A Taxonomy for External Support for Practice Transformation

• DOI: 10.3122/jabfm.2021.01.200225
• Publication Date: 2021-01-15T16:05:14Z
• Authors: Leif I. Solberg; Anton Kuzel; Michael L. Parchman; Donna R. Shelley; W. Perry Dickinson; Theresa L. Walunas; Ann M. Nguyen; Lyle J. Fagnan; Samuel Cykert; Deborah J. Cohen; Bijal A. Balasubr...; Douglas Fernald; Leah Gordon; Abel Kho; Alex Krist; William Miller; Carolyn Berry; Daniel Duffy; Zsolt Nagykaldi
• Keywords: 03 medical and health sciences; Primary Health Care; Communication; Humans; 0305 other medical science; Quality Improvement; Research Personnel; 3. Good health

<h3>Background:</h3> There is no commonly accepted comprehensive framework for describing the practical specifics of external support practice change. Our goal was to develop such a taxonomy that could be used by both groups or researchers and health care leaders. <h3>Methods:</h3> The leaders 8 grants from Agency Research Quality EvidenceNOW study improving cardiovascular preventive services in over 1500 primary practices nationwide worked collaboratively 18 months descriptions key domains might comprehensively characterize any intervention. Combining literature reviews with our experiences this initiative past work, we aimed define these recommend measures them. <h3>Results:</h3> includes 1 domain specify conceptual model(s) on which an intervention built another types strategies used. Another 5 provide about dose/mode support, change process changes are encouraged, degree prescriptive standardized. A model created illustrate how fit together they would respond needs reactions. <h3>Conclusions:</h3> This its use more consistently documenting characterizing interventions should facilitate communication synergies between 3 areas (quality improvement, research, implementation science) have historically tended work independently. designed as useful systems managing it research.