The effect of implementation strategies in the implementation of the multidisciplinary innovation Fast Diagnostics.

Abstract

Background

Next decades, the world is faced with an ageing population. This causes an increase in cost of and demand for care. Policy is therefore focused on implementing innovative methods and multidisciplinary care for example the implementation of Fast Diagnostics. Multi-faceted or tailored implementation strategies increase the chance of successful implementation, but it is unclear what the most effective approach is.

Objective

The aim of this study is to determine the course of the implementation process in the implementation of Fast Diagnostics, and factors that influence this process. This led to the research questions: 1. What is the effect of the used implementation strategies on the course of the implementation process, in the implementation of the multidisciplinary innovation Fast Diagnostics in an academic hospital? 2. Which barriers and facilitators have influenced the implementation process in the implementation of the multidisciplinary innovation Fast Diagnostics in an academic hospital?

Method

A comparative case study with a mixed method study design, in which a pre/posttest design was combined with interviews.

Results

The average adoption score for Fast Diagnostics at the policlinic for breast cancer was 7.00, and for Fast Diagnostics for other tumors 7.33. Questionnaire responses showed a weak fit of innovation and organization on the regulation-oriented and team-oriented configuration, for Fast Diagnostics at the policlinic for breast cancer. For the other tumors there was a fit on the regulation-oriented and team-oriented configuration. Important for the implementation are: involvement of stakeholders, dedicated management, communication and adaptation of organization and innovation.

Conclusion

Implementation strategies that take into account the context, seem to yield the best results. Further research into effectiveness of implementation strategies, which take into account the context, is necessary.