Understanding how and why de-implementation works in health and care: research protocol for a realist synthesis of evidence

Systematic Reviews
Christopher BurtonJustin Waring

Abstract

Strategies to improve the effectiveness and quality of health and care have predominantly emphasised the implementation of new research and evidence into service organisation and delivery. A parallel, but less understood issue is how clinicians and service leaders stop existing practices and interventions that are no longer evidence based, where new evidence supersedes old evidence, or interventions are replaced with those that are more cost effective. The aim of this evidence synthesis is to produce meaningful programme theory and practical guidance for policy makers, managers and clinicians to understand how and why de-implementation processes and procedures can work. The synthesis will examine the attributes or characteristics that constitute the concept of de-implementation. The research team will then draw on the principles of realist inquiry to provide an explanatory account of how, in what context and for whom to explain the successful processes and impacts of de-implementation. The review will be conducted in four phases over 18 months. Phase 1: develop a framework to map the preliminary programme theories through an initial scoping of the literature and consultation with key stakeholders. Phase 2: systematic searches o...Continue Reading

References

Apr 21, 2012·Implementation Science : IS·Jo Rycroft-MaloneVal Wilson
Jan 9, 2014·Implementation Science : IS·Vinay Prasad, John Pa Ioannidis
Jan 31, 2015·Social Science & Medicine·Leila RooshenasJenny L Donovan
Oct 9, 2015·BMC Medicine·Daniel J NivenHenry Thomas Stelfox
Oct 22, 2015·BMC Medicine·Danijela Gnjidic, Adam G Elshaug
Jan 23, 2016·BMJ : British Medical Journal·Bryan Christie
Aug 12, 2016·BMJ Quality & Safety·Leti van Bodegom-VosPerla J Marang-van de Mheen
Feb 14, 2018·The Medical Journal of Australia·Robyn Ann Lindner

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Citations

Dec 29, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Courtney Benjamin WolkUNKNOWN Pediatric Research in Inpatient Settings (PRIS) Network
Aug 10, 2021·Journal of Neurologic Physical Therapy : JNPT·Jennifer L MooreJan Egil Nordvik

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