Barriers and facilitators for implementation of a patient prioritization tool in two specialized rehabilitation programs

JBI Evid Implement. 2021 Apr 9;19(2):149-161. doi: 10.1097/XEB.0000000000000281.


Introduction and aims: Prioritization tools aim to manage access to care by ranking patients equitably in waiting lists based on determined criteria. Patient prioritization has been studied in a wide variety of clinical health services, including rehabilitation contexts. We created a web-based patient prioritization tool (PPT) with the participation of stakeholders in two rehabilitation programs, which we aim to implement into clinical practice. Successful implementation of such innovation can be influenced by a variety of determinants. The goal of this study was to explore facilitators and barriers to the implementation of a PPT in rehabilitation programs.

Methods: We used two questionnaires and conducted two focus groups among service providers from two rehabilitation programs. We used descriptive statistics to report results of the questionnaires and qualitative content analysis based on the Consolidated Framework for Implementation Research.

Results: Key facilitators are the flexibility and relative advantage of the tool to improve clinical practices and produce beneficial outcomes for patients. Main barriers are the lack of training, financial support and human resources to sustain the implementation process.

Conclusion: This is the first study that highlights organizational, individual and innovation levels facilitators and barriers for the implementation of a prioritization tool from service providers' perspective.

MeSH terms

  • Automobile Driving
  • Burns / rehabilitation
  • Compression Bandages
  • Focus Groups
  • Health Personnel / psychology
  • Humans
  • Organizational Innovation
  • Qualitative Research
  • Quebec
  • Rehabilitation Centers / organization & administration*
  • Surveys and Questionnaires
  • Waiting Lists*