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Arias, Alejandro E. Ochoa

doi:10.1023/a:1022460828246

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…Given the multi-agency and multi-professional setup of the GSH, it is crucial to consider the capability building process and implementation experiences across organisations and professional groups [ 41 ]. We aim to elicit the perspectives and experiences of professional stakeholders playing critical roles in the development and implementation of the programme through in-depth interviews [ 42 ] and focus group discussions (FGDs).…”

Section: Methodsmentioning

confidence: 99%

Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

et al. 2022

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Background Frailty is increasing in prevalence internationally with population ageing. Frailty can be managed or even reversed through community-based interventions delivered by a multi-disciplinary team of professionals, but to varying degrees of success. However, many of these care models’ implementation insights are contextual and may not be applicable in different cultural contexts. The Geriatric Service Hub (GSH) is a novel frailty care model in Singapore that focuses on identifying and managing frailty in the community. It includes key components of frailty care such as comprehensive geriatric assessments, care coordination and the assembly of a multi-disciplinary team. This study aims to gain insights into the factors influencing the development and implementation of the GSH. We also aim to determine the programme’s effectiveness through patient-reported health-related outcomes. Finally, we will conduct a healthcare utilisation and cost analysis using a propensity score-matched comparator group. Methods We will adopt a mixed-methods approach that includes a qualitative evaluation among key stakeholders and participants in the programme, through in-depth interviews and focus group discussions. The main topics covered include factors that affected the development and implementation of each programme, operations and other contextual factors that influenced implementation outcomes. The quantitative evaluation monitors each programme’s care process through quality indicators. It also includes a multiple-time point survey study to compare programme participants’ pre- and post- outcomes on patient engagement, healthcare services experiences, health status and quality of life, caregiver burden and societal costs. A retrospective cohort study will compare healthcare and cost utilisation between participants of the programme and a propensity score-matched comparator group. Discussion The GSH sites share a common goal to increase the accessibility of essential services to frail older adults and provide comprehensive care. This evaluation study will provide invaluable insights into both the process and outcomes of the GSH and inform the design of similar programmes targeting frail older adults. Trial Registration ClinicalTrials.gov Identifier NCT04866316. Date of Registration April 26, 2021. Retrospectively registered.

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Section: Methodsmentioning

confidence: 99%

Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

et al. 2022

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“…This involved eliciting views and perspectives from all professional stakeholders who played critical roles in and were significantly affected by the Living Matters initiative, of which included physicians, nurses, social workers, and allied health workers hired specifically for the role of an ACP coordinator. This multi-level framework of inquiry enables a systemic understanding of ACP development and implementation through the interpretive lens of different stakeholder groups that belong to the diverse contextual systems of health and social care (Ochoa-Arias, 1998).…”

Section: Methodsmentioning

confidence: 99%

Sustainable implementation of advance care planning in Asia: An interpretive-systemic framework for national development

Lall

Tan

et al. 2020

Pall Supp Care

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Objectives A qualitative interpretive-systemic focus group study was conducted to examine the developmental and implementational underpinnings of Asia's first national Advance Care Planning (ACP) programme constituted in Singapore. Methods 63 physicians, nurses, medical social workers, and allied health workers who actively rendered ACP were purposively recruited across seven major public hospitals and specialist centers. Results Framework analysis revealed 19 themes, organized into 5 categories including Life and Death Culture, ACP Coordination, ACP Administration, ACP Outcomes, and Sustainability Shift. These categories and themes formed an Interpretive-Systemic Framework of Sustainable ACP, which reflects the socio-cultural, socio-political, and socio-spiritual contexts that influence ACP provision, highlighting the need to adopt a public health strategy for enhancing societal readiness for end-of-life conversations. Significance of results The Interpretive-Systemic Framework of Sustainable ACP underscores the importance of health policy, organizational structure, social discourse, and shared meaning in ACP planning and delivery so as to support and empower care decision-making among terminally ill Asian patients and their families facing mortality.

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“…En este proceso de acción colectiva, un aspecto no menor es el modo cómo esos intereses son definidos y construidos a lo largo del tiempo y que permite, en general, entender que los procesos organizacionales, sin importar cuánto de diseño intencional posean, reflejan un quehacer social e histórico que permite caracterizar a la organización de acuerdo al contexto sociocultural en el cual ellas se insertan (Crozier y Friedberg, 1980). Se entiende que en el proceso de construcción del significado social de la organización incide el devenir histórico que permite a la organización ser lo que se despliega de acuerdo a las diferentes racionalidades que conviven en ese espacio (Ochoa-Arias, 1998;MacClean et al, 2020;Hargadon & Wadhwani, 2022). Pero aún más, se trata de desentrañar cómo la organización y las ideas que las constituyen, sostienen y prolongan en el tiempo van constituyendo una trama histórica-ontológica en el cual la organización "encaja" con un determinado orden ontológico entendido históricamente (Fuenmayor, 2016).…”

Section: Enfoque Sistémico Interpretativo Y Estudios Histórico-organi...unclassified

Estudio Histórico-Organizacional de la Instauración de la Universidad Dominica en Chile Durante la Colonia

Lara-Coronado,

Ochoa-Arias

2024

HSE

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Se presenta un marco metodológico para abordar los estudios organizacionales desde una perspectiva sociohistórica transdisciplinaria. Este marco es empleado para dar cuenta del proceso de instauración del Colegio-Universidad Dominico en Chile durante la colonia. Este análisis parte por explorar el sentido social de la institución universitaria desde la perspectiva de un enfoque sistémico-interpretativo. A partir de la comprensión de la universidad como una organización con un sentido social enraizado en la sociedad colonial chilena se despliegan dos posibles sentidos a partir de la revisión del proceso histórico de evaluación de credenciales y ubicación espacial de las universidades. Los hallazgos permiten concluir sobre el rol que se le adjudicó a la universidad como mecanismo de reproducción cultural de la metrópoli y la instrumentalización del territorio y sus moradores para consolidar el dominio hegemónico de la corona.

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Untitled

Cited by 13 publications

References 16 publications

Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

Sustainable implementation of advance care planning in Asia: An interpretive-systemic framework for national development

Estudio Histórico-Organizacional de la Instauración de la Universidad Dominica en Chile Durante la Colonia

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