tailieunhanh - báo cáo khoa học: "Innovation in mental health services: what are the key components of success?"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Innovation in mental health services: what are the key components of success? | Brooks et al. Implementation Science 2011 6 120 http content 6 1 120 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Innovation in mental health services what are the key components of success Helen Brooks1 David Pilgrim2 and Anne Rogers3 Abstract Background Service development innovation in health technology and practice is viewed as a pressing need within the field of mental health yet is relatively poorly understood. Macro-level theories have been criticised for their limited explanatory power and they may not be appropriate for understanding local and fine-grained uncertainties of services and barriers to the sustainability of change. This study aimed to identify contextual influences inhibiting or promoting the acceptance and integration of innovations in mental health services in both National Health Service NHS and community settings. Methods A comparative study using qualitative and case study data collection methods including semi-structured interviews with key stakeholders and follow-up telephone interviews over a one-year period. The analysis was informed by learning organisation theory. Drawn from 11 mental health innovation projects within community voluntary and NHS settings 65 participants were recruited including service users commissioners health and nonhealth professionals managers and caregivers. The methods deployed in this evaluation focused on processoutcome links within and between the 11 projects. Results Key barriers to innovation included resistance from corporate departments and middle management complexity of the innovation and the availability and access to resources on a prospective basis within the host organisation. The results informed the construction of a proposed model of innovation implementation within mental health services. The main components of which are context process and outcomes. Conclusions The study produced a model of conducive and impeding factors drawn from the .