Implementation of state health insurance benefit mandates for cancer-related fertility preservation: following policy through a complex system DOI Creative Commons
H. Irene Su, Bonnie N. Kaiser, Erika L. Crable

et al.

Implementation Science, Journal Year: 2024, Volume and Issue: 19(1)

Published: Feb. 16, 2024

Abstract Background A myriad of federal, state, and organizational policies are designed to improve access evidence-based healthcare, but the impact these likely varies due contextual determinants of, reinterpretations poor compliance with policy requirements throughout implementation. Strategies enhancing implementation intent can population health. Critically assessing multi-level environments where health their related services implemented is essential designing effective policy-level strategies. California passed a 2019 insurance benefit mandate requiring coverage fertility preservation for individuals at risk infertility medical treatments, in order that otherwise cost prohibitive. Our objective was document understand environment, relationships, activities involved using state mandates facilitate patient services. Methods We conducted mixed-methods study used policy-optimized exploration, preparation, implementation, sustainment (EPIS) framework analyze California’s (SB 600) between regulator, insurer, clinic levels. Results Seventeen publicly available mandate-relevant documents were reviewed. Interviews four insurers; 25 financial, administrative, provider participants from 16 oncology clinics; three pharmaceutical representatives; two advocates. The regulator guidance represented “Big P” (system level) gave rise host “little p” (organizational) by insurers, clinics, patients. Many little p bridging factors support across levels service access. Characterizing mandate’s functions (i.e., goals) forms ways enacted) led identification (1) intended unintended service, outcomes, (2) processes level EPIS phase, (3) actor-delineated key heterogeneity among them, (4) inner outer context drove adaptations. Conclusions Following midstream downstream mandate, data generated will enable development strategies, evaluation important outcomes design future fit fidelity.

Language: Английский

Advancing healthcare equity through dissemination and implementation science DOI Creative Commons
Ana A. Baumann, Rachel C. Shelton, Shiriki Kumanyika

et al.

Health Services Research, Journal Year: 2023, Volume and Issue: 58(S3), P. 327 - 344

Published: May 23, 2023

To provide guiding principles and recommendations for how approaches from the field of dissemination implementation (D&I) science can advance healthcare equity.

Language: Английский

Citations

37
Enhancing Impact: A Call to Action for Equitable Implementation Science DOI Creative Commons
Rachel C. Shelton, Ross C. Brownson

Prevention Science, Journal Year: 2023, Volume and Issue: 25(S1), P. 174 - 189

Published: Oct. 25, 2023

Abstract Despite investments in evidence-based interventions and Implementation Science, most are not widely or routinely adopted, delivered, sustained many real-world community healthcare settings. This gap is even greater settings populations experiencing numerous social structural barriers to health, with important implications for persistent patterns health inequities. In this Viewpoint, as part of a Special Issue on Advancing the Adaptability Chronic Disease Prevention Management through Science , we outline seven calls action field goal encouraging researchers, practitioners, funders be more intentional accountable applying have impact promoting equity. Calls include (1) enhance public community, multi-sectoral partnerships promote equity equitable implementation; (2) revisit build evidence base needed at multiple levels; (3) prioritize focus policy development, dissemination, (4) agile responsive application frameworks, processes, methods; (5) identify redefine meaningful metrics impact; (6) disseminate scientific research diverse range partners potential beneficiaries; (7) extend de-implementation, mis-implementation, sustainability which central enhancing Additionally, why prevention essential making progress towards summarize advancements that has made foundational, pose questions work area.

Language: Английский

Citations

23
Challenges and Opportunities for Paving the Road to Global Health Equity Through Implementation Science DOI
Prajakta Adsul, Rachel C. Shelton, April Oh

et al.

