This model of partial implementation makes it difficult to draw broader conclusions about program feasibility, acceptability, and effectiveness.
Over a three-year period since the completion of the Inflammatory Arthritis Model of Care, strategies to address specific policy implementation challenges have been used to drive implementation of this Model of Care (Table 2), and others.
We also aimed to learn lessons from the programme implementation and obtain information to guide the development and future implementation of this model of care.
Fixen's model of implementation makes a distinction between skills' transfer during training and implementation of the skills in practice.
Based on existing hospital staffing and resources, three hospitals adopted a sepsis team model of implementation championed by intensivists.
Evidence is needed to support wider implementation of this model of collaboration in Ireland and worldwide.
We conducted key informant interviews to identify drivers, facilitators, barriers and evaluation metrics of diverse eCR systems to inform widespread implementation of this model of specialty care delivery.
Furthermore, because the CCM relies on the innovative use of existing health care resources, the implementation of this model of care would be different from one country to another; hence, the results of cost-effectiveness analyses of such initiatives should be context- and country-specific [ 33].
Our results suggest that while implementation of this model of integrated service delivery may result in more efficient allocation of human and clinical resources, the impact on measurable service-delivery outputs remains heavily influenced by other meso- and macro-level determinants.
This theoretical model of program implementation was therefore useful for guiding program improvements, and could be applicable to other Indigenous maternal and child health programs.
