Strategies for promoting organizational and practice change by advancing implementation research

  • Lisa V. Rubenstein
  • Jacqueline Pugh


BACKGROUND: The persistence of a large quality gap between what we know about how to produce high quality clinical care and what the public receives has prompted interest in developing more effective methods to get evidence into practice. Implementation research aims to supply such methods.

PURPOSE: This article proposes a set of recommendations aimed at establishing a common understanding of what implementation research is, and how to foster its development.

METHODS: We developed the recommendations in the context of a translation research conference hosted by the VA for VA and non-VA health services researchers.

IMPACTS: Health care organizations, journals, researchers and academic institutions can use these recommendations to advance the field of implementation science and thus increase the impact of clinical and health services research on the health and health care of the public.

Key words

health services research quality of care implementation organizational change clinical practice 


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Copyright information

© Society of General Internal Medicine 2006

Authors and Affiliations

  1. 1.Veterans Administration Greater Los AngelesLos AngelesUSA
  2. 2.Department of MedicineUniversity of California Los AngelesLos AngelesUSA
  3. 3.RAND CorporationSanta MonicaUSA
  4. 4.South Texas Veterans Health Care SystemSan AntonioUSA
  5. 5.Department of Medicine, Division of General MedicineUniversity of Texas Health Science Center at San AntonioSan AntonioUSA

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