Strategies for Promoting Organizational and Practice Change by Advancing Implementation Research


  • Lisa V. Rubenstein MD, MSPH,

    1. Veterans Administration Greater Los Angeles, Los Angeles, CA, USA
    2. Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA
    3. RAND Corporation, Santa Monica, CA, USA
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  • Jacqueline Pugh MD

    1. South Texas Veterans Health Care System, San Antonio, TX, USA
    2. Department of Medicine, Division of General Medicine, University of Texas Health Science Center at San Antonio, San Antonio TX, USA.
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The authors have no conflict of interest to declare for this article. Address correspondence and requests for reprints to Dr. Rubenstein: VA Medical Center (152), 16111 Plummer Street, Sepulveda, CA 91343 (e-mail:


BACKGROUND: The persistence of a large quality gap between what we know about how to produce high quality clinical care and what the public receives has prompted interest in developing more effective methods to get evidence into practice. Implementation research aims to supply such methods.

PURPOSE: This article proposes a set of recommendations aimed at establishing a common understanding of what implementation research is, and how to foster its development.

METHODS: We developed the recommendations in the context of a translation research conference hosted by the VA for VA and non-VA health services researchers.

IMPACTS: Health care organizations, journals, researchers and academic institutions can use these recommendations to advance the field of implementation science and thus increase the impact of clinical and health services research on the health and health care of the public.