Financing

A scoping review highlights the importance of financing and recognizes a wide variety of financial strategies (Dopp et al., 2020). This construct captures payment schemes (Dy et al., 2015; Klein & Sorra, 1996), reimbursement (Greenhalgh et al., 2017; Hohmeier et al., 2019; Moullin et al., 2019; Raghavan et al., 2008), remuneration (Kirsh et al., 2008; Moullin et al., 2016), grants, and donations. It also includes overall funding constraints regionally or nationally (Aarons et al., 2011; Greenhalgh et al., 2017; Nilsen & Bernhardsson, 2019), distinct from local economic conditions (see Local Conditions). The original CFIR further elaborated by saying that reimbursement systems and other monetary incentives that are controlled outside the Inner Setting can influence implementation (R. P. Grol et al., 2007).

Qualitative coding guidelines that are aligned with the Updated CFIR will be added in the future.

As we become aware of measures, we will post them here. Please contact us with updates.

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7

Dopp, A. R., Parisi, K. E., Munson, S. A., & Lyon, A. R. (2019). A glossary of user-centered design strategies for implementation experts. Translational Behavioral Medicine, 9(6), 1057–1064. https://doi.org/10.1093/tbm/iby119

Dy, S. M., Ashok, M., Wines, R. C., & Rojas Smith, L. (2015). A Framework to Guide Implementation Research for Care Transitions Interventions: Journal for Healthcare Quality, 37(1), 41–54. https://doi.org/10.1097/01.JHQ.0000460121.06309.f9

Kirsh, S. R., Lawrence, R. H., & Aron, D. C. (2008). Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes. Implement Sci, 3, 34. https://doi.org/1748-5908-3-34 [pii] 10.1186/1748-5908-3-34

Klein, K. J., & Sorra, J. S. (1996). The Challenge of Innovation Implementation. The Academy of Management Review, 21(4), 1055–1080.

Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. Journal of Medical Internet Research, 19(11), e367. https://doi.org/10.2196/jmir.8775

Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. Journal of Medical Internet Research, 19(11), e367. https://doi.org/10.2196/jmir.8775

Grol, R. P., Bosch, M. C., Hulscher, M. E., Eccles, M. P., & Wensing, M. (2007). Planning and studying improvement in patient care: The use of theoretical perspectives. Milbank Q, 85(1), 93–138.Hohmeier, K. C., Wheeler, J. S., Turner, K., Vick, J. S., Marchetti, M. L., Crain, J., & Brookhart, A. (2019). Targeting adaptability to improve Medication Therapy Management (MTM) implementation in community pharmacy. Implementation Science, 14(1), 99. https://doi.org/10.1186/s13012-019-0946-7

Moullin, J. C., Dickson, K. S., Stadnick, N. A., Rabin, B., & Aarons, G. A. (2019). Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Implementation Science, 14(1), 1. https://doi.org/10.1186/s13012-018-0842-6

Moullin, J. C., Sabater-Hernández, D., & Benrimoj, S. I. (2016). Qualitative study on the implementation of professional pharmacy services in Australian community pharmacies using framework analysis. BMC Health Services Research, 16(1), 439. https://doi.org/10.1186/s12913-016-1689-7

Nilsen, P., & Bernhardsson, S. (2019). Context matters in implementation science: A scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Services Research, 19(1), 189. https://doi.org/10.1186/s12913-019-4015-3

Raghavan, R., Bright, C. L., & Shadoin, A. L. (2008). Toward a policy ecology of implementation of evidence-based practices in public mental health settings. Implementation Science, 3(1), 26. https://doi.org/10.1186/1748-5908-3-26