De-Implementation & Other Thorny Issues

Karen Born, St. Michael’s Hospital & IHPME

This presentation will focus on the challenges associated with de-implementation, rather than implementation. I will provide an overview of the quality problem of overuse and waste in health care and address how strategies to address overuse and reduce waste offer a unique challenge to implementation science. Considerations and challenges specific to de-implementation and the efforts of Choosing Wisely campaigns around the world will be discussed.

Karen Born, PhD is Knowledge Translation Lead for Choosing Wisely Canada. She is responsible for the dissemination of campaign content to patients and the public and the integration of Choosing Wisely Canada into medical education. Karen also helps organize the Choosing Wisely international collaboration. Karen co-founded the health care policy blog, www.healthydebate.ca, and is an Assistant Professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto.

Readings to consider:

https://www.bmj.com/content/367/bmj.l6317.abstract

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2457401

https://qualitysafety.bmj.com/content/27/5/333

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)32586-7/fulltext

https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0826-6#citeas

Dissemination & Implementation Science: Explained & Emerging

The Series will feature leading scholars in the areas of dissemination and implementation science, who will engage seminar participants in discussions around a variety of topics including: differentiating dissemination and implementation science and situating them within the broader KT domain; what is knowledge and approaches to its generation; the history and evolution of dissemination and implementation science; dominant and promising theory and frameworks for DIS; research approaches, methods and methodological challenges in implementation science; de-implementation and other thorny implementation issues; network perspectives on D&I; sustainability research; and contemporary research on scale up & scale out.