Background
Why develop a taxonomy?
Value of current reporting systems and structures for reporting implementation research
Taxonomies in development
Aim
Methods
Development of the taxonomy
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Types of interventions
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Professional interventions
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Distribution of educational materials
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Educational meetings
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Local consensus processes
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Educational outreach visits
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Local opinion leaders
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Patient mediated interventions
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Audit and feedback
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Reminders
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Marketing
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Mass media
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Other
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Financial interventions
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Provider interventions
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Fee-for-service
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Prepaid
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Capitation
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Provider salaried service
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Prospective payment
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Provider incentives
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Institutional incentives
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Provider grant/allowance
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Institution grant/allowance
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Provider penalty
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Institution penalty
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Formulary
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Other
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Patient interventions
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Premium
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Co-payment
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User-fee
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Patient incentives
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Patient grant/allowance
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Patient penalty
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Other
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Organisational interventions
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Provider orientated interventions
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Revision of professional roles
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Clinical multidisciplinary teams
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Formal integration of services
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Skill mix changes
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Continuity of care
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Satisfaction of providers
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Communication and case discussion
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Other
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Patient orientated interventions
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Mail order pharmacies
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Presence and functioning of adequate mechanisms for dealing with patients’ suggestions and complaints
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Consumer participation in governance of health care organisation
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Other
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Structural interventions
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Changes in the setting/site of service delivery
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Changes in physical structure, facilities and equipment
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Changes in medical records systems
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Changes in scope and nature of benefits and services
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Presence and organisation of quality monitoring mechanisms
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Ownership, accreditation, and affiliation status of hospitals and other facilities
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Staff organisation
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Other
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Regulatory interventions
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Changes in medical liability
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Management of patient complaints
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Peer review
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Licensure
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Other
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Pilot and feasibility testing of the updated taxonomy
Results
Components of the taxonomy
Results of pilot testing
Overview of abstracts
Number of strategies described in each study
Use of the domains of the taxonomy
Use of strategies within domains of the taxonomy
Strategy (Domain) | Number of abstracts (%) |
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Change in quality assurance, quality improvement and/or performance measurement systems (Organisational) | 23 (32) |
Change in information & communication technology (Organisational) | 21 (30) |
Distribute guideline materials (Professional) | 17 (24) |
Identify barriers to guideline implementation (Professional) | 15 (21) |
Educate groups of health care professionals (Professional) | 15 (21) |
Creation of an implementation team (Organisational) | 10 (14) |
Other (Professional) | 10 (14) |
Feedback guideline compliance data and information (Professional) | 9 (13) |
Educate individual health care professionals (Professional) | 6 (8) |
Provide reminders (Professional) | 6 (8) |
Item No. | Description | Number of abstracts |
---|---|---|
1 Professional Strategies | ||
1.2 | Distribute guideline materials | 17 |
1.1 | Identify barriers to guideline implementation | 15 |
1.6 | Educate groups of health care professionals | 15 |
1.15 | Other | 10 |
1.11 | Feedback guideline compliance data and information | 9 |
1.5 | Educate individual health care professionals | 6 |
1.9 | Provide reminders | 6 |
1.7 | Recruit an opinion leader | 5 |
1.3 | Advertise guideline materials | 3 |
1.4 | Present guideline materials at meetings | 3 |
1.8 | Achieve consensus | 3 |
1.1 | Provide alerts | 3 |
1.12 | Feedback data and information about | 1 |
1.13 | Feedback data and information from patients | 1 |
1.14 | Feedback information from health care professionals | 0 |
2.1 Financial Strategies (implementer) | ||
2.1.3 | Grant or allowance provided to a health care professional | 2 |
2.1.2 | Incentive applicable available to the institution | 1 |
2.1.4 | Grant or allowance provided to the institution | 1 |
2.1.1 | Incentive applicable to a health care professional | 0 |
2.1.5 | Penalty applicable to a health care professional | 0 |
2.1.6 | Penalty applicable to the institution | 0 |
2.1.7 | Change in reimbursement | 0 |
2.1.8 | Other | 0 |
2.2 Financial Strategies (patient) | ||
2.2.1 | Incentive applicable to a patient | 0 |
2.2.2 | Grant or allowance provided to a patient | 0 |
2.2.3 | Penalty applicable to a patient | 0 |
2.2.4 | Other | 0 |
3.1 Organisational Strategies (implementer) | ||
3.1.3 | Creation of an implementation team | 10 |
3.1.1 | Additional human resources | 3 |
3.1.2 | Reallocated roles | 1 |
3.1.4 | Communication between distant health professionals | 1 |
3.1.5 | Improved health care professional satisfaction | 0 |
3.1.6 | Other | 0 |
3.2 Organisational Strategies (patient) | ||
3.2.1 | Consumer participation | 1 |
3.2.2 | Consumer feedback, suggestions and complaints | 1 |
3.2.3 | Other | 1 |
3.3 Organisational Strategies (structure) | ||
3.3.5 | Change in quality assurance, quality improvement and/or performance measurement systems Change in the method | 23 |
3.3.4 | Change in information & communication technology | 21 |
3.3.6 | Change in the method | 3 |
3.3.1 | Change in organizational structure | 1 |
3.3.7 | Change in the integration of services | 1 |
3.3.2 | Change to the setting or site | 0 |
3.3.3 | Change in the physical structure, facilities or equipment | 0 |
3.3.8 | Change in risk management provisions | 0 |
3.3.9 | Other | 0 |
4 Regulatory Strategies | ||
4.1 | Change in legislation or regulation | 1 |
4.4 | Other | 1 |
4.2 | Change in the ownership or affiliation | 0 |
4.3 | Change in licensing, credentialing or accreditation | 0 |