Annual Review of Public Health, Journal Year: 2024, Volume and Issue: 45(1), P. 27 - 45

Published: Jan. 2, 2024

Implementation science focuses on enhancing the widespread uptake of evidence-based interventions into routine practice to improve population health. However, optimizing implementation promote health equity in domestic and global resource-limited settings requires considering historical sociopolitical processes (e.g., colonization, structural racism) centering local sociocultural indigenous cultures values. This review weaves together principles decolonization antiracism inform critical reflexive perspectives partnerships that incorporate a focus science, with goal making progress toward equity. From an perspective, wesynthesize examples public interventions, strategies, outcomes applied are promising for equity, alongside examination partnerships, context, frameworks operationalized these studies. We conclude key future directions optimize application justice orientation

Language: Английский

Citations

11
Implementation of Food is Medicine Programs in Healthcare Settings: A Narrative Review DOI Creative Commons
Bailey Houghtaling, Eliza Short, Carmen Byker Shanks

et al.

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: 39(14), P. 2797 - 2805

Published: April 25, 2024

Abstract Food is Medicine (FIM) programs to improve the accessibility of fruits and vegetables (FVs) or other healthy foods among patients with low income diet-related chronic diseases are promising food nutrition security in United States (US). However, FIM relatively new implementation guidance for healthcare settings using an science lens lacking. We used a narrative review describe evidence base on barriers facilitators program integration US following Exploration, Preparation, Implementation, Sustainment (EPIS) Framework. Evidence surrounding EPIS Inner Context was focus, including constructs Leadership , Organizational Characteristics Quality Fidelity Monitoring Support Staffing Processes Individual . Peer-reviewed grey literature about were interest, defined as that screen refer eligible disease experiencing insecurity healthy, unprepared foods. Thirty-one sources included review, 22 peer-reviewed articles, four reports, toolkits, one thesis. Twenty-eight (90%) described 26 (84%) barriers. The most common regarding (e.g., use electronic medical records tracking evaluation, strategies support implementation) clear delineation staff roles capacity); although, identified all constructs. synthesized create EPIS-informed checklist organizations/providers, partner organizations, technical assistance personnel. discuss future directions align efforts terminology theories, models, frameworks researchers practitioners.

Language: Английский

Citations

11
A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022 DOI Creative Commons
Laura Ellen Ashcraft, David E. Goodrich,

Joachim O. Hero

et al.

Implementation Science, Journal Year: 2024, Volume and Issue: 19(1)

Published: June 24, 2024

Abstract Background Studies of implementation strategies range in rigor, design, and evaluated outcomes, presenting interpretation challenges for practitioners researchers. This systematic review aimed to describe the body research evidence testing across diverse settings domains, using Expert Recommendations Implementing Change (ERIC) taxonomy classify Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework outcomes. Methods We conducted a studies examining from 2010-2022 registered with PROSPERO (CRD42021235592). searched databases terms “implementation strategy”, “intervention”, “bundle”, “support”, their variants. also solicited study recommendations science experts mined existing reviews. included that quantitatively assessed impact at least one strategy improve health or care an outcome could be mapped five evaluation dimensions RE-AIM. Only meeting prespecified methodologic standards were included. described characteristics frequency use arms. examined common pairings cooccurrence significant Findings Our search resulted 16,605 studies; 129 met inclusion criteria. tested average 6.73 (0-20 range). The most outcomes ( n =82; 64%) =73; 56%). frequently occurring experimental arm Distribute Educational Materials =99), Conduct Meetings =96), Audit Provide Feedback =76), External Facilitation =59). These often used combination. Nineteen associated significantly improved However, many not sufficiently draw conclusions. Conclusion methodologically rigorous built upon prior data syntheses identify had been experimentally summarized on clinical settings. present improving future similar efforts.

Language: Английский

Citations

10
Interventions targeting social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews DOI Creative Commons
Tassia K. Oswald, Minh Thu T. Nguyen, Luwaiza Mirza

et al.

Psychological Medicine, Journal Year: 2024, Volume and Issue: 54(8), P. 1475 - 1499

Published: March 25, 2024

Abstract Globally, mental disorders account for almost 20% of disease burden and there is growing evidence that are socially determined. Tackling the United Nations Sustainable Development Goals (UN SDGs), which address social determinants disorders, may be an effective way to reduce global disorders. We conducted a systematic review reviews examine base interventions map onto UN SDGs seek improve health through targeting known included 101 in final review, covering demographic, economic, environmental events, neighborhood, sociocultural domains. This presents with strongest prevention highlights synergies where addressing can beneficial health.

