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Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions.

Thomas J WaltzByron J PowellMaría E FernándezBrenton AbadieLaura J Damschroder
Published in: Implementation science : IS (2019)
The wide heterogeneity of endorsements obtained in this study's task suggests that there are relatively few consistent relationships between CFIR-based barriers and ERIC implementation strategies. Despite this heterogeneity, a tool aggregating endorsements across multiple barriers can support taking a structured approach to consider a broad range of strategies given those barriers. This study's results point to the need for a more detailed evaluation of the underlying determinants of barriers and how these determinants are addressed by strategies as part of the implementation planning process.
Keyphrases
  • primary care
  • healthcare
  • quality improvement
  • single cell