From: An introduction to implementation science for the non-specialist
Implementation Process Gap | Types of Studies |
---|---|
Limited external validity of efficacy/effectiveness studies | • Design clinical interventions ready for implementation earlier in the research pipeline, emphasizing tools, products, and strategies that mitigate variations in uptake across consumer, provider, and or organizational contexts |
Quality gaps across systems due to variations in organizational capacity (e.g., resources, leadership) | • Assess variations and customize implementation strategies based on organizational context |
• Data infrastructure development to routinely capture or assess implementation fidelity, patient-level processes/outcomes of care, and value/return-on-investment measures | |
• Further refinement of implementation strategies involving organizational and/or provider behavior change | |
• Development of provider/practice networks to conduct implementation studies or evaluation of national programs | |
Frontline provider competing demands (e.g., multiple clinical reminders) | • Refinement of implementation strategies using cross-disciplinary methods that address provider behavior/organizational change (e.g., business, economics, policy, operations research. etc.) |
• Positive deviation or adaptation studies especially to improve implementation at lower-resourced, later-adopter sites | |
Misalignment with national or regional priorities | • National policy/practice roll-outs |
• Randomized evaluations of national programs or policies |