ArticleJournal of general internal medicine2020
How Practice Facilitation Strategies Differ by Practice Context.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.
What it found
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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.
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Who cites it
44 citing papers in PubMed.
- Characterizing the practice facilitation approach: what facilitators do and how they do it to support quality improvement.Implementation science : IS · 2026Trial
- Integration of a task strengthening strategy for hypertension management into HIV care in Nigeria: Baseline characteristics of participants in a cluster randomized controlled trial.American heart journal · 2026Trial
- Facilitation of Health Plan-Clinic Partnerships to Improve Colorectal Cancer Screening for Rural Medicaid Enrollees: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Trial
- Barriers and facilitators to using practice facilitators to implement a remote cancer symptom management intervention: a mixed methods study.BMC health services research · 2025Trial
- Practice Facilitation to Support Primary Care Physicians With COVID-19 Vaccine Uptake: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Evaluating a virtual facilitation workshop with antimicrobial stewardship teams within a cluster randomized stepped-wedge trial.BMC health services research · 2024Trial
- Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study.Journal of primary care & community healthTrial
- Practice Facilitation to Support Family Physicians in Encouraging COVID-19 Vaccine Uptake: A Multimethod Process Evaluation.Annals of family medicineTrial
- Scaling the collaborative care model in obstetrics: Multilevel determinants to guide implementation.Pregnancy (Hoboken, N.J.) · 2026Article
- Evaluating two implementation approaches to support a nationally mandated caregiver skills training in veterans affairs: a type III hybrid implementation-effectiveness randomized controlled trial.Implementation science communications · 2026Article
- Integrated Community-Clinic Model of Optimized Implementation Strategies to Increase Early Detection of Breast and Cervical Cancers in Kenya: Protocol for a Pragmatic Randomized Controlled Trial.JMIR research protocols · 2026Article
- Managing urinary incontinence: evaluating the role of practice facilitators in enhancing quality improvement and digital integration in primary care.Implementation science communications · 2026Article
- Mechanisms of practice facilitation identified using system dynamics diagramming in a tailored implementation study of unhealthy alcohol screening and treatment in primary care.Implementation science communications · 2026Article
- Tailoring implementation strategies to primary care clinic contexts through practice facilitation: lessons learned from the ANTECEDENT study.Implementation science communications · 2026Article
- Article
- Enhancing Advance Care Planning in Primary Care: A Three-Year Implementation Study in Nebraska.Journal of the American Geriatrics Society · 2025Article
- Improving screening, brief intervention and referral to treatment for unhealthy alcohol use in diverse, low-resourced primary care clinics.BMC health services research · 2024Article
- Virtual practice facilitation as an implementation strategy for launching opioid safety committees for quality improvement in primary care: feasibility, acceptability, and intervention fidelity.BMC primary care · 2024Article
- Implementation Strategies Used by Facilitators to Improve Control of Cardiovascular Risk Factors in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2024Article
- Characteristics of primary care practices by proportion of patients unvaccinated against SARS-CoV-2: a cross-sectional cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundPractice facilitation is an implementation strategy used to build practice capacity and support practice changes to improve health care outcomes. Yet, few studies have investigated how practice facilitation strategies are tailored to different primary care contexts.
objectiveTo identify contextual factors that drive facilitators' strategies to meet practice improvement goals, and how these strategies are tailored to practice context.
designSemi-structured, qualitative interviews analyzed using inductive (open coding) and deductive (thematic) approaches. This study was conducted as part of a larger study, HealthyHearts New York City, which evaluated the impact of practice facilitation on adoption of cardiovascular disease prevention and treatment guidelines.
participants15 facilitators working in two practice contexts: small independent practices (SIPs) and Federally Qualified Health Centers (FQHCs). MAIN MEASURES: Strategies facilitators use to support and promote practice changes and contextual factors that impact this approach. KEY
resultsContextual factors were described similarly across settings and included the policy environment, patient needs, site characteristics, leadership engagement, and competing priorities. We identified four facilitation strategies used to tailor to contextual factors and support practice change: (a) remain flexible to align with practice and organizational priorities; (b) build relationships; (c) provide value through information technology expertise; and (d) build capacity and create efficiencies. Facilitators in SIPs and FQHCs described using the same strategies, often in combination, but tailored to their specific contexts.
conclusionsDespite significant infrastructure and resource differences between SIPs and FQHCs, the contextual factors that influenced the facilitator's change process and the strategies used to address those factors were remarkably similar. The findings emphasize that facilitators require multidisciplinary skills to support sustainable practice improvement in the context of varying complex health care delivery settings.
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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.