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Strategies for implementing implementation science: a methodological overview.

Margaret A Handley1, Anuradha Gorukanti2, Adithya Cattamanchi3

  • 1Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.

Emergency Medicine Journal : EMJ
|February 20, 2016
PubMed
Summary
This summary is machine-generated.

Closing the evidence-practice gap requires targeted implementation strategies. Implementation science offers a systematic approach to identify barriers and enablers for successful evidence-based intervention delivery, improving health outcomes and reducing costs.

Keywords:
emergency department managementperformance improvementresearch, operational

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Area of Science:

  • Healthcare delivery research
  • Translational science
  • Health services research

Background:

  • Persistent gaps exist between medical evidence and clinical practice.
  • Current implementation strategies often lack systematic assessment of barriers and enablers.
  • This gap hinders achieving the triple aim of healthcare: improved population health, patient experience, and reduced costs.

Purpose of the Study:

  • To introduce fundamental principles of implementation science.
  • To outline a systematic methodology for improving healthcare practice.
  • To provide guidance on conducting implementation science research.

Main Methods:

  • Presents three core principles of implementation science.
  • Details a series of practical steps for conducting implementation research.
  • References an accompanying scoping review of implementation science in emergency medicine.

Main Results:

  • Highlights the need for systematic approaches over "best guess" strategies.
  • Emphasizes the potential of implementation science to bridge the evidence-practice gap.
  • Lays the groundwork for future research in healthcare implementation.

Conclusions:

  • A systematic approach, grounded in implementation science, is crucial for closing the evidence-practice gap.
  • Implementation science provides a robust framework for enhancing healthcare interventions.
  • Further research, including reviews of specific fields like emergency medicine, is needed to refine these principles.