“Horses for Courses”: Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”.
Abstract: This commentary considers the vexed question of whether or not we should be spending time and resources on using multifaceted interventions to undertake implementation of evidence in healthcare. A review of systematic reviews has suggested that simple interventions may be just as effective as those taking a multifaceted approach. Taking cognisance of the Promoting Action on Research Implementation in Health Services (PARIHS) framework this commentary takes account of the evidence, context and facilitation factors in undertaking implementation. It concludes that a 'horses for courses' approach is necessary meaning that the specific implementation approach should be selected to fit the implementation task in hand whether it be a single or multifaceted approach and reviewed on an individual basis.
© 2015 by Kerman University of Medical Sciences.
Publication Date: 2015-07-13 PubMed ID: 26673180PubMed Central: PMC4594110DOI: 10.15171/ijhpm.2015.127Google Scholar: Lookup
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Summary
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This research paper discusses the implementation of evidence in healthcare, evaluating the effectiveness of single-faceted versus multifaceted interventions, and concludes by recommending a flexible approach based on individual circumstances.
Overview of the Research
- The study is a commentary on the persistent argument regarding the most effective and efficient use of resources and time while incorporating researched evidence into healthcare policies and practices.
- It is influenced by a review of systematic reviews that stipulates that simple, single-faceted interventions could be as effective as their complex, multifaceted counterparts.
- The Promoting Action on Research Implementation in Health Services (PARIHS) framework is central to their investigation. This model emphasizes the significance of evidence, context, and facilitation in conducting successful implementation.
Key Findings of the Research
- The study ultimately proposes a ‘horses for courses’ approach to select the implementation method. This implies that the choice between a single-faceted or a multifaceted intervention should depend on the specific task at hand and individual circumstances.
- This flexible methodology may be necessary to maximize the benefits of the intervention and the productive use of available resources.
- It suggests that it is not about selecting a single standardized method but rather analyzing each scenario individually and deciding on the most appropriate course of action.
Contribution to the Field
- While previous discourses have biased towards one form of intervention over the other, this study analyzes the issue from a more practical perspective, considering each situation’s unique demands.
- This paper contributes to the debate of intervention strategies in healthcare implementation, advocating for a more flexible approach rather than sticking to a one-size-fits-all methodology.
- Through promoting this approach, the study ultimately encourages a more efficient utilization of resources thereby increasing overall effectiveness in the implementation of researched evidence in healthcare.
Cite This Article
APA
Wilkinson JE, Frost H.
(2015).
“Horses for Courses”: Comment on “Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”.
Int J Health Policy Manag, 4(10), 685-686.
https://doi.org/10.15171/ijhpm.2015.127 Publication
Researcher Affiliations
- School of Health Sciences, University of Stirling, Stirling Scotland, UK.
- Nursing, Midwifery and Allied Health Professionals Research Unit, School of Health Sciences, University of Stirling, Stirling Scotland, UK.
References
This article includes 14 references
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Citations
This article has been cited 2 times.- Hasan MM, Rafferty MR, Tawfik S, Tawfik A, Beestrum M, Smith JD, Hirschhorn LR, Roth EJ, Woods DM. Implementation of Home-Based Telerehabilitation of Patients With Stroke in the United States: Protocol for a Realist Review. JMIR Res Protoc 2023 Jul 11;12:e47009.
- Harvey G, Kitson A. Single Versus Multi-Faceted Implementation Strategies - Is There a Simple Answer to a Complex Question? A Response to Recent Commentaries and a Call to Action for Implementation Practitioners and Researchers. Int J Health Policy Manag 2015 Dec 24;5(3):215-7.
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