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Implementation varied by disease category, with the lowest adjusted odds of implementation in mental health teams.
Implementation was also lower for patients living in more deprived areas (adjusted odds of implementation for patients in the most compared with least deprived areas was 0.60, 95% CI 0.39 to 0.91).
Keep in mind that if the solution is not less expensive than the problem, it sharply reduces the odds of implementation.
Adjusted odds of implementation also varied by disease type.
The adjusted odds of implementation almost doubled (OR 1.96 (95% CI 1.15 to 3.31) for a unit increase in TCI score (indicating improved team climate).
By contrast, the adjusted odds of implementation was reduced by 25% for each additional professional group represented and was lower for patients living in more deprived IMD quintiles.
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The adjusted odds (or likelihood) of implementation was reduced by 25% for each additional professional group represented at the MDT meeting.
We also noticed that designers raised their odds of a successful implementation when they left an initial concept more open and allowed it to be shaped during the development process by the various stakeholders in the organization.
When included individually in the model, however, each showed a relationship such that increases in team diversity or number of professional groups were associated with a reduced odds of treatment plan implementation (table 2 footnote).
For continuous predictors (Satisfaction), odds ratios show the estimated odds of being in a higher implementation category for every one unit increase in predictor.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com