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A scoping review of equity-focused implementation theories, models and frameworks in healthcare and their application in addressing ethnicity-related health inequities

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Authors:
Summary:

A review of implementation science theories, models and frameworks (TMFs) may be used as a guide to TMF selection and to illustrate how TMFs have been used in equity-focused implementation activities. A total of 26 papers describing 15 TMFs and their operationalisation were included from analysis of literature published between January 2011 and April 2022. TMFs were categorised as determinant frameworks (n = 4), implementation theories (n = 1), process models (n = 6) and evaluation frameworks (n = 3). One framework contained elements of determinant, process and evaluation and was therefore classified as a ‘hybrid’ framework. An equity focus was present in 12 TMFs, and three were established TMFs applied in an equity context. Systems-level factors were at least partially considered in all TMFs, with macro-, meso- and micro-level influences on equity and implementation fully considered in five.

Comment:
Really useful reference for grant applications, especially when thinking about how to make our research ‘translatable’ or, even better, transformative!
Reference: Implement Sci. 2023;18(1):51.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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