109. A systematic review of studies that mention the implementation of OR in health services
Invited abstract in session ME-1: Access to care, stream Sessions.
Monday, 15:30-17:00Room: NTNU, Realfagbygget R5
Authors (first author is the speaker)
| 1. | Guillaume Lamé
|
| Laboratoire de Génie Industriel, CentraleSupélec | |
| 2. | Coco Newton
|
| TU Delft and University College London | |
| 3. | Luca Grieco
|
| Clinical Operational Research Unit, University College London | |
| 4. | Sonya Crowe
|
| UCL | |
| 5. | Tom Bashford
|
| Engineering and Anaesthesia, University of Cambridge and Cambridge University Hospitals NHS Foundation Trust | |
| 6. | Saba Hinrichs-Krapels
|
| Technology, Policy and Management, TU Delft |
Abstract
Reviews suggest that less than 10% of healthcare OR articles mention the implementation of results. Taking a ‘positive deviance’ stance, we focused on these articles. To better understand ‘what works’, we reviewed studies that do mention the implementation of OR in health services. We searched the Web of Knowledge, Scopus, and PubMed for articles mentioning the implementation of OR methods in healthcare. We performed single-reviewer abstract screening with 10% double-screening, and double-blind full-text screening. A single reviewer extracted information. We screened 4,992 studies and included 163. All articles described a decision to implement change. 121 (74%) described implemented changes, of which 91 (56%) provided some elements of evaluation (mostly before-after comparisons). 134 (82%) described stakeholder engagement. 57 (35%) mentioned implementation in two-three sentences, 82 (50%) in one paragraph to one section, and in 24 (15%) implementation was a key aspect. In these 24 articles, some influencing factors were recurring (e.g., client commitment, perceived usefulness of the intervention), while others were barely mentioned (e.g., time and cost of implementation). No paper referred to an implementation science framework, but some referred to Soft OR or improvement science as implementation strategies. The number of studies we identified is encouraging, but inconsistent reporting is an issue.
Keywords
- Implementation Science
Status: accepted
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