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A process evaluation of the improving wisely intervention: a peer-to-peer data intervention to reduce overuse in surgery
- Source :
- BMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021), BMC Health Services Research
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Background The Improving Wisely intervention is a peer-to-peer audit and feedback intervention to reduce overuse of Mohs Micrographic Surgery (MMS). The objective of this study was to conduct a process evaluation to evaluate Mohs surgeons’ perceptions of the implementation quality and perceived impact of the Improving Wisely intervention. Methods Surgeons in the Improving Wisely intervention arm, comprised of members of the American College of Mohs Surgeons (ACMS) who co-led the intervention, were invited to complete surveys and key informant interviews. Participants described perceptions of implementation quality (evaluated via dose, quality of implementation, reach and participant responsiveness), perceived impact of the Improving Wisely intervention (evaluated on a 1–5 Likert and qualitatively), and barriers and facilitators to changing surgeons’ clinical practice patterns to reduce Mohs overuse. Results Seven hundred thirty-seven surgeons participated in the survey. 89% were supportive of the intervention. Participants agreed that the intervention would improve patient care and reduce the annual costs of Mohs surgery. Thirty surgeons participated in key informant interviews. 93% were interested in receiving additional data reports in the future. Participants recommended the reports be disseminated annually, that the reports be expanded to include appropriateness data, and that the intervention be extended to non ACMS members. Six themes identifying factors impacting potential MMS overuse were identified. Conclusions Participants were strongly supportive of the intervention. We present the template used to design and implement the Improving Wisely intervention and provide suggestions for specialty societies interested in leading similar quality improvement interventions among their members.
- Subjects :
- medicine.medical_specialty
Skin Neoplasms
Quality management
medicine.medical_treatment
Specialty
Psychological intervention
Dermatology
Theoretical domains framework
Process evaluation
Knowledge translation
Health administration
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Intervention (counseling)
Mohs surgery
Humans
Medicine
030212 general & internal medicine
Practice Patterns, Physicians'
Audit-and-feedback
Continuous quality improvement
Surgeons
030505 public health
business.industry
lcsh:Public aspects of medicine
Health Policy
Nursing research
lcsh:RA1-1270
Mohs Surgery
Family medicine
Mohs micrographic surgery
0305 other medical science
business
Research Article
Subjects
Details
- ISSN :
- 14726963
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....b2453f235e0f5b928e51e03c2ac3649e