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Related Experiment Videos

Measuring persistence of implementation: QUERI Series.

Candice C Bowman1, Elisa J Sobo, Steven M Asch

  • 1Health Services Research & Development, VA San Diego Healthcare System, San Diego, California, USA. candybowman@gmail.com

Implementation Science : IS
|April 24, 2008
PubMed
Summary
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Evaluating the long-term effects of quality improvement programs is crucial but often overlooked. This article addresses implementation sustainability, exploring factors and methods for measuring lasting performance gains in healthcare.

Area of Science:

  • Implementation Science
  • Healthcare Quality Improvement
  • Program Evaluation

Background:

  • Quality improvement programs aim for performance gains, increasing the need for long-term effect evaluation.
  • Long-term follow-up evaluations are scarce in healthcare implementation science.
  • Sustainability of implemented programs is often noted as a need for future research.

Purpose of the Study:

  • To explore conceptualizations of implementation sustainability.
  • To identify behavioral and organizational factors influencing the maintenance of performance gains.
  • To provide recommendations for designing sustainability analyses in healthcare.

Main Methods:

  • Review of conceptualizations of implementation sustainability.
  • Analysis of behavioral and organizational factors impacting maintenance of gains.

Related Experiment Videos

  • Drawing on experiences in measuring sustainability within theoretical and empirical frameworks.

    • Main Results:

    • Discussion of various conceptualizations of implementation sustainability.
    • Highlighting key design considerations for sustainability analyses.
    • Identification of factors influencing the long-term maintenance of program effects.

    Conclusions:

    • There is a critical need to address and measure implementation sustainability in healthcare.
    • Understanding behavioral and organizational factors is essential for sustained performance gains.
    • Recommendations are provided for designing robust sustainability analyses.