healthcare and health workforce outcomes: a systematic review. BMC Health Serv Res. 2014;14:479. https://doi.org/10.1186/1472-6963-14-479.CrossRefPubMedPubMedCentral

79.

McMaster University. Evidence Alerts. DynaMed Plus and McMaster University's Health Information Research Unit https://plus.mcmaster.ca/EvidenceAlerts/. Accessed 24 Oct 2017.

80.

BMJ. Clinical Evidence. http://clinicalevidence.bmj.com/x/index.html. Accessed 24 Oct 2017.

81.

Centre for Evidence Based Dermatology. CEBD Evidence Updates. University of Nottingham. https://www.nottingham.ac.uk/research/groups/cebd/resources/cebd-evidence-updates.aspx. Accessed 24 Oct 2017.

82.

White C, Sanders Schmidler G, Borsky A, Butler M, Wang Z, Robinson K et al. Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking. Research White Paper. AHRQ Publication No 17(18)-EHC035-EF (Prepared by the University of Connecticut and Duke Evidence-based Practice Centers under Contract No. 290–2015-00012-I and 290–2015-00004-I.) Agency for Healthcare Research and Quality 2017. Available from: www.effectivehealthcare.ahrq.gov/reports/final.cfm. Accessed: 24 Oct 2017.

83.

Bowen S, Erickson T, Martens PJ, Crockett S. More than "using research": the real challenges in promoting evidence-informed decision-making. Healthcare Policy. 2009;4(3):87–102.PubMedPubMedCentral

84.

Karkos B, Peters K. A magnet Community hospital: fewer barriers to nursing research utilization. The Journal of nursing administration. 2006;36(7–8):377–82.CrossRefPubMed

85.

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; https://doi.org/10.1016/j.healthpol.2014.04.010.

86.

Rubenfeld GD. Cost-effective critical care: cost containment and rationing. Seminars in respiratory and critical care medicine. 2012;33(4):413–20. https://doi.org/10.1055/s-0032-1322411.CrossRefPubMed

87.

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. https://doi.org/10.1111/j.1365-2648.2008.04878.x.CrossRefPubMed

88.

Robinson S, Dickinson H, Williams I, Freeman T, Rumbold B, Spence K. Setting priorities in health: a study of English primary care trusts: health services management Centre: University of Birmingham and the Nuffield Trust; 2011.

89.

Mitton C, Dionne F, Donaldson C. Managing healthcare budgets in times of austerity: the role of program budgeting and marginal analysis. Applied health economics and health policy. 2014;12(2):95–102. https://doi.org/10.1007/s40258-013-0074-5.CrossRefPubMedPubMedCentral

90.

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 review of pharmacoeconomics & outcomes research. 2010;10(5):539–52. https://doi.org/10.1586/erp.10.66.CrossRef

91.

Joshi NP, Stahnisch FW, Noseworthy TW. Reassessment of Health Technologies: Obsolescence and Waste. 2009.

92.

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. https://doi.org/10.1017/s0266462313000019.CrossRefPubMed

93.

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. https://doi.org/10.1017/s0266462309090424.CrossRefPubMed

94.

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) 8: developing, implementing and evaluating an evidence dissemination service in a local healthcare setting
Authors: Claire Harris
Marie Garrubba
Angela Melder
Catherine Voutier
Cara Waller
Richard King
Wayne Ramsey
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-018-2932-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Sustainability in Health care by Allocating Resources Effectively (SHARE) 8: developing, implementing and evaluating an evidence dissemination service in a local healthcare setting

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2018

Collecting sexual assault history and forensic evidence from adult women in the emergency department: a retrospective study

Public health opportunities and challenges in the provision of partner notification services: the New England experience

Patients’ perspectives of acceptability of ART, TB and maternal health services in a subdistrict of Johannesburg, South Africa

High antiretroviral therapy service delivery satisfaction and itsʼ associated factors at Midre-genet hospital; Northwest Tigray, Ethiopia

Psychometric properties of the Norwegian version of the hospital survey on patient safety culture in a prehospital environment

A workforce survey of Australian osteopathy: analysis of a nationally-representative sample of osteopaths from the Osteopathy Research and Innovation Network (ORION) project