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Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?
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How best to achieve the translation of research evidence into routine policy and practice remains an enduring challenge in health systems across the world. The complexities associated with changing behaviour at an individual, team, organizational and system level have led many academics to conclude that tailored, multi-faceted strategies provide the most effective approach to knowledge translation. However, a recent overview of systematic reviews questions this position and sheds doubt as to whether multi-faceted strategies are any better than single ones. In this paper, we argue that this either-or distinction is too simplistic and fails to recognize the complexity that is inherent in knowledge translation. Drawing on organizational theory relating to boundaries and boundary management, we illustrate the need for translational strategies that take account of the type of knowledge to be implemented, the context of implementation and the people and processes involved.
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“Considering that most studies employed multiple or multifaceted strategies, it seems that there is a benefit of using a targeted bundle of strategies that are purposefully aligns with site/clinic/population norms, rather than simply adding more strategies [66].”
From A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022 (2024) · cites this paper as [66]
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Metadata
- Authors
- Harvey, G., & Kitson, A.
- Affiliations
- University of Manchester (GB)
- Central Adelaide Local Health Network (AU)
- Venue
- International Journal of Health Policy and Management
- Publisher
- Maad Rayan Publishing Company
- Published
- 2015-03-05
- Volume
- 4
- Issue
- 3
- Pages
- 123-126
- ISSN
- 2322-5939 (ISSN-L)
- PMC
- PMC4357977
- OpenAlex
- W2164401888
- Cited by
- 103
- References
- 29
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 16 · 2023: 6 · 2022: 12 · 2021: 10 · 2020: 10 · 2019: 8 · 2018: 7 · 2017: 12 · 2016: 5 · 2015: 8
- FWCI
- 19.50
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Health Policy and Management (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences) (acceptedVersion)
- SSRN Electronic Journal (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- knowledge translation, implementation strategies, evidence-based policy, organizational boundaries, boundary management, organizational theory, implementation context, health care system
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