Revista de Saúde Pública (Apr 2021)

Embedded implementation research determinants in Latin American health systems

  • Rodrigo García-Cerde,
  • Victor Becerril-Montekio,
  • Étienne Langlois,
  • Ludovic Reveiz,
  • Jacqueline Alcalde-Rabanal,
  • Pilar Torres-Pereda

DOI
https://doi.org/10.11606/s1518-8787.2021055003027
Journal volume & issue
Vol. 55

Abstract

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ABSTRACT OBJECTIVE: To assess the determinants of embedded implementation research (EIR) conduct in seven Latin American and Caribbean countries. METHODS: This qualitative interpretative study conducted and analyzed 14 semi-structured interviews based on a grounded theory approach using Atlas-ti© 7.5.7. We grouped the conditions appointed by interviewees as determinants of EIR conduct into six domains. RESULTS: The participation of high-level engaged decision makers as research co-producers is an important EIR determinant that fosters research use. Nevertheless, EIR faces challenges such as dealing with key personnel changes and fluctuating political contexts. CONCLUSIONS: Despite its limitations, EIR is effective in creating a sense of ownership of research results among implementers, which helps bridge the gap between research and decision-making in health systems.

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