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Boundary spanners, for example, are initiators of collaborations, partnership coordinators and frontline workers collaborating with frontline workers of other organisations [ 49].A complete overview of the four study aims is presented in the theoretical model (see Figure 1).
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Results are now summarised: Ranking of treatments: When N=3, it is most cost effective to treat only the boundary spanners (for P=3, at thresholds between $6599/year and $8680/year in the medium influence case, and between $6580/year and $6827/year in the strong influence case).
In the Treat Boundary Spanners case, all pairwise ICERs increase when social influences are strong.
We see this in figure 7 where the pairwise ICER eventually becomes larger in the Treat Boundary Spanners case (equivalently, this strategy is eventually subject to extended domination).
For Treat Boundary Spanners, pairwise ICERs decrease for N=3, and increase for N=10.
The results of the case study indicate that (1), with an important codification effort, the use of PLM technology resulted in higher data and network transparency and enhanced knowledge transfer; (2) PLM served as a particularly useful tool for knowledge translation especially for boundary spanners in their work relationships.
We conclude that there is a demand for boundary spanners that can build a bridge between complex scientific outputs and stakeholder needs.
When social influence is medium, the Treat Boundary Spanners policy is cost effective for thresholds between $4813 and $11 661.
In the future, financial consequences need to be communicated before implementation, and top-down implementation needs to be complemented with local implementation plans at lower levels of health care, with a clearer role for the boundary spanners.
When all three options are available then, in the no social influence case, Treat Boundary Spanners is eliminated since it is subject to extended dominance.
It also suggests a potential role for DNEs in acting as boundary spanners between primary and secondary care.
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