ArticleLearning health systems2022
Balancing reality in embedded research and evaluation: Low vs high embeddedness.
Article in Learning health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed.
- Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.Journal of general internal medicine · 2026Article
- Embedding research in practice: enablers, challenges and pathways to sustainability for embedded health researchers in Canada.Health research policy and systems · 2026Article
- Structuring Collaboration Between Researchers and Operational Innovators: Diffusing New Practices Across the Veteran's Administration Healthcare System.Learning health systems · 2026Article
- Transitioning an implementation research intervention to a sustained clinical service: Telehealth primary care mental health integration implementation in Veterans Health Administration.Psychological services · 2025Article
- Implementation and development of an embedded researcher program driven by rural health services: a qualitative exploratory case study.BMC health services research · 2025Article
- How senior leaders support innovations in large learning health systems: Insights from United States Veterans Health Administration national program office leaders.Learning health systems · 2025Article
- Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration.Implementation science : IS · 2024Article
- Life After the HSIF: Lessons From Diffusion of Innovation for Sustaining the Impact of Embeddedness Comment on "Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program".International journal of health policy and management · 2024Article
- Embedding implementation research to cross the quality of care chasm during the covid-19 pandemic and beyond.BMJ (Clinical research ed.) · 2023Article
- Supporting Veteran's Administration Medical Center Directors' Decisions When Adopting Innovative Practices: Development and Implementation of the "QuickView" and "WishList" Tools.The Permanente journal · 2023Article
- The journey to a learning health system in primary care: a qualitative case study utilising an embedded research approach.BMC primary care · 2023Article
- Sustainment of diverse evidence-informed practices disseminated in the Veterans Health Administration (VHA): initial development and piloting of a pragmatic survey tool.Implementation science communications · 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
- Evaluating clinician-led quality improvement initiatives: A system-wide embedded research partnership at Stanford Medicine.Learning health systems · 2022Article
- Balancing reality in embedded research and evaluation: Low vs high embeddedness.Learning health systems · 2022Article
- Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR Outcomes Addendum.Implementation science : IS · 2022Review
- Getting to implementation: Adaptation of an implementation playbook.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Embedding research and evaluation into organizations is one way to generate "practice-based" evidence needed to accelerate implementation of evidence-based innovations within learning health systems. Organizations and researchers/evaluators vary greatly in how they structure and operationalize these collaborations. One key aspect is the degree of embeddedness: from low embeddedness where researchers/evaluators are located outside organizations (eg, outside evaluation consultants) to high embeddedness where researchers/evaluators are employed by organizations and thus more deeply involved in program evolution and operations. Pros and cons related to the degree of embeddedness (low vs high) must be balanced when developing these relationships. We reflect on this process within the context of an embedded, mixed-methods evaluation of the Veterans Health Administration (VHA) Diffusion of Excellence (DoE) program. Considerations that must be balanced include: (a) low vs high alignment of goals; (b) low vs high involvement in strategic planning; (c) observing what is happening vs being integrally involved with programmatic activities; (d) reporting findings at the project's end vs providing iterative findings and recommendations that contribute to program evolution; and (e) adhering to predetermined aims vs adapting aims in response to evolving partner needs.
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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.