Explaining variation of implementation outcomes of centralized waiting lists for unattached patients: A comparative multiple case study in Quebec

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dc.contributor.authorAbou Malham, Sabina
dc.contributor.authorSmithman, Mélanie Ann
dc.contributor.authorTouati, Nassera
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorLoignon, Christine
dc.contributor.authorDubois, Carl-Ardy
dc.contributor.authorNour, Kareen
dc.contributor.authorBoivin, Antoine
dc.contributor.authorBreton, Mylaine
dc.date.accessioned2021-02-24T00:54:17Z
dc.date.available2021-02-24T00:54:17Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractPurpose: Centralized waiting lists (CWLs) for patient attachment to a primary care provider have been implemented across Canada, including Quebec. Little is known about the implementation of CWLs and the factors that influence implementation outcomes of such primary care innovations. The purpose of this paper is to explain variations in the outcomes of implementation by analyzing the characteristics of CWLs and contextual factors that influence their implementation. Design/methodology/approach: A multiple qualitative case study was conducted. Four contrasting CWLs were purposefully selected: two relatively high-performing and two relatively low-performing cases with regard to process indicators. Data collected between 2015 and 2016 drew on three sources: 26 semi-structured interviews with key stakeholders, 22 documents and field notes. The Consolidated Framework for Implementation Research was used to identify, through a cross-case comparison of ratings, constructs that distinguish high from low-performing cases. Findings: Five constructs distinguished high from low-performing cases: three related to the inner setting: network and communications; leadership engagement; available resources; one from innovation characteristics: adaptability with regard to registration, evaluation of priority and attachment to a family physician; and, one associated with process domain: engaging. Other constructs exerted influence on implementation (e.g. outer setting, individual characteristics), but did not distinguish high and low-performing cases. Originality/value: This is the first in-depth analysis of CWL implementation. Results suggest important factors that might be useful in efforts to continuously improve implementation performance of CWLs and similar innovations.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe study was funded by the Fonds de recherche du Québec–Santé (FRQ-S Grant No. 28974). The authors are grateful to the Fonds de Recherche du Québec–Santé (FRQS), which funded Christine Loignon’s young researcher fellowship (J2) and Mélanie Ann Smithman’s doctoral fellowship, to the CIHR, which funded Mylaine Breton’ Canada Research Chair in Clinical Governance in Primary Health Care and Antoine Boivin’ Canada Research Chair in patient engagement.en_US
dc.identifier.citationAbou Malham, S., Smithman, M., Touati, N., Brousselle, A., Loignon, C., Dubois, C., … Breton, M. (2019). Explaining variation of implementation outcomes of centralized waiting lists for unattached patients: A comparative multiple case study in Quebec. Journal of Health Organization and Management, 33(5), 563-587. https://doi.org/10.1108/JHOM-10-2018-0303.en_US
dc.identifier.urihttps://doi.org/10.1108/JHOM-10-2018-0303
dc.identifier.urihttp://hdl.handle.net/1828/12714
dc.language.isoenen_US
dc.publisherJournal of Health Organization and Managementen_US
dc.subjectPrimary healthcare
dc.subjectWaiting lists
dc.subjectImplementation effectiveness
dc.subjectFamily practice
dc.subjectCase study
dc.subject.departmentSchool of Public Administration
dc.titleExplaining variation of implementation outcomes of centralized waiting lists for unattached patients: A comparative multiple case study in Quebecen_US
dc.typeArticleen_US

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