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Snooks H, Bailey-Jones K, Burge-Jones D, et al. Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC). Southampton (UK): NIHR Journals Library; 2018 Jan. (Health Services and Delivery Research, No. 6.1.)

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Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC).

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Appendix 4Interview guide for policy leads across Wales

When was risk stratification first considered as a tool to help provide health services in Wales?

  • Who proposed it (individual/department)?
  • When (timing/policy–political context)?
  • Why?
  • Extent of support?

Why was PRISM developed rather than use an existing risk stratification tool?

  • Who made the decision?
  • Vision for PRISM? (Official view vs. your view.)
  • Extent of support?
  • Strengths/weaknesses of PRISM?

How was PRISM expected to be used?

  • By whom? (Official view vs. your view.)
  • To do what? (Official view vs. your view.)
    • Anticipated effect on organisations planning and managing chronic conditions care?
    • Anticipated effect on individuals delivering CC care?
  • How was PRISM to be funded/supported/made to happen? (Official view vs. your view.)

Can you describe how far you think Wales has got with implementing PRISM?

  • How much variation has there been across Wales?
    • Demonstrator versus non-demonstrator site.
  • What has helped in the process of implementing PRISM?
    • Political/financial context.
    • Organisational restructuring (health boards, National Leadership and Innovation Agency for Healthcare/Informing Healthcare).
    • Views of GPs and health professionals.
    • Health boards/managers.
  • What has hindered the process of implementing PRISM?
    • Political/financial context.
    • Organisational restructuring (health boards, National Leadership and Innovation Agency for Healthcare/Informing Healthcare).
    • Views of GPs and health professionals.
    • Health boards/managers.

How do you predict the story of PRISM will unfold from now?

  • What is needed to implement PRISM?
  • Do you feel that will that happen?
Copyright © Queen’s Printer and Controller of HMSO 2018. This work was produced by Snooks et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK476006
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