SRFP057: Identifying value arguments and deployment avenues of primary care innovations using a deliberative multidimensional approach

Benoît Corriveau, MD; Marie-Pascale Pomey; Monika Wagner, PhD; Marjo Cellier; Emilie Dufour; Andrée-Anne Poirier, PhD; MM Goetghebeur, PhD

Abstract

Context: The increasing pressure on primary care services calls for efficient approaches to assess the potential value of innovations and identify facilitators to their deployment in local contexts. Objective: To explore the value arguments of innovations in primary care identified as promising during Quebec College of Family Physicians' Symposia on Innovations and to propose avenues for their improvement and deployment. Methods: Ten innovations were selected using their ranking at the Symposia and pre-established criteria to ensure diversity. An evidence-informed multidimensional deliberative approach (clinical, populational, economic, organizational and sociocultural dimensions) was applied by a panel of 12 clinicians, managers, patients and citizens. Using data synthesized by dimension, each participant identified arguments on the value of each innovation and appraised them on a numerical scale. The arguments were discussed by the group, and a qualitative analysis with inter-rater validation of the deliberation was performed and the mean appraisal scores at the group level were calculated. These qualitative and quantitative data were synthesized and used as a basis for a second discussion with the group during which avenues for deployment were organized by thematic analysis. Results: Innovations fell into three categories: support for clinical processes (n=5), adaptation of the organization of care to vulnerable populations (n=3), and support for quality improvement (n=2). Innovations aiming at adapting the organization of care for vulnerable populations were considered of highest value overall. Quality improvement innovations received mixed appraisals and needed to be further developed in terms of their value proposition and organizational fit. Innovations to support clinical processes also received mixed appraisals; proposals for further development included keeping them up to date and integrating them with information systems. Conclusions: This study highlights the factors that influence the value of certain categories of primary care innovations as well as avenues for their improvement and implementation that can guide innovators. This work demonstrates that exploring complex innovations with a multidimensional deliberative approach including patients and citizens is useful to identify their value arguments from a comprehensive standpoint, which is essential to identify the best implementation avenues to optimize the creation of value in real life.
Leave a Comment
Jack Westfall
jwestfall@aafp.org 11/21/2021

Great poster and abstract. Thanks for sharing at NAPCRG

Gillian Bartlett
gillian.bartlett@health.missouri.edu 11/21/2021

Great work for implementation science and to promote patient and public engagement.

William R. Phillips
wphllps@uw.edu 11/21/2021

Very important perspective and research reported in your nice poster. Multi dimensional, deliberative, inclusive. What's not to like? Also great to see that you have authentic patient and community involvement, often talked about but not often demonstrated in these research posters. More great work to come, I trust.Thanks for sharing your work here at NAPCRG. - Bill Phillips

Diane Harper
harperdi@med.umich.edu 11/22/2021

Thank you for sharing your work with NAPCRG!

Arturo Martinez
arturo.martinez.guijosa@gmail.com 11/22/2021

Great job promoting patient engagement as partners in the design steps.

Andy Pasternak
avpiv711@sbcglobal.net 11/26/2021

This is a pretty ambitious poster! I guess my comment is that I'd like to see more concrete examples of some of these things. I can't disagree at all with our conclusions but given how you phrase it, I'd wondering about a specific way to put that into action

Louise Acheson
11/30/2021

Really nice, succinct presentation pertaining to a complex topic. I could see applying this in planning with our trainees, staff, and patients.

Social Media

Address

NAPCRG
11400 Tomahawk Creek Parkway
Leawood, KS 66211
800.274.7928
Email: napcrgoffice@napcrg.org