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Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention
While the use of evidence-based interventions (EBIs) has been advocated by the medical research community for quite some time, uptake of these interventions by healthcare providers has been slow. One possible explanation is that it is challenging for providers to estimate impacts of a specific EBI o...
Formato: | Online Artículo Texto |
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Lenguaje: | English |
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IEEE
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957263/ https://www.ncbi.nlm.nih.gov/pubmed/29805921 http://dx.doi.org/10.1109/JTEHM.2018.2833847 |
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collection | PubMed |
description | While the use of evidence-based interventions (EBIs) has been advocated by the medical research community for quite some time, uptake of these interventions by healthcare providers has been slow. One possible explanation is that it is challenging for providers to estimate impacts of a specific EBI on their particular organization. To address that concern, we developed and evaluated a type of simulation called a policy flight simulator to determine if it could improve the adoption decision about a specific EBI, the transitional care model (TCM). The TCM uses an advanced practice nurse-led model of care to transition older adults with multiple chronic conditions from a hospitalization to home. An evaluation by a National Advisory Committee, made up of senior representatives from various stakeholders in the U.S. healthcare system, found the policy flight simulator to be a useful tool that has the potential to better inform adoption decisions. This paper describes the simulation development effort and documents lessons learned that may be useful to the healthcare modeling community and those interested in using simulation to support decisions based on EBIs. |
format | Online Article Text |
id | pubmed-5957263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | IEEE |
record_format | MEDLINE/PubMed |
spelling | pubmed-59572632018-05-25 Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention IEEE J Transl Eng Health Med Article While the use of evidence-based interventions (EBIs) has been advocated by the medical research community for quite some time, uptake of these interventions by healthcare providers has been slow. One possible explanation is that it is challenging for providers to estimate impacts of a specific EBI on their particular organization. To address that concern, we developed and evaluated a type of simulation called a policy flight simulator to determine if it could improve the adoption decision about a specific EBI, the transitional care model (TCM). The TCM uses an advanced practice nurse-led model of care to transition older adults with multiple chronic conditions from a hospitalization to home. An evaluation by a National Advisory Committee, made up of senior representatives from various stakeholders in the U.S. healthcare system, found the policy flight simulator to be a useful tool that has the potential to better inform adoption decisions. This paper describes the simulation development effort and documents lessons learned that may be useful to the healthcare modeling community and those interested in using simulation to support decisions based on EBIs. IEEE 2018-05-07 /pmc/articles/PMC5957263/ /pubmed/29805921 http://dx.doi.org/10.1109/JTEHM.2018.2833847 Text en 2168-2372 © 2018 IEEE. Translations and content mining are permitted for academic research only. Personal use is also permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information. |
spellingShingle | Article Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title | Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title_full | Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title_fullStr | Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title_full_unstemmed | Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title_short | Developing a Policy Flight Simulator to Facilitate the Adoption of an Evidence-Based Intervention |
title_sort | developing a policy flight simulator to facilitate the adoption of an evidence-based intervention |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957263/ https://www.ncbi.nlm.nih.gov/pubmed/29805921 http://dx.doi.org/10.1109/JTEHM.2018.2833847 |
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