Embedded implementation research determinants in Latin American health systems

Area of Science:

• Implementation Science
• Health Systems Research
• Latin American and Caribbean Health

Background:

• Embedded implementation research (EIR) aims to integrate research into health systems.
• Understanding EIR determinants is crucial for effective health system strengthening.

Purpose of the Study:

• To identify and assess the key determinants influencing the conduct of embedded implementation research (EIR).
• To explore challenges and facilitators of EIR in seven Latin American and Caribbean countries.

Main Methods:

• Qualitative interpretative study utilizing grounded theory.
• Analysis of 14 semi-structured interviews using Atlas-ti© software.
• Determinants of EIR conduct were categorized into six domains.

Main Results:

• Engagement of high-level decision-makers as co-producers is a significant determinant, promoting research utilization.
• Key challenges include personnel turnover and volatile political environments.
• Fostering research ownership among implementers is a critical outcome.

Conclusions:

• Embedded implementation research (EIR) effectively promotes ownership of research findings among health system implementers.
• EIR plays a vital role in bridging the gap between research evidence and policy/practice in health systems.
• Addressing contextual challenges is essential for optimizing EIR effectiveness.