Sökning: onr:"swepub:oai:DiVA.org:uu-261955" > Health system conte...
Fältnamn | Indikatorer | Metadata |
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000 | 06219naa a2200661 4500 | |
001 | oai:DiVA.org:uu-261955 | |
003 | SwePub | |
008 | 150907s2015 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:131791464 | |
009 | oai:DiVA.org:du-19246 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2619552 URI |
024 | 7 | a https://doi.org/10.1186/s13012-015-0305-22 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1317914642 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:du-192462 URI |
040 | a (SwePub)uud (SwePub)kid (SwePub)du | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Bergström, Annau Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)annbe648 |
245 | 1 0 | a Health system context and implementation of evidence-based practices-development and validation of the Context Assessment for Community Health (COACH) tool for low- and middle-income settings |
264 | c 2015-08-15 | |
264 | 1 | b Springer Science and Business Media LLC,c 2015 |
338 | a electronic2 rdacarrier | |
520 | a Background: The gap between what is known and what is practiced results in health service users not benefitting from advances in healthcare, and in unnecessary costs. A supportive context is considered a key element for successful implementation of evidence-based practices (EBP). There were no tools available for the systematic mapping of aspects of organizational context influencing the implementation of EBPs in low- and middle-income countries (LMICs). Thus, this project aimed to develop and psychometrically validate a tool for this purpose. Methods: The development of the Context Assessment for Community Health (COACH) tool was premised on the context dimension in the Promoting Action on Research Implementation in Health Services framework, and is a derivative product of the Alberta Context Tool. Its development was undertaken in Bangladesh, Vietnam, Uganda, South Africa and Nicaragua in six phases: (1) defining dimensions and draft tool development, (2) content validity amongst in-country expert panels, (3) content validity amongst international experts, (4) response process validity, (5) translation and (6) evaluation of psychometric properties amongst 690 health workers in the five countries. Results: The tool was validated for use amongst physicians, nurse/midwives and community health workers. The six phases of development resulted in a good fit between the theoretical dimensions of the COACH tool and its psychometric properties. The tool has 49 items measuring eight aspects of context: Resources, Community engagement, Commitment to work, Informal payment, Leadership, Work culture, Monitoring services for action and Sources of knowledge. Conclusions: Aspects of organizational context that were identified as influencing the implementation of EBPs in high-income settings were also found to be relevant in LMICs. However, there were additional aspects of context of relevance in LMICs specifically Resources, Community engagement, Commitment to work and Informal payment. Use of the COACH tool will allow for systematic description of the local healthcare context prior implementing healthcare interventions to allow for tailoring implementation strategies or as part of the evaluation of implementing healthcare interventions and thus allow for deeper insights into the process of implementing EBPs in LMICs. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskap0 (SwePub)3032 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciences0 (SwePub)3032 hsv//eng |
653 | a Hälsa och välfärd | |
700 | 1 | a Skeen, Sarahu Karolinska Institutet4 aut |
700 | 1 | a Duc, Duong M.u Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)matma534 |
700 | 1 | a Blandon, Elmer Zelaya4 aut |
700 | 1 | a Estabrooks, Carole4 aut |
700 | 1 | a Gustavsson, Petteru Karolinska Institutet4 aut |
700 | 1 | a Hoa, Dinh Thi Phuong4 aut |
700 | 1 | a Kallestal, Carina4 aut |
700 | 1 | a Målqvist, Matsu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)matma534 |
700 | 1 | a Nga, Nguyen Thu4 aut |
700 | 1 | a Persson, Lars-Åkeu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)laper499 |
700 | 1 | a Pervin, Jesmin4 aut |
700 | 1 | a Peterson, Stefan Swartlingu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)stefanps |
700 | 1 | a Rahman, Anisur4 aut |
700 | 1 | a Selling, Katarinau Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)katse272 |
700 | 1 | a Squires, Janet E.4 aut |
700 | 1 | a Tomlinson, Mark4 aut |
700 | 1 | a Waiswa, Peteru Karolinska Institutet4 aut |
700 | 1 | a Wallin, Larsu Högskolan Dalarna,Karolinska Institutet,Omvårdnad4 aut0 (Swepub:du)lwa |
710 | 2 | a Uppsala universitetb Internationell mödra- och barnhälsovård (IMCH)4 org |
773 | 0 | t Implementation Scienced : Springer Science and Business Media LLCg 10q 10x 1748-5908 |
856 | 4 | u https://doi.org/10.1186/s13012-015-0305-2y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:852600/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-015-0305-2 |
856 | 4 | u https://du.diva-portal.org/smash/get/diva2:851235/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261955 |
856 | 4 8 | u https://doi.org/10.1186/s13012-015-0305-2 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:131791464 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:du-19246 |
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