The challenge of transferring an implementation strategy from academia to the field. A process evaluation of local quality improvement collaboratives in Dutch primary care using the normalization process theory

Rationale, aims and objectives Aquality improvement strategy consisting of comparative feedback and peer review embedded in available local quality improvement collaboratives proved to be effective in changing the test-ordering behaviour of general practitioners. However, implementing this strategy was problematic. We aimed for large-scale implementation of an adapted strategy covering both test ordering and prescribing performance. Because we failed to achieve large-scale implementation, the aim of this study was to describe and analyse the challenges of the transferring process. Methods In a... Mehr ...