Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework
The implementation of innovations in practice is challenging and often produces disappointing outcomes. Although the reasons for this are multifaceted, part of the challenge derives from the lack of consensus on how such implementation outcomes should be conceptualized and measured. In this review,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2025.1373429/full |
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| author | Zuhur Balayah Zuhur Balayah Charitini Stavropoulou Charitini Stavropoulou Harry Scarbrough Harry Scarbrough Amit Nigam Amit Nigam Alexandra Ziemann Alexandra Ziemann |
| author_facet | Zuhur Balayah Zuhur Balayah Charitini Stavropoulou Charitini Stavropoulou Harry Scarbrough Harry Scarbrough Amit Nigam Amit Nigam Alexandra Ziemann Alexandra Ziemann |
| author_sort | Zuhur Balayah |
| collection | DOAJ |
| description | The implementation of innovations in practice is challenging and often produces disappointing outcomes. Although the reasons for this are multifaceted, part of the challenge derives from the lack of consensus on how such implementation outcomes should be conceptualized and measured. In this review, we used a meta-ethnographic approach to enhance our theoretical conceptualization of implementation outcomes. By situating such outcomes within the overall process of implementation, we were able to unpack them analytically as the product of two major components, which we term “modes” and “attributes,” respectively. Modes comprise engagement, active implementation, and integration to foreground focal implementation outcomes. The attributes associated with the modes comprise implementation depth, implementation breadth, implementation pace, implementation adaptation, and de-implementation to indicate the features of the modes of implementation outcomes. Taken together, our analysis based on modes and attributes provides an integrated framework of implementation outcomes. The proposed framework enhances our understanding of the way in which implementation outcomes have been conceptualized in previous literature, enabling us to clarify the relations and distinctions between them in terms of translatability and complementarity. The proposed framework thus extends the conceptualization of implementation outcomes to better align with the complex reality of implementation practice, offering useful insights to researchers, practitioners, and policymakers. |
| format | Article |
| id | doaj-art-fd39073a19d04454becfe1609eb8c5fd |
| institution | OA Journals |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Health Services |
| spelling | doaj-art-fd39073a19d04454becfe1609eb8c5fd2025-08-20T01:55:33ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-05-01510.3389/frhs.2025.13734291373429Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated frameworkZuhur Balayah0Zuhur Balayah1Charitini Stavropoulou2Charitini Stavropoulou3Harry Scarbrough4Harry Scarbrough5Amit Nigam6Amit Nigam7Alexandra Ziemann8Alexandra Ziemann9Centre for Healthcare Innovation Research (CHIR), City St George's, University of London, London, United KingdomFaculty of Management, Bayes Business School, City St George's, University of London, London, United KingdomCentre for Healthcare Innovation Research (CHIR), City St George's, University of London, London, United KingdomDepartment of Health Services Research and Management, School of Health and Psychological Sciences, City St George's, University of London, London, United KingdomCentre for Healthcare Innovation Research (CHIR), City St George's, University of London, London, United KingdomFaculty of Management, Bayes Business School, City St George's, University of London, London, United KingdomCentre for Healthcare Innovation Research (CHIR), City St George's, University of London, London, United KingdomFaculty of Management, Bayes Business School, City St George's, University of London, London, United KingdomCentre for Healthcare Innovation Research (CHIR), City St George's, University of London, London, United KingdomDepartment of Social and Policy Sciences, University of Bath, Bath, United KingdomThe implementation of innovations in practice is challenging and often produces disappointing outcomes. Although the reasons for this are multifaceted, part of the challenge derives from the lack of consensus on how such implementation outcomes should be conceptualized and measured. In this review, we used a meta-ethnographic approach to enhance our theoretical conceptualization of implementation outcomes. By situating such outcomes within the overall process of implementation, we were able to unpack them analytically as the product of two major components, which we term “modes” and “attributes,” respectively. Modes comprise engagement, active implementation, and integration to foreground focal implementation outcomes. The attributes associated with the modes comprise implementation depth, implementation breadth, implementation pace, implementation adaptation, and de-implementation to indicate the features of the modes of implementation outcomes. Taken together, our analysis based on modes and attributes provides an integrated framework of implementation outcomes. The proposed framework enhances our understanding of the way in which implementation outcomes have been conceptualized in previous literature, enabling us to clarify the relations and distinctions between them in terms of translatability and complementarity. The proposed framework thus extends the conceptualization of implementation outcomes to better align with the complex reality of implementation practice, offering useful insights to researchers, practitioners, and policymakers.https://www.frontiersin.org/articles/10.3389/frhs.2025.1373429/fullimplementation frameworksoutcomesconceptualizationinnovationsintegrationde-implementation |
| spellingShingle | Zuhur Balayah Zuhur Balayah Charitini Stavropoulou Charitini Stavropoulou Harry Scarbrough Harry Scarbrough Amit Nigam Amit Nigam Alexandra Ziemann Alexandra Ziemann Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework Frontiers in Health Services implementation frameworks outcomes conceptualization innovations integration de-implementation |
| title | Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework |
| title_full | Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework |
| title_fullStr | Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework |
| title_full_unstemmed | Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework |
| title_short | Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework |
| title_sort | re conceptualizing implementation outcomes of health innovations as modes or attributes an integrated framework |
| topic | implementation frameworks outcomes conceptualization innovations integration de-implementation |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1373429/full |
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