Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities.
J Behav Health Serv Res
; 45(2): 187-203, 2018 04.
Article
in En
| MEDLINE
| ID: mdl-28439790
ABSTRACT
In a study aimed at improving the quality of HIV services for inmates, an organizational process improvement strategy using change teams was tested in 14 correctional facilities in 8 US states and Puerto Rico. Data to examine fidelity to the process improvement strategy consisted of quantitative ratings of the structural and process components of the strategy and qualitative notes that explicate challenges in maintaining fidelity to the strategy. Fidelity challenges included (1) lack of communication and leadership within change teams, (2) instability in team membership, and (3) issues with data utilization in decision-making to implement improvements to services delivery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prisons
/
HIV Infections
/
Delivery of Health Care
/
Interprofessional Relations
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Determinantes_sociais_saude
/
Implementation_research
Limits:
Humans
Country/Region as subject:
America do norte
/
Caribe
/
Puerto rico
Language:
En
Journal:
J Behav Health Serv Res
Journal subject:
CIENCIAS DO COMPORTAMENTO
/
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Year:
2018
Document type:
Article
Affiliation country:
United States