Fading vision: knowledge translation in the implementation of a public health policy intervention

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dc.contributor.author Tomm-Bonde, Laura
dc.contributor.author Schreiber, Rita S
dc.contributor.author Allan, Diane E
dc.contributor.author MacDonald, Marjorie
dc.contributor.author Pauly, Bernie
dc.contributor.author Hancock, Trevor
dc.date.accessioned 2015-06-02T22:29:52Z
dc.date.available 2015-06-02T22:29:52Z
dc.date.copyright 2013 en_US
dc.date.issued 2013-06-04
dc.identifier.citation Tomm-Bonde et al.: Fading vision: knowledge translation in the implementation of a public health policy intervention. Implementation Science 2013 8:59 en_US
dc.identifier.uri http://www.implementationscience.com/content/8/1/59
dc.identifier.uri http://dx.doi.org/10.1186/1748-5908-8-59
dc.identifier.uri http://hdl.handle.net/1828/6220
dc.description BioMed Central en_US
dc.description.abstract Background: In response to several high profile public health crises, public health renewal is underway in Canada. In the province of British Columbia, the Ministry of Health initiated a collaborative evidence-informed process involving a steering committee of representatives from the six health authorities. A Core Functions (CF) Framework was developed, identifying 21 core public health programs. For each core program, an evidence review was conducted and a model core program paper developed. These documents were distributed to health authorities to guide development of their own renewed public health services. The CF implementation was conceptualized as an embedded knowledge translation process. A CF coordinator in each health authority was to facilitate a gap analysis and development of a performance improvement plan for each core program, and post these publically on the health authority website. Methods: Interviews (n = 19) and focus groups (n = 8) were conducted with a total of 56 managers and front line staff from five health authorities working in the Healthy Living and Sexually Transmitted Infection Prevention core programs. All interviews and focus groups were digitally recorded, transcribed and verified by the project coordinator. Five members of the research team used NVivo 9 to manage data and conducted a thematic analysis. Results: Four main themes emerged concerning implementation of the CF Framework generally, and the two programs specifically. The themes were: ‘you’ve told me what, now tell me how’; ‘the double bind’; ‘but we already do that’; and the ‘selling game.’ Findings demonstrate the original vision of the CF process was lost in the implementation process and many participants were unaware of the CF framework or process. Conclusions: Results are discussed with respect to a well-known framework on the adoption, assimilation, and implementation of innovations in health services organizations. Despite attempts of the Ministry of Health and the Steering Committee to develop and implement a collaborative, evidence-informed policy intervention, there were several barriers to the realization of the vision for core public health functions implementation, at least in the early stages. In neglecting the implementation process, it seems unlikely that the expected benefits of the public health renewal process will be realized. en_US
dc.description.sponsorship The RePHS (Renewal of public health systems) research team is funded by Canadian Institutes of Health Research (CIHR) en_US
dc.language.iso en en_US
dc.publisher Implementation Science en_US
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/2.5/ca/ *
dc.subject Core public health functions en_US
dc.subject Public health reform en_US
dc.subject Implementation en_US
dc.subject Knowledge translation en_US
dc.title Fading vision: knowledge translation in the implementation of a public health policy intervention en_US
dc.type Article en_US
dc.rights.temp Attribution-NonCommercial-NoDerivs 2.5 Canada *
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US

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