Making implementation science more real.
Implementation science in healthcare aims to understand how to get evidence into practice. Once this is achieved in one setting, it becomes increasingly difficult to replicate elsewhere. The problem is often attributed to differences in context that influence how and whether implementation strategie...
| Publicado en: | BMC Medical Research Methodology Vol. 22; no. 1; pp. 1 - 9 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
6/25/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157630562&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157630562 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712288 1CI1 jtl: BMC Medical Research Methodology issn: 14712288 maglogo: N pubinfo: dt: 6/25/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 157630562 157630562 NLM35752754 157630562 10.1186/s12874-022-01661-2 NLM35752754 157630562 ppf: 1 ppct: 8 formats: tig: atl: Making implementation science more real. aug: au: Sarkies, Mitchell N. Francis-Auton, Emilie Long, Janet C. Pomare, Chiara Hardwick, Rebecca Braithwaite, Jeffrey affil: Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, 75 Talavera Road, 2109, Sydney, New South Wales, Australia sug: subj: Health Care Delivery New South Wales Australia Scales Arthritis Impact Measurement Scales ab: Implementation science in healthcare aims to understand how to get evidence into practice. Once this is achieved in one setting, it becomes increasingly difficult to replicate elsewhere. The problem is often attributed to differences in context that influence how and whether implementation strategies work. We argue that realist research paradigms provide a useful framework to express the effect of contextual factors within implementation strategy causal processes. Realist studies are theory-driven evaluations that focus on understanding how and why interventions work under different circumstances. They consider the interaction between contextual circumstances, theoretical mechanisms of change and the outcomes they produce, to arrive at explanations of conditional causality (i.e., what tends to work, for whom, under what circumstances). This Commentary provides example applications using preliminary findings from a large realist implementation study of system-wide value-based healthcare initiatives in New South Wales, Australia. If applied judiciously, realist implementation studies may represent a sound approach to help optimise delivery of the right care in the right setting and at the right time. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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