Abstract
Introduction:
Children and young people (CYP) with medical complexity represent 10% of patients attending children’s hospitals, however accounts for 60% of healthcare expenditure. In NSW, 30% of children live outside major cities highlighting the need for enhanced local health solutions to reduce family disruptions and greater out-of-pocket expenses. The RuralKids Guided Personalised Service (GPS), an innovative integrated model of care coordination for CYP living with medical complexity has been implemented into four rural regions across New South Wales. The aim of the implementation evaluation arm of RuralKidsGPS is to explore implementation barriers and enablers to inform contextual adaption and ensure scalability across diverse health settings.
Methods:
A mixed methods implementation evaluation informed by quantitative and qualitative methods is underpinned by the Consolidated Framework for Implementation Research, to systematically identify successful implementation strategies, and barriers and enablers influencing adoption, delivery and sustainability of RuralKidsGPS. Implementation outcomes based on Proctors framework, include acceptability, appropriateness, adaptability, fidelity, feasibility, coverage, and sustainability of RuralKidsGPS as viewed by service users, healthcare providers and service managers, through semi structured interviews, surveys, and focus groups.
Results:
Preliminary results will focus on the implementation evaluation of RuralKidsGPS, highlighting context variations in the issues experienced and approaches adopted to effectively deliver the model of care across each of the four rural local health districts.
Conclusion:
The implementation evaluation is one component of a larger, Australia first, research study evaluating the impact and cost-effectiveness of the RuralKidsGPS paediatric care coordination service across four rural local health districts, supporting greater equity of care. The implementation evaluation methodology in this study could be adapted to other contexts, and the results will provide a guide to inform the future implementation and sustainability of RuralKidsGPS and other similar complex models of care.
Children and young people (CYP) with medical complexity represent 10% of patients attending children’s hospitals, however accounts for 60% of healthcare expenditure. In NSW, 30% of children live outside major cities highlighting the need for enhanced local health solutions to reduce family disruptions and greater out-of-pocket expenses. The RuralKids Guided Personalised Service (GPS), an innovative integrated model of care coordination for CYP living with medical complexity has been implemented into four rural regions across New South Wales. The aim of the implementation evaluation arm of RuralKidsGPS is to explore implementation barriers and enablers to inform contextual adaption and ensure scalability across diverse health settings.
Methods:
A mixed methods implementation evaluation informed by quantitative and qualitative methods is underpinned by the Consolidated Framework for Implementation Research, to systematically identify successful implementation strategies, and barriers and enablers influencing adoption, delivery and sustainability of RuralKidsGPS. Implementation outcomes based on Proctors framework, include acceptability, appropriateness, adaptability, fidelity, feasibility, coverage, and sustainability of RuralKidsGPS as viewed by service users, healthcare providers and service managers, through semi structured interviews, surveys, and focus groups.
Results:
Preliminary results will focus on the implementation evaluation of RuralKidsGPS, highlighting context variations in the issues experienced and approaches adopted to effectively deliver the model of care across each of the four rural local health districts.
Conclusion:
The implementation evaluation is one component of a larger, Australia first, research study evaluating the impact and cost-effectiveness of the RuralKidsGPS paediatric care coordination service across four rural local health districts, supporting greater equity of care. The implementation evaluation methodology in this study could be adapted to other contexts, and the results will provide a guide to inform the future implementation and sustainability of RuralKidsGPS and other similar complex models of care.
| Original language | English |
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| Number of pages | 1 |
| Publication status | Published - 2022 |
| Event | 7th EnCouRage Symposium - Macquarie university Duration: 19 Sept 2022 → 20 Sept 2022 |
Conference
| Conference | 7th EnCouRage Symposium |
|---|---|
| Period | 19/09/22 → 20/09/22 |