Implementation science on the margins: How do we demonstrate the value of implementation strategies?

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Jeremy W. Bray, Professor and Department Head (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: Implementation science (IS) has developed as a field to assess effective ways to implement and disseminate evidence-based practices. Although the size and rigor of the field has improved, the economic evaluation of implementation strategies has lagged behind other areas of IS (Roberts, Healey, & Sevdalis, 2019). Beyond demonstrating the effectiveness of implementation strategies, there needs to be evidence that investments in these strategies are efficient or financially sustainable. Many cost-effectiveness studies in public health and medicine ignore the costs of implementation and scale-up (Salomon, 2019). Two recent reviews on the use of economic evaluation in implementation studies noted a limited number of studies that have used an economic evaluation (only two in primary care settings) and the few that did have a high variance in methodological quality (Reeves, Edmunds, Searles, & Wiggers, 2019; Roberts et al., 2019). Thus, there are many opportunities for IS and economics to collaborate. In this editorial, we lay out conceptual challenges in applying economic evaluation to IS and the implications for conducting economic analyses in integrated primary care research.

Additional Information

Publication
Families, Systems, & Health, 38(3), 225-231. http://dx.doi.org/10.1037/fsh0000535
Language: English
Date: 2020
Keywords
editorial, implementation science, cost analysis

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