JMIR Publications

ABSTRACT

Background:

The Collaboration for Research Implementation and Training in Critical Care in Asia (CCA) is implementing a critical care registry to capture real-time data to facilitate service evaluation, quality improvement. and clinical studies.

Objective:

To examine stakeholder perspectives on the determinants of implementation of the registry by examining the processes of diffusion, dissemination, and sustainability.

Methods:

This study is a qualitative phenomenological enquiry using semistructured interviews with stakeholders involved in registry design, implementation, and use in four South-Asian countries. The conceptual model of diffusion, dissemination, and sustainability of innovations in health service delivery guided interviews and analysis. Interviews were coded using the Rapid Identification of Themes from Audio recordings procedure and were analyzed based on the constant comparison approach.

Results:

Thirty-two stakeholders were interviewed. Analysis of stakeholder accounts identified three key themes; innovation-system fit; influence of champions and access to resources and expertise. Determinants of implementation included data sharing, research experience, system resilience, communication and networks, and relative advantage and adaptability.

Conclusions:

The implementation of the registry has been possible due to efforts to increase innovation-system fit and influence of motivated champions with the support offered by access to resources and expertise. Risk for sustainability is posed by reliance on individuals and priorities of other healthcare actors. Clinical Trial: Not applicable