Advancing the use of organization theory in implementation science.

Healthcare settings and systems have been slow to adopt and implement many effective cancer prevention and control interventions. Understanding the factors that determine successful implementation is essential to accelerating the translation of effective interventions into practice. Many scholars ha...

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Publicado en:Preventive Medicine Vol. 129
Autores principales: Leeman, Jennifer, Baquero, Barbara, Bender, Miriam, Choy-Brown, Mimi, Ko, Linda K., Nilsen, Per, Wangen, Mary, Birken, Sarah A.
Formato: research Journal Article
Publicado: Academic Press Inc. 2019 Supplement
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019 Supplement
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      pub: Academic Press Inc.
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        atl: Advancing the use of organization theory in implementation science.
      aug:
        au:
          Leeman, Jennifer
          Baquero, Barbara
          Bender, Miriam
          Choy-Brown, Mimi
          Ko, Linda K.
          Nilsen, Per
          Wangen, Mary
          Birken, Sarah A.
        affil: University of North Carolina at Chapel Hill, School of Nursing, 4005 Carrington Hall, CB #7460, Chapel Hill, NC 27599-7460, United States of America
      sug:
        subj:
          Health Care Delivery
          Colorectal Neoplasms Prevention and Control
          Human
          Early Detection of Cancer
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Scales
      ab: Healthcare settings and systems have been slow to adopt and implement many effective cancer prevention and control interventions. Understanding the factors that determine successful implementation is essential to accelerating the translation of effective interventions into practice. Many scholars have studied the determinants of implementation, and much of this research has been guided by the Consolidated Framework for Implementation Research (CFIR). The CFIR categorizes implementation determinants at five levels (characteristics of the intervention, inner setting, individual, processes, and outer setting). Of these five levels, determinants at the level of the outer setting are the least developed. Extensive research in fields other than healthcare suggest that determinants at the level of the outer setting (e.g., funding streams, contracting practices, and public policy) play a central role in shaping when and how an organization implements new structures and practices. Thus, a more comprehensive understanding of outer-setting determinants is critical to efforts to accelerate the implementation of effective cancer control interventions. The Cancer Prevention and Control Research Network (CPCRN) created a cross-center workgroup to review organizational theories and begin to contribute to the creation of a future framework of constructs related to outer setting determinants. In this paper, we report findings from the review of three organizational theories: Institutional Theory, Transaction Cost Economics, and Contingency Theory. To demonstrate the applicability of this work to implementation science and practice, we have applied findings to three case studies of CPCRN researchers' efforts to implement colorectal cancer screening interventions in Federally Qualified Health Centers.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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