Factors Affecting the Implementation of Intensity-Modulated Radiation Therapy in Ontario
Author Information
Author(s): Kate Bak, Mark J. Dobrow, David Hodgson, Anthony Whitton
Primary Institution: Cancer Care Ontario
Hypothesis
What are the key factors influencing the adoption and implementation of intensity-modulated radiation therapy (IMRT) in publicly funded cancer centres?
Conclusion
The study presents a framework identifying key factors that should be addressed by decision-makers during the adoption and implementation of complex technologies like IMRT.
Supporting Evidence
- Three centres made fair to excellent progress in implementing IMRT, while one centre had limited implementation.
- Key factors influencing IMRT implementation included leadership, training, collaboration, resources, and resistance to change.
- All four centres set up implementation teams to facilitate the process.
Takeaway
This study looks at how hospitals in Ontario decided to use a new type of cancer treatment called IMRT, and what helped or stopped them from using it.
Methodology
A multiple case study design using document analysis and key informant interviews was employed across four cancer centres in Ontario.
Potential Biases
Potential bias from key informants' perspectives and experiences.
Limitations
The study is limited to four cancer centres in Ontario, which may not represent all cancer centres or contexts.
Participant Demographics
Key informants included radiation oncologists, medical physicists, radiation therapists, and senior administrative leaders from four cancer centres.
Digital Object Identifier (DOI)
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