Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5369
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dc.contributor.authorMoretto, Nicoleen
dc.contributor.authorComans, Tracy Aen
dc.contributor.authorChang, Angela Ten
dc.contributor.authorO'Leary, Shaun Pen
dc.contributor.authorOsborne, Sonyaen
dc.contributor.authorCarter, Hannah Een
dc.contributor.authorSmith, Daviden
dc.contributor.authorCavanagh, Taniaen
dc.contributor.authorBlond, Deanen
dc.contributor.authorRaymer, Mareeen
dc.date.accessioned2023-08-31T03:48:48Z-
dc.date.available2023-08-31T03:48:48Z-
dc.date.issued2019-
dc.identifier.citationMoretto, N., Comans, T.A., Chang, A.T. et al. Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services. Implementation Sci 14, 78 (2019). https://doi.org/10.1186/s13012-019-0923-1en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/5369-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Tania Cavanaghen
dc.description.abstractAdvanced physiotherapist-led services have been embedded in specialist orthopaedic and neurosurgical outpatient departments across Queensland, Australia, to ameliorate capacity constraints. Simulation modelling has been used to inform the optimal scale and professional mix of services required to match patient demand. The context and the value of simulation modelling in service planning remain unclear. We aimed to examine the adoption, context and costs of using simulation modelling recommendations to inform service planning. Using an implementation science approach, we undertook a prospective, qualitative evaluation to assess the use of discrete event simulation modelling recommendations for service re-design and to explore stakeholder perspectives about the role of simulation modelling in service planning. Five orthopaedic and neurosurgical services in Queensland, Australia, were selected to maximise variation in implementation effectiveness. We used the consolidated framework for implementation research (CFIR) to guide the facilitation and analysis of the stakeholder focus group discussions. We conducted a prospective costing analysis in each service to estimate the costs associated with using simulation modelling to inform service planning. Four of the five services demonstrated adoption by inclusion of modelling recommendations into proposals for service re-design. Four CFIR constructs distinguished and two CFIR constructs did not distinguish between high versus mixed implementation effectiveness. We identified additional constructs that did not map onto CFIR. The mean cost of implementation was AU$34,553 per site (standard deviation = AU$737). To our knowledge, this is the first time the context of implementing simulation modelling recommendations in a health care setting, using a validated framework, has been examined. Our findings may provide valuable insights to increase the uptake of healthcare modelling recommendations in service planning.en
dc.description.sponsorshipThis study was funded by the Australian Centre for Health Services Innovation (AusHSI) Implementation Grant IG000-728.en
dc.language.isoenen
dc.relation.ispartofImplementation Scienceen
dc.subjectImplementationen
dc.subjectDiscrete event simulationen
dc.subjectOrthopaedicsen
dc.subjectNeurosurgeryen
dc.subjectPhysiotherapyen
dc.subjectHospitalen
dc.subjectCostsen
dc.subjectEconomic evaluationen
dc.titleImplementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient servicesen
dc.typeArticleen
dc.identifier.doi10.1186/s13012-019-0923-1-
dc.identifier.pmid31399105-
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.openairetypeArticle-
Appears in Sites:Cairns & Hinterland HHS Publications
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