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

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Fading vision: knowledge translation in the implementation of a public health policy intervention
Creator	Hancock, Trevor Pauly, Bernie Tomm-Bonde, Laura Allan, Diane Macdonald, Marjorie Schreiber, Rita
Source	Medline; PMC
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.
has issue date	2013-06-04(xsd:dateTime)
bibo:doi	10.1186/1748-5908-8-59
bibo:pmid	23734672
has license	cc-by
sha1sum (hex)	c9d84fcde35a82c200f779df24657558638bf40b
schema:url	https://doi.org/10.1186/1748-5908-8-59
resource representing a document's title	Fading vision: knowledge translation in the implementation of a public health policy intervention
has PubMed Central identifier	PMC3680003
has PubMed identifier	23734672
schema:publication	Implement Sci
resource representing a document's body	covid:c9d84fcde35a82c200f779df24657558638bf40b#body_text
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