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Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of
Allison A Lewinski1,2, Matthew J Crowley1,3, Christopher Miller4,5
1Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System.
Rapid qualitative analysis accelerates intervention development for improved healthcare coordination. This approach ensures timely, relevant content creation for better patient care, especially for veterans in rural areas.
Area of Science:
- Healthcare delivery research
- Qualitative research methods
- Health services research
Background:
- Care coordination between the Veterans Health Administration (VHA) and community providers presents challenges, particularly in rural settings.
- The Telehealth-based Coordination of Non-VHA Care (TECNO Care) intervention was developed to enhance this coordination.
- Preimplementation interviews were crucial for tailoring TECNO Care to the specific context.
Purpose of the Study:
- To describe the application of rapid qualitative analysis methods in intervention development.
- To inform the implementation of the TECNO Care intervention for improved VHA and community provider coordination.
- To identify key factors for successful care coordination from stakeholder perspectives.
Main Methods:
- Rapid qualitative analysis of preimplementation interviews with 18 stakeholders (veterans, VHA administrators, VHA and community providers).
- Interviews were conducted over 5 months by an interviewer and note-taker(s).
- Data analysis focused on identifying characteristics of health systems, target populations, metrics, outcomes, and challenges.
Main Results:
- Identified at-risk veteran populations (frequent VHA/community users needing additional services) who may benefit from enhanced care coordination.
- Key themes included health system characteristics, target population needs, outcome metrics, and current system challenges.
- TECNO Care was designed to incorporate VHA service information, streamline referrals, and improve record sharing based on interview data.
Conclusions:
- Rapid qualitative analysis enables near real-time intervention refinement and stakeholder engagement.
- This methodology supports the development of contextually appropriate and efficient healthcare interventions.
- Rigorous and timely qualitative data analysis is essential for high-value patient care.
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