Table 2 Implementation and service outcomes
Implementation and service outcome | Definition |
|---|---|
Acceptability | The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory. |
Adoption | The intention, initial decision, or action to try or employ an innovation or evidence-based practice. Adoption also may be referred to as “uptake.” |
Appropriateness | The perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer, and/or perceived fit of the innovation to address a particular issue or problem. |
Costs | The cost impact of an implementation effort, including itemized costs of administration overheads, commodities and supplies, and human resources. |
Coverage | The extent to which an intervention provides services to the target population. |
Effectiveness | How well the applied intervention or innovation successfully produces or influences the desired outcome. |
Efficiency | How optimally resources are applied in the implementation of an intervention or innovation, or to what extent the intervention or innovation produces a desired output relative to its time and resource expenditure. |
Equity | The absence of remedial differences in the delivery and reception of services of an intervention among its target population. |
Feasibility | The extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting. |
Fidelity | The degree to which an intervention was implemented as it was prescribed in the original protocol or as it was intended by the program developers. |
Penetration | The integration of a practice within a service setting and its subsystems. |
Quality | The extent to which an intervention and its services are effective, timely, patient-centered, and safe. Quality can be considered a composite indicator of various dimensions and service indicators. |
Sustainability | The extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations. |
Timeliness | How rapidly an intervention or service addresses the intended target population or patient within an appropriate timeframe. |