SynthesisAmerican journal of medical quality : the official journal of the American College of Medical Quality
Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.
Synthesis in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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
18 citing papers in PubMed.
- Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.Translational behavioral medicine · 2026Trial
- Application of the FRAME-IS to a multifaceted implementation strategy.BMC health services research · 2024Trial
- Factors impacting electronic patient-generated data use in safety-net systems: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- The urgency of centering safety-net organizations in AI governance.NPJ digital medicine · 2025Review
- Telehealth and Health Equity in Older Adults With Heart Failure: A Scientific Statement From the American Heart Association.Circulation. Cardiovascular quality and outcomes · 2023Review
- Multilevel Determinants of Digital Health Equity: A Literature Synthesis to Advance the Field.Annual review of public health · 2023Review
- Randomized trial protocol for remote monitoring for equity in advancing the control of hypertension in safety net systems (REACH-SNS) study.Contemporary clinical trials · 2023Article
- Evaluation of COVID-19 vaccine implementation in a large safety net health system.Frontiers in health services · 2023Article
- Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives.SSM. Qualitative research in health · 2022Article
- Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management.Healthcare (Basel, Switzerland) · 2022Article
- Training the next generation of learning health system scientists.Learning health systems · 2022Article
- Barriers and Facilitators to the Implementation of Virtual Reality as a Pain Management Modality in Academic, Community, and Safety-Net Settings: Qualitative Analysis.Journal of medical Internet research · 2021Article
- Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Adaptive learning algorithms to optimize mobile applications for behavioral health: guidelines for design decisions.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Real-world insights from launching remote peer-to-peer mentoring in a safety net healthcare delivery setting.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Article
- National Outreach of Telepalliative Medicine Volunteers for a New York City Safety Net System COVID-19 Pandemic Response.Journal of pain and symptom management · 2020Article
- Research-grade data in the real world: challenges and opportunities in data quality from a pragmatic trial in community-based practices.Journal of the American Medical Informatics Association : JAMIA · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Little is known about dissemination and implementation in safety net settings. The authors conducted a literature review of innovation/implementation studies in US safety net health care settings between 2008 and 2017. Each article was coded for (1) intervention characteristics, (2) implementation stage, (3) internal versus external ownership, and (4) prespecified implementation outcomes (eg, acceptability and fidelity). Twenty studies were identified; the majority were implemented within community clinics or integrated safety net systems (15 articles), most involved care process improvements (13 articles), and most were internally developed (13 articles). The internally developed innovations reported fewer barriers to acceptability among staff/providers, higher leadership involvement and organizational alignment, greater amounts of customization to the local setting, and better sustainment. Future work should harness the high levels of alignment and acceptability in implementation research within safety net settings, with an eye toward maintaining fidelity to facilitate dissemination across sites.
Indexed as
Identifiers
What OpenQuestion holds
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.