Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
Facilitators and challenges in the implementation of the Care Ecosystem at six clinical sites in the United States: A qualitative study.
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Sideman Alissa B, Merrilees Jennifer, Dulaney Sarah, Allawala Mahnoor, Barclay Michelle, Rosenbloom Michael, Hanson Leah R, Ward Katherine T, Hess Mailee, Olney Nicholas T, Lum Hillary D, Sawyer R John, Possin Katherine L
Аннотация
INTRODUCTION: Collaborative care models with care navigation bridge medical and social needs in dementia care. These models, including the Care Ecosystem (CE), are being implemented at health systems and community-based programs across the United States.
METHODS: Interdisciplinary team members from six early adopter CE programs were interviewed about the facilitators and challenges they faced implementing the CE. Interviews were analyzed thematically.
RESULTS: Implementation facilitators included the presence of a champion or visionary, a clinical team with expertise in dementia, easy access to CE care protocols and consultative support, and flexibility in being able to modify the program to meet site-specific needs. Challenges centered on program launch, personnel turnover, reaching people from historically marginalized communities or those facing structural barriers to care, and program sustainability.
DISCUSSION: This study provides practical information to guide successful implementation of effective dementia care from research to practice.
HIGHLIGHTS: Collaborative care models with care navigation bridge medical and social needs in dementia care. Implementation facilitators included a champion, an expert clinical team, and flexibility. Challenges included program launch, personnel turnover, and program sustainability. Findings can guide implementation of effective dementia care from research to practice.
METHODS: Interdisciplinary team members from six early adopter CE programs were interviewed about the facilitators and challenges they faced implementing the CE. Interviews were analyzed thematically.
RESULTS: Implementation facilitators included the presence of a champion or visionary, a clinical team with expertise in dementia, easy access to CE care protocols and consultative support, and flexibility in being able to modify the program to meet site-specific needs. Challenges centered on program launch, personnel turnover, reaching people from historically marginalized communities or those facing structural barriers to care, and program sustainability.
DISCUSSION: This study provides practical information to guide successful implementation of effective dementia care from research to practice.
HIGHLIGHTS: Collaborative care models with care navigation bridge medical and social needs in dementia care. Implementation facilitators included a champion, an expert clinical team, and flexibility. Challenges included program launch, personnel turnover, and program sustainability. Findings can guide implementation of effective dementia care from research to practice.