2 February 2021

Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis.

Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis.
Health Services and Delivery Research  February 2021;9(2)
  • A realist synthesis of evidence around “what works” in de-implementation of services. The concept analysis showed that de-implementation is associated with five main components in context and over time: (1) what is being de-implemented, (2) the issues driving de-implementation, (3) the action characterising de-implementation, (4) the extent that de-implementation is planned or opportunistic and (5) the consequences of de-implementation. 
  •  Given the whole-system context of de-implementation, a range of different dissemination strategies will be required to engage with different stakeholders, in different ways, to change practice and policy in a timely manner.