Evidence map›Paper›PMID 31085529›Full record

ArticleAnnals of family medicine2019

Shifting Implementation Science Theory to Empower Primary Care Practices.

William L Miller, Ellen B Rubinstein, Jenna Howard, Benjamin F Crabtree

Abstract read
In one paragraph

Article in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  5. Implementation research in Primary Care (Part 2): How to conduct implementation research?Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

William L MillerLehigh Valley Health Network/University of South Florida Morsani College of Medicine, Allentown, Pennsylvania.
Ellen B RubinsteinDepartment of Sociology & Anthropology, North Dakota State Universiry, Fargo, North Dakota.
Jenna HowardDepartment of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey jenna.howard@rutgers.edu.
Benjamin F CrabtreeDepartment of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Funding

PCMH Implementation Strategies: Implications for Cancer Survivor CareR01CA176545 · NCI · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI CRABTREE, BENJAMIN F · 2014 to 2016
$2.3M
NCI NIH HHS R01 CA176545
6 · The paper itself

Abstract

Observers of the past 10 to 15 years have witnessed the simultaneous growth of dramatic changes in the practice of primary care and the emergence of a new field of dissemination and implementation science (D&I). Most current implementation science research in primary care assumes practices are not meeting externally derived standards and need external support to meet these demands. After a decade of initiatives, many stakeholders now question the return on their investments. Overall improvements in quality metrics, utilization cost savings, and patient experience have been less than anticipated. While recently conducting a research project in primary care practices, we unexpectedly discovered 3 practices that profoundly shifted our thinking about the sources and directionality of practice change and the underlying assumptions of D&I. Inspired by these practices-along with systems thinking, complexity theory, action research, and the collaborative approaches of community-based participatory research-we propose a reimagining of D&I theory to empower practices. We shift the emphasis regarding the source and direction of change from

Indexed as

Implementation SciencePractice Patterns, Physicians'Community-Based Participatory ResearchHumansPrimary Health CareQualitative Researchburnoutimplementation sciencephysicians’ officesprimary health careprofessional

Identifiers

PMID31085529
PMCPMC6827625

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.