ReviewJournal of general internal medicine2019
Strategies for Building Delivery Science in an Integrated Health Care System.
Review in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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
13 citing papers in PubMed, 28 citations in OpenAlex.
- Health Care Utilization and Pediatric Appendicitis: Insights From an Integrated Health System.The Permanente journal · 2026Article
- Impediments to transforming the healthcare delivery system: shifting the paradigm from provider centric to patient centric.Frontiers in health services · 2026Article
- Stroke prophylaxis after US emergency department diagnosis and discharge of patients with atrial fibrillation and flutter from 21 hospitals.International journal of emergency medicine · 2025Article
- Creating pragmatic, rapid-cycle, evidence-based innovation: The Kaiser Permanente Northern California Delivery Science and Applied Research (DARE) program.Learning health systems · 2025Article
- Barriers and facilitators to high-volume evidence-based innovation and implementation in a large, community-based learning health system.BMC health services research · 2024Article
- Training the next generation of delivery science researchers: 10-year experience of a post-doctoral research fellowship program within an integrated care system.Learning health systems · 2024Article
- The implementation checklist: A pragmatic instrument for accelerating research-to-implementation cycles.Learning health systems · 2023Article
- Development and use of a novel tool for assessing and improving researcher embeddedness in learning health systems and applied system improvements.Journal of clinical and translational science · 2023Article
- Innovation Centers in Health Care Delivery Systems: Structures for Success.Journal of medical Internet research · 2022Article
- Changing the research paradigm for digital transformation in healthcare delivery.Frontiers in digital health · 2022Article
- The Stanford Lightning Report Method: A comparison of rapid qualitative synthesis results across four implementation evaluations.Learning health systems · 2020Article
- Implementation outcomes and strategies for depression interventions in low- and middle-income countries: a systematic review.Global mental health (Cambridge, England) · 2020Review
- How Are Qualitative Methods Used in Implementation Science Research? Results From a Systematic Scoping Review.Implementation research and practiceReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health systems today have increasing opportunities and imperatives to conduct delivery science, which is applied research that evaluates clinical or organizational practices that systems can implement or encourage. Examples include research on eliminating racial/ethnic disparities in hypertension management and on identifying the types of patients who can successfully use video visits. Clinical leaders and researchers often face barriers to delivery science, including limited funding, insufficient leadership support, lack of engagement between operational and research leaders, limited pools of research expertise, and lack of pathways to identify and develop ideas. We describe five key strategies we employed to address these barriers and develop a portfolio of delivery science programs in Kaiser Permanente Northern California. This portfolio now includes small and medium-sized grant programs, training programs for postdoctoral research fellows and experienced physician researchers, and a dedicated team that partners with clinicians to develop high-priority ideas and conduct small projects. Most of our approaches are consistent with frameworks used to develop delivery science by other health systems; some are innovative. Most of these strategies are adaptable by other health systems prepared to make long-range organizational commitments to mechanisms that foster partnerships between clinical leaders and researchers.
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.