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Implementation Outcomes and Indicators as a New Challenge in Health Services Research

A Systematic Scoping Review

Bibliographic Data

ID13774926
AuthorsTabea Willmeroth (Fliedner Fachhochschule Düsseldorf), Bärbel Wesselborg (0000-0001-8873-919X, Fliedner Fachhochschule Düsseldorf), Silke Kuske (0000-0002-2221-4531, Fliedner Fachhochschule Düsseldorf, corresponding author)
Year2019
Volume56
Pages46958019861257-46958019861257
Publication date2019-01-01
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958019861257
PMID31347418
OpenAlexW2966065423
LanguageEN
Citations received2
References cited29

The aim of this systematic scoping review was to identify and analyze indicators that address implementation quality or success in health care services and to deduce recommendations for further indicator development. This review was conducted according to the Joanna Briggs Manual and the PRISMA Statement. CINAHL, EMBASE, MEDLINE, and PsycINFO were searched. Studies or reviews published between August 2008 and 2018 that reported monitoring of the quality or the implementation success in health care services by using indicators based on continuous variables and proportion-based, ratio-based, standardized ratio-based, or rate-based variables or indices were included. The records were screened by title and abstract, and the full-text articles were also independently double-screened by 3 reviewers for eligibility. In total, 4376 records were identified that resulted in 10 eligible studies, including 67 implementation indicators. There was heterogeneity regarding the theoretical backgrounds, designs, objectives, settings, and implementation indicators among the publications. None of the indicators addressed the implementation outcomes of appropriateness or sustainability. Service implementation efficiency was identified as an additional outcome. Achieving consensus in framing implementation outcomes and indicators will be a new challenge in health services research. Considering the new debates regarding health care complexity, the further development of indicators based on complementary qualitative and quantitative approaches is needed

Business · CINAHL · Health care · MEDLINE · Performance indicator · Political science · Process management · Psychological intervention · PsycINFO · Systematic review · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

  • Integrated psychological care in pediatric hospital settings for children with complex chronic illness and their families

    Kate H Marshall, Harold A Pincus et al.•Psychology & Health•2024

  • Implementation measurement in global mental health

    Open Access•Christopher G Kemp, Kristen Danforth et al.•Cambridge Prisms Global Mental…•2023

  • Content analysis

    Klaus Krippendorff•Content analysis•1980

  • Making sense of complexity in context and implementation

    Open Access•Lisa M Pfadenhauer, Ansgar Gerhardus et al.•Implementation Science•2017

  • The Challenge of Innovation Implementation

    Katherine J Klein, Joann Sorra et al.•Academy of Management Review•1996

  • PRESS Peer Review of Electronic Search Strategies

    Open Access•Jessie McGowan, Margaret Sampson et al.•Journal of Clinical Epidemiology•2016

  • Preferred Reporting Items for Systematic Reviews and Meta-Analyses

    Open Access•David Moher, Alessandro Liberati et al.•PLoS Medicine•2009

  • Developing and evaluating complex interventions

    Open Access•Peter Craig, Paul Dieppe et al.•BMJ•2008

  • Consensus–based approach to develop a measurement framework and identify a core set of indicators to track implementation and progress towards effective coverage of facility–based Kangaroo Mother Care

    Open Access•Tanya Guenther, Sarah G Moxon et al.•Journal of Global Health•2017

  • Measuring implementation strength

    Open Access•Julian Hargreaves, James R M Hargreaves et al.•Health Policy and Planning•2016

  • The Quality Implementation Framework

    Open Access•Duncan C Meyers, Joseph A Durlak et al.•American Journal of Community…•2012

Citations per year0.67
Citation span2023 - 2024 (2)
Highly citedNo

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