Latest Insights & Research

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Analytics

A List Isn’t a Decision: Why Barrier and Facilitator Studies Don’t Always Help People Choose

This article is part of Decision-Useful Implementation Science, an ongoing series exploring what implementation research actually tells us about putting evidence into practice. Using large-scale text analysis, natural language processing, and bibliometric methods, the project examines nearly 1.5 million PubMed-indexed publications from 1980 to 2025. Rather than reviewing individual studies, the series steps back to […]

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Commentary

We Keep Studying Barriers. Why Doesn’t Implementation Get Easier?

Implementation science has become remarkably good at describing why change is difficult. Over the past four decades, researchers have interviewed clinicians, observed organizations, synthesized evidence, developed implementation