Evaluating the Implementation of a Chronic Obstructive Pulmonary Disease Management Program Using the Consolidated Framework for Implementation Research: A Case Study
Abstract
Chronic obstructive pulmonary disease (COPD) is a prevalent chronic disease that requires comprehensive approaches to manage. Interprofessional teams are effective at providing chronic disease management and care that meets the needs of patients. As part of an ongoing spread, an interprofessional primary care COPD management program was implemented at a family health team in Ontario. A qualitative case study was performed to determine the supporting or hindering factors to the implementation of the program. Data collected was deductively analyzed using the Consolidated Framework for Implementation Research. Eleven constructs were determined to meaningfully affect implementation. Cosmopolitanism, networks and communication, engaging, design quality and packaging, and reflecting and evaluating were identified as the most influential. This study provides a clearer understanding of the factors related to program implementation. These factors will be useful in informing the continued spread of the program as well as the implementation of future chronic care programs.