Proceedings of the 6th UK and Ireland implementation science research conference

Ooi, Chor Yau (2024) Proceedings of the 6th UK and Ireland implementation science research conference. Implementation science, 19 (Supp.1). pp. 1-44. ISSN 1748-5908

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Abstract

Background Within global healthcare policy, interprofessional integrated models of care are integral to quality healthcare for older people yet are challenging to implement [1,2,3]. Evidence to guide implementation remains underdeveloped [4]. Drawing on international research evidence, this review identifes interventions to promote efective interprofessional collaboration for improving care for older people. Healthcare implementation is complex and infuenced by context, explaining why an intervention might work in one place and not another. Realist approaches explain ‘how’ complex interventions work through dynamic interactions between context, mechanisms, and outcomes [5]. Methods The review follows the reporting standards of realist reviews [6]. A systematic search in PubMed, CINAHL, PsycINFO, EMBASE and SCOPUS identifed primary research studies from 2013-2023. Data were extracted from the theory of interprofessional collaboration in community for older people. Context, interventions, outcomes, and mechanisms were identifed and developed into Programme Theories (PTs). Results A suite of PTs in the form of Context Mechanism and Outcomes (CMOs) and Resource (R) confgurations are presented with the following as an example: Where CST members have professional experience in diferent areas of service delivery (C), they bring to the team pre-existing relationships with other HCPs (R), enabling good cross sectoral communication and trust (M), leading to enhanced continuity of care (O). Conclusion The paper explains what interventions work to support interprofessional collaboration and integrated care for older people. It provides a roadmap for implementation planning to help workforce planning and capacity building to improve older people’s health services. The realist synthesis is the frst phase of a larger realist evaluation. The PTs will be tested and refned within Community Specialist Teams for Older People, implemented recently in Ireland as part of the National Integrated Care Programme for Older Persons [7]. PT empirically tested in local contexts enhance theory to support scale-up eforts across the Irish health system. Trial Registration: Not applicable Consent to publish: Not applicable

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