ArticleHealth services research2018
Overcoming Challenges to Evidence-Based Policy Development in a Large, Integrated Delivery System.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022.Implementation science : IS · 2024Pooled it
- Effect of Pharmacist Email Alerts on Concurrent Prescribing of Opioids and Benzodiazepines by Prescribers and Primary Care Managers: A Randomized Clinical Trial.JAMA health forum · 2022Trial
- Perspectives of Rural and Urban Veterans with Military Sexual Trauma Seeking Psychotherapy Through Community Care: A Qualitative Study.The journal of behavioral health services & research · 2026Article
- The foundational science of learning health systems.Health services research · 2024Article
- Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center.Journal of the National Cancer Institute. Monographs · 2024Article
- Adaptive Designs in Implementation Science and Practice: Their Promise and the Need for Greater Understanding and Improved Communication.Annual review of public health · 2024Review
- Comparing the CFIR-ERIC matching tool recommendations to real-world strategy effectiveness data: a mixed-methods study in the Veterans Health Administration.Implementation science : IS · 2023Article
- Grading Evidence to Support Legislative and Budget Proposals-Veterans Health Administration's Key to Implementing the Evidence Act.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023Article
- Child and adolescent mental health services in a devolved healthcare system: a qualitative exploration of sustainable practices.Health research policy and systems · 2023Article
- Diffusion of excellence: evaluating a system to identify, replicate, and spread promising innovative practices across the Veterans health administration.Frontiers in health services · 2023Article
- Randomized Policy Evaluation of the Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM).Journal of general internal medicine · 2022Article
- Reshaping the Regional Order of Health Care Resources in China: The Institutional Participants in an Inter-City Integrated Delivery System.International journal of environmental research and public health · 2021Article
- Learning health systems in primary care: a systematic scoping review.BMC family practice · 2021Article
- Implementing Improvements: Opportunities to Integrate Quality Improvement and Implementation Science.Hospital pediatrics · 2021Article
- Measuring Community-Engaged Research Contexts, Processes, and Outcomes: A Mapping Review.The Milbank quarterly · 2020Review
- Suicide prediction models: a critical review of recent research with recommendations for the way forward.Molecular psychiatry · 2020Review
- Research Lifecycle to Increase the Substantial Real-world Impact of Research: Accelerating Innovations to Application.Medical care · 2019Article
- Randomized program evaluation of the Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM): A research and clinical operations partnership to examine effectiveness.Substance abuse · 2019Article
- Article
- Innovation in a Learning Health Care System: Veteran-Directed Home- and Community-Based Services.Journal of the American Geriatrics Society · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo describe a new Veterans Health Administration (VHA) program to foster the learning health system paradigm by rigorously evaluating health care initiatives and to report key lessons learned in designing those evaluations. PRINCIPAL
findingsThe VHA's Quality Enhancement Research Initiative and its Health Services Research and Development Service are cooperating on several large, randomized program evaluations aimed at improving the care veterans receive and the efficiency with which it is delivered. The evaluations we describe involve collaborative design, outcomes assessment, and implementation science through partnerships between VHA operations and researchers. We review key factors to assess before committing to an evaluation. In addition to traditional design issues (such as ensuring adequate power and availability of data), these include others that are easily overlooked: the stability of intervention financing, means of controlling and commitment to adhering to randomized roll-out, degree of buy-in from key implementation staff, and feasibility of managing multiple veto points for interventions that span several programs, among others.
conclusionsSuccessful program implementation and rigorous evaluation require resources, specialized expertise, and careful planning. If the learning health system model is to be sustained, organizations will need dedicated programs to prioritize resources and continuously adapt evaluation designs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.