Language: Английский

Citations

8
Four very basic ways to think about policy in implementation science DOI Creative Commons
Jonathan Purtle, Corrina Moucheraud, Lawrence H. Yang

et al.

Implementation Science Communications, Journal Year: 2023, Volume and Issue: 4(1)

Published: Sept. 12, 2023

Abstract Background Policy is receiving increasing attention in the field of implementation science. However, there remains a lack clear, concise guidance about how policy can be conceptualized science research. Building on Curran’s article “Implementation made too simple”—which defines “the thing” as intervention, practice, or innovation need support—we offer typology four very basic ways to conceptualize We provide examples studies that have these different and connect aspects established frameworks field. The simplifies refines related typologies Four think 1) something adopt: an evidence-supported proposal goal research understand policymaking processes modified increase adoption, thus reach, policy. Policy-focused dissemination well-suited achieve this goal. 2) implement: policy, not, generate knowledge rollout (or de-implementation) optimized maximize benefits for population health equity. 3) context understand: intervention policies are fixed determinant outcomes. mechanisms through which affect intervention. 4) strategy use: understand, ideally test, strategies outcomes Conclusion multiple, non-mutually exclusive Clear conceptualizations distinctions important advancing policy-focused promoting integration into more broadly.

Language: Английский

Citations

17
Leveraging Implementation Science to Advance Environmental Justice Research and Achieve Health Equity through Neighborhood and Policy Interventions DOI
Laura Ellen Ashcraft, Keven I. Cabrera, Meghan B. Lane‐Fall

et al.

Annual Review of Public Health, Journal Year: 2024, Volume and Issue: 45(1), P. 89 - 108

Published: Jan. 2, 2024

Environmental justice research is increasingly focused on community-engaged, participatory investigations that test interventions to improve health. Such primed for the use of implementation science–informed approaches optimize uptake and proven be effective. This review identifies synergies between science environmental with goal advancing both disciplines. Specifically, article synthesizes literature neighborhood-, community-, policy-level in health address underlying structural determinants (e.g., racism) social Opportunities facilitate scale equitable evidence-based are highlighted, using urban greening as an illustrative example. An justice–focused version subway provided, which highlights these principles: Remember Reflect, Restore Reclaim, Reinvest. The concludes existing gaps future directions advance promote justice.

Language: Английский

Citations

6
Adoption of methadone take home policy by U.S. state opioid treatment authorities during COVID-19 DOI
Victor Roy, Michele Buonora,

Caty Simon

et al.

International Journal of Drug Policy, Journal Year: 2024, Volume and Issue: 124, P. 104302 - 104302

Published: Jan. 5, 2024

Language: Английский

Citations

6
Bridging the gap between pregnancy loss research and policy and practice: insights from a qualitative survey with knowledge users DOI Creative Commons
Marita Hennessy, Keelin O’Donoghue

Health Research Policy and Systems, Journal Year: 2024, Volume and Issue: 22(1)

Published: Jan. 25, 2024

Abstract Background The loss of a pregnancy or the death baby around time their birth can have profound impacts on parents, families and staff involved. There is much opportunity to enhance systematic uptake evidence-based interventions service provision, lived experiences outcomes. Challenges exist translating research evidence into policy practice, however. Pregnancy remains neglected area resourcing steeped in stigma. While barriers facilitators use by decision-makers public health services are well documented, we aimed better understand factors that influence translation practice policy. Methods We conducted qualitative online survey knowledge users Ireland, identified through our clinical academic networks, between January March 2022. comprised ten questions, with three closed informed Knowledge Translation Planning Template©. Questions included who could benefit from research, perceived preferred strategies. analysed data using reflexive thematic analysis. Results 46 participants analysis, which generated two central themes. first—‘End silence; stigma inequality awareness understanding, supports’—addresses issues related stigma, sensitivities silence, lack relevance priority afforded loss. second theme—‘Use range tailored, accessible approaches engage large, diverse users’—highlights need relevant, accessible, engaging information, resources materials efforts, variety tailored suit different audiences, including materials, workshops/webinars, media, brokers champions opinion leaders. Conclusions Our analysis provides rich insights field research. key strategies be used inform planning international applicability.

Language: Английский

Citations

6