Table 2 How REP addresses multilevel barriers to implementing effective treatments in health care settings
Level | Barriers | REP components addressing barriers |
|---|---|---|
Health care purchasers | Lack of awareness of evidence-based interventions Lack of a "business case" for technology transfer models | Business case for REP process (added value of training/TA) via evaluation |
Health plan | Different provider organizations fragment implementation efforts Lack of financial incentives to implement intervention | Package can be disseminated to several sites REP training Community Working Group (CWG) to include plan/purchaser and minority representatives- match model to program/state mandates |
Practice organizations | Lack of time, resources to train staff in intervention Interventions not adapted to practice organization Lack of engagement if intervention is imposed on them | Manual and guidance on intervention application through TA to facilitate customization to local sites based on input from site representatives from CWG, enhance group scheduling, phone self-management sessions, and culturally appropriate options including community and family engagement |
Provider | Lack of time, information Lack of training opportunities in intervention Competing priorities | REP packaging- manual on how to supplement provider services |
Patient/consumer | Lack of access to customized interventions Lack of ongoing support, interest | Identification and packaging of interventions tailored to different populations; Identification of intervention core elements |