Cargando…

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...

Descripción completa

Detalles Bibliográficos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IEEE 2018
Materias:
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
_version_ 1783324033639514112
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
work_keys_str_mv AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention
AT developingapolicyflightsimulatortofacilitatetheadoptionofanevidencebasedintervention