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

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dc.contributor.authorTomm-Bonde, Laura
dc.contributor.authorSchreiber, Rita S
dc.contributor.authorAllan, Diane E
dc.contributor.authorMacDonald, Marjorie
dc.contributor.authorPauly, Bernie
dc.contributor.authorHancock, Trevor
dc.date.accessioned2015-06-02T22:29:52Z
dc.date.available2015-06-02T22:29:52Z
dc.date.copyright2013en_US
dc.date.issued2013-06-04
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: 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.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe RePHS (Renewal of public health systems) research team is funded by Canadian Institutes of Health Research (CIHR)en_US
dc.identifier.citationTomm-Bonde et al.: Fading vision: knowledge translation in the implementation of a public health policy intervention. Implementation Science 2013 8:59en_US
dc.identifier.urihttp://www.implementationscience.com/content/8/1/59
dc.identifier.urihttp://dx.doi.org/10.1186/1748-5908-8-59
dc.identifier.urihttp://hdl.handle.net/1828/6220
dc.language.isoenen_US
dc.publisherImplementation Scienceen_US
dc.rights.tempAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectCore public health functions
dc.subjectPublic health reform
dc.subjectImplementation
dc.subjectKnowledge translation
dc.subject.departmentSchool of Nursing
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleFading vision: knowledge translation in the implementation of a public health policy interventionen_US
dc.typeArticleen_US

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