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Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of
Sarah Scruton1, Grace Warner2, Cynthia Kendell3
1Department of Community Health and Epidemiology, Centre for Clinical Research, Dalhousie University, Room 413, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada.
BMC Health Services Research
|January 6, 2024
Summary
Successful community-based navigation programs for life-limiting illnesses in Canada require strong leadership, adaptable interventions, and aligned staff values. These factors are crucial for effective implementation and meeting patient needs.
Area of Science:
- Healthcare delivery
- Implementation science
- Palliative care
Background:
- Aging Canadian population and rising chronic illnesses increase demand for high-quality end-of-life care.
- Community-based navigation programs offer a promising solution but require understanding of successful implementation strategies.
- This study identifies key determinants for implementing these programs effectively in Canada.
Purpose of the Study:
- To identify key determinants contributing to the successful implementation of community-based navigation programs in Canada.
- To understand how these programs meet the needs of individuals with life-limiting illnesses.
- To inform the development and integration of future navigation programs.
Main Methods:
- Qualitative study of eleven innovative community-based navigation programs.
- Utilized the Consolidated Framework for Implementation Research (CFIR) for study design.
- Conducted semi-structured interviews with 23 key informants and analyzed data using qualitative description.
Main Results:
- Outer setting: Importance of care gaps, client/community relationships, and provider navigation.
- Inner setting: Leadership support, staff compatibility, and resource availability are critical.
- Intervention/Individual characteristics: Adaptability facilitates, costs hinder; staff alignment and skills are vital.
- Process: Strong champions and evaluation processes are key determinants.
Conclusions:
- Identified key determinants across CFIR domains for successful program implementation.
- Findings offer valuable insights for developing and integrating navigation programs.
- Understanding these determinants can enhance care for individuals with life-limiting illnesses.
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