Funding: The Commonwealth Fund, Jacob and Valeria Langeloth Foundation, and the NewCourtland Center for Transitions and Health
Translating research into practice: transitional care for older adults
Version of Record online: 23 DEC 2009
© 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd
Journal of Evaluation in Clinical Practice
Special Issue: Evidence Based Medicine
Volume 15, Issue 6, pages 1164–1170, December 2009
How to Cite
Naylor, M. D., Feldman, P. H., Keating, S., Koren, M. J., Kurtzman, E. T., Maccoy, M. C. and Krakauer, R. (2009), Translating research into practice: transitional care for older adults. Journal of Evaluation in Clinical Practice, 15: 1164–1170. doi: 10.1111/j.1365-2753.2009.01308.x
- Issue online: 23 DEC 2009
- Version of Record online: 23 DEC 2009
- Accepted for publication: 15 July 2009
- chronic care;
- evidence-based practice;
- transitional care;
- Transitional Care Model;
- translational research
Rationale Over the last decade, in order to close the safety and health care quality chasm, there has been a growing imperative to translate evidence-based research into practice.
Aims and Objectives This study examines the major facilitators and barriers of implementing in a large US insurance organization – Aetna Corporation – an evidence-based model of care, the Transitional Care Model, which has been rigorously tested over the past twenty years by a multidisciplinary team at the University of Pennsylvania.
Methods Semi-structured interviews of 19 project leaders, case managers, and transitional care nurses were conducted during two phases of translation – start-up and roll out. Qualitative analysis was used to identify more than a dozen key barriers to and facilitators of translation in these two critical phases.
Results Six facilitators and seven barriers that are consistent with the literature were identified during and categorized as either start-up or roll-out.
Conclusion The combined results have important practical implications for other, subsequent translational efforts and for assisting providers, policy makers, payers, and other change agents in integrating evidence-based practice with “real world” management.