A Practical, Robust Implementation and Sustainability Model (PRISM) for Integrating Research Findings into Practice

Feldstein, Adrianne C.; Glasgow, Russell E.

doi:10.1016/s1553-7250(08)34030-6

Cited by 603 publications

(736 citation statements)

References 33 publications

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“…While understanding healthcare administrative and organizational factors is critical to the implementation of integrated behavioral medicine and specialist care, incorporating patient variables, such as the factors that enable access to care and resources, is particularly relevant when implementation is planned for vulnerable populations, such as underserved urban and rural poor [19,[23][24][25][26][27][28]. Both urban and rural poor experience unique access to care difficulties, including geographic barriers or financial limitations, that may influence health outcomes even when integrated behavioral medicine and specialty care are successfully implemented to others [29].…”

Section: Introductionmentioning

confidence: 99%

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

Rongey

Asch

Knight

2011

Behav. Med. Pract. Policy Res.

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The Veterans Health Administration (VHA) is the largest single provider of medical care to people with hepatitis C (HCV) in the USA. Given the advent of promising new HCV therapies, the VHA is now faced with a large number of chronically HCV-infected veterans with concomitant psychiatric or substance use comorbid conditions who will need to either be retreated or newly treated for HCV or will require management for chronic liver disease. There is a critical need in the VHA for behavioral medicine and hepatology specialists, along with infectious disease and primary care providers with an interest in hepatitis C, to provide coordinated care for these complex patients. The VHA Health Services Research and Development Service has advocated for the application of strong implementation science theories and methods to translate new models of healthcare delivery in clinical practice. To inform the delivery and evaluation of integrated behavioral medicine and specialty care for vulnerable patient populations, we sought to develop an enriched framework which incorporates implementation science theory and strong conceptual models for access to care. In this paper, we present a hybrid conceptual framework that accomplishes this goal. To illustrate how this hybrid model could inform the translation of a novel method of healthcare delivery, we provide a case study of a VHA initiative to improve access to integrated behavioral medicine and specialty care among veterans with HCV.

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Section: Introductionmentioning

confidence: 99%

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

Rongey

Asch

Knight

2011

Behav. Med. Pract. Policy Res.

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“…After a review of the literature on implementation and dissemination frameworks, 12,17,[23][24][25][26] we chose PRISM (Practical, Robust Implementation and Sustainability Model) as the primary conceptual framework guiding our implementation efforts. 26 It is represented in Figure 1.…”

Section: Framework For Implementation Of Well-child Carementioning

confidence: 99%

“…26 It is represented in Figure 1. The model incorporates concepts from literature about the diffusion of innovations, the Chronic Care Model, model for improvement, and RE-AIM (reach, effectiveness, adoption, implementation, and maintenance).…”

Section: Framework For Implementation Of Well-child Carementioning

confidence: 99%

“…26 We obtained sponsorship from the regional department chief for pediatrics and pediatric department chiefs at each site, all of whom expressed interest in the project and helped the project team understand site-specific and planwide barriers to WCC implementation. The initial two sites were also chosen because each had clinicians who participated in the planning process and were interested in implementing the model in their clinics.…”

Section: Selection Of the Initial Two Implementation Sitesmentioning

confidence: 99%

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Using Implementation and Dissemination Concepts to Spread 21st-century Well-Child Care at a Health Maintenance Organization

Beck

Bergman

Rahm³

et al. 2009

TPJ

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“…So while the framework does not fail to acknowledge patient/client characteristics, the appropriate place might be reconsidered. This is substantiated by other researchers in the implementation field, who also differentiate between characteristics of the health care professional and characteristics of the patient in the innovation process [5,7,49].…”

Section: A 'New' Determinant: the Patientmentioning

confidence: 53%

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A Practical, Robust Implementation and Sustainability Model (PRISM) for Integrating Research Findings into Practice

Cited by 603 publications

References 33 publications

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

Using Implementation and Dissemination Concepts to Spread 21st-century Well-Child Care at a Health Maintenance Organization

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