The work of local healthcare innovation: a qualitative study of GP-led integrated diabetes care in primary health care

BMC Health Services Research
Michele M FosterClaire L Jackson

Abstract

Service delivery innovation is at the heart of efforts to combat the growing burden of chronic disease and escalating healthcare expenditure. Small-scale, locally-led service delivery innovation is a valuable source of learning about the complexities of change and the actions of local change agents. This exploratory qualitative study captures the perspectives of clinicians and managers involved in a general practitioner-led integrated diabetes care innovation. Data on these change agents' perspectives on the local innovation and how it works in the local context were collected through focus groups and semi-structured interviews at two primary health care sites. Transcribed data were analysed thematically. Normalization Process Theory provided a framework to explore perspectives on the individual and collective work involved in putting the innovation into practice in local service delivery contexts. Twelve primary health care clinicians, hospital-based medical specialists and practice managers participated in the study, which represented the majority involved in the innovation at the two sites. The thematic analysis highlighted three main themes of local innovation work: 1) trusting and embedding new professional relationships; ...Continue Reading

References

Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Sep 28, 2001·Diabetes Care·A C Larme, J A Pugh
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Nov 30, 2005·Sociology of Health & Illness·Susan A Nancarrow, Alan M Borthwick
Jan 13, 2006·Nursing Science Quarterly·Hannakaisa LänsisalmiRaija Ruoranen
Jul 20, 2007·The Medical Journal of Australia·Mark F Harris, Nicholas A Zwar
Jan 22, 2008·The Medical Journal of Australia·Michele M FosterJennifer Fleming
Sep 30, 2008·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Prathibha VarkeyKevin E Bennet
Mar 26, 2010·Australian Health Review : a Publication of the Australian Hospital Association·Karen Grimmer-SomersJoanne Atkinson
Mar 30, 2011·Social Science & Medicine·Jane Hendy, James Barlow
Oct 2, 2012·Social Science & Medicine·Anna Essén, Staffan Lindblad
Sep 13, 2014·Qualitative Health Research·Agnieszka IgnatowiczMatthew Harris
Oct 7, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Rachel ThamRohan Jenner
Apr 17, 2015·The Medical Journal of Australia·Lyle R TurnerDanielle Mazza

❮ Previous
Next ❯

Citations

May 10, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Claire L JacksonH David McIntyre
Feb 11, 2021·Australian Health Review : a Publication of the Australian Hospital Association·Maria DonaldSamantha A Hollingworth

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Letitia H BurridgeClaire L Jackson
Death Studies
Jurgita RimkevicieneDiego De Leo
© 2022 Meta ULC. All rights reserved