Anna Gagliardi

My research employs qualitative and mixed methods to explore factors that influence the effective organization and delivery of health services, and to evaluate strategies that optimize quality of health care delivery and outcomes. In particular my research focuses on guideline implementation. Guidelines are syntheses of best available evidence that inform health care decision making but their use is inconsistent. To improve care delivery and associated outcomes it is imperative that we develop better ways to implement guidelines. Supported by several operating grants and a New Investigator five-year salary award from the Canadian Institutes of Health Research, my research develops and evaluates different implementation approaches. For example, we completed a series of systematic reviews of the literature and qualitative interviews to investigate guideline developer capacity and the role of facilitative intermediaries. In particular, we are focusing on the concept of implementability: enhancing the content of guidelines with non-clinical information such that users more easily adopt the recommendations. We established a conceptual framework of guideline implementability, and through collaboration with an international network of guideline developers, implementers and researchers, are evaluating a variety of guideline implementation tools.

Additional funded research projects include interviews with researchers, managers, clinicians, and educators to identify their current and desired capacity for knowledge translation research/practice; a systematic review of the literature to characterize and evaluate strategies for involving patients in their own health care; a mixed methods study of factors that influence post-market surveillance of medical devices; a mixed methods study on the impact of multidisciplinary care teams in cancer diagnostic assessment programs; and multiple methods are being used to investigate the factors that influence conduct, reporting and use of qualitative research.
Int J Technol Assess Health Care. 2017 Sep 18;:1-7
Gagliardi AR, Takata J, Ducey A, Lehoux P, Ross S, Trbovich PL, Easty A, Bell CM, Urbach DR
BMJ Qual Saf. 2017 Aug 02;:
Gagliardi AR, Ducey A, Lehoux P, Turgeon T, Ross S, Trvovich P, Easty A, Bell C, Urbach D
Clin Physiol Funct Imaging. 2017 Jul 14;:
Barbosa ACB, Sperandio EF, Gonze BB, Spina GD, Arantes RL, Gagliardi ART, Romiti M, Dourado VZ
Eur J Cancer Care (Engl). 2017 Jun 21;:
Gagliardi AR, Honein-AbouHaidar G, Stuart-McEwan T, Smylie J, Arnaout A, Seely J, Wright FC, Dobrow MJ, Brouwers MC, Bukhanov K, McCready DR
Ann Surg. 2017 Jun 07;:
Wright FC, Look Hong NJ, Quan ML, Beyfuss K, Temple S, Covelli A, Baxter N, Gagliardi AR
Int J Qual Health Care. 2017 Apr 01;29(2):276-282
Gagliardi AR, Lehoux P, Ducey A, Easty A, Ross S, Bell CM, Trbovich P, Takata J, Urbach DR
Sao Paulo Med J. 2017 Jan-Feb;135(1):34-41
Sperandio EF, Arantes RL, Chao TP, Romiti M, Gagliardi AR, Dourado VZ
PLoS One. 2017;12(3):e0174934
Gagliardi AR, Lehoux P, Ducey A, Easty A, Ross S, Bell C, Trbovich P, Urbach DR
Implement Sci. 2017 Feb 27;12(1):26
Liang L, Bernhardsson S, Vernooij RW, Armstrong MJ, Bussières A, Brouwers MC, Gagliardi AR, Members of the Guidelines International Network Implementation Working Group

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Associate Professor, Department of Surgery; Institute of Health Policy, Management & Evaluation; and Institute of Medical Science, University of Toronto
Chair, Implementation Working Group, Guidelines International Network