Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework

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• 作者：Lisa M. Pfadenhauer ; Ansgar Gerhardus ; Kati Mozygemba…
• 关键词：Context ; Implementation ; Complex intervention ; Concept analysis ; Systematic review ; Applicability ; Transferability ; Health technology assessment ; Public health
• 刊名：Implementation Science
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：12
• 期：1
• 全文大小：889KB
• 刊物主题：Health Promotion and Disease Prevention; Health Administration; Health Informatics; Public Health;
• 出版者：BioMed Central
• ISSN：1748-5908
• 卷排序：12

文摘

BackgroundThe effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to facilitate the structured and comprehensive conceptualisation and assessment of context and implementation of complex interventions.