Translating research into practice: Transitional care for older adults

Mary D. Naylor, Penny Hollander Feldman, Stacen Keating, Mary Jane Koren, Ellen T. Kurtzman, Maureen C. MacCoy, Randall Krakauer

Research output: Contribution to journalArticle

Abstract

Rationale Over the last decade, in order to close the safety and health care quality chasm, there has been a growing imperative to translate evidence-based research into practice. Aims and Objectives This study examines the major facilitators and barriers of implementing in a large US insurance organization - Aetna Corporation - an evidence-based model of care, the Transitional Care Model, which has been rigorously tested over the past twenty years by a multidisciplinary team at the University of Pennsylvania. Methods Semi-structured interviews of 19 project leaders, case managers, and transitional care nurses were conducted during two phases of translation - start-up and roll out. Qualitative analysis was used to identify more than a dozen key barriers to and facilitators of translation in these two critical phases. Results Six facilitators and seven barriers that are consistent with the literature were identified during and categorized as either start-up or roll-out. Conclusion The combined results have important practical implications for other, subsequent translational efforts and for assisting providers, policy makers, payers, and other change agents in integrating evidence-based practice with "real world" management.

Original languageEnglish (US)
Pages (from-to)1164-1170
Number of pages7
JournalJournal of Evaluation in Clinical Practice
Volume15
Issue number6
DOIs
StatePublished - Dec 2009

Fingerprint

Quality of Health Care
Evidence-Based Practice
Insurance
Administrative Personnel
Research
Nurses
Organizations
Interviews
Safety
Transitional Care
Case Managers

Keywords

  • Chronic care
  • Evidence-based practice
  • Geriatrics
  • Transitional care
  • Transitional Care Model
  • Translational research

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Naylor, M. D., Feldman, P. H., Keating, S., Koren, M. J., Kurtzman, E. T., MacCoy, M. C., & Krakauer, R. (2009). Translating research into practice: Transitional care for older adults. Journal of Evaluation in Clinical Practice, 15(6), 1164-1170. https://doi.org/10.1111/j.1365-2753.2009.01308.x

Translating research into practice : Transitional care for older adults. / Naylor, Mary D.; Feldman, Penny Hollander; Keating, Stacen; Koren, Mary Jane; Kurtzman, Ellen T.; MacCoy, Maureen C.; Krakauer, Randall.

In: Journal of Evaluation in Clinical Practice, Vol. 15, No. 6, 12.2009, p. 1164-1170.

Research output: Contribution to journalArticle

Naylor, MD, Feldman, PH, Keating, S, Koren, MJ, Kurtzman, ET, MacCoy, MC & Krakauer, R 2009, 'Translating research into practice: Transitional care for older adults', Journal of Evaluation in Clinical Practice, vol. 15, no. 6, pp. 1164-1170. https://doi.org/10.1111/j.1365-2753.2009.01308.x
Naylor, Mary D. ; Feldman, Penny Hollander ; Keating, Stacen ; Koren, Mary Jane ; Kurtzman, Ellen T. ; MacCoy, Maureen C. ; Krakauer, Randall. / Translating research into practice : Transitional care for older adults. In: Journal of Evaluation in Clinical Practice. 2009 ; Vol. 15, No. 6. pp. 1164-1170.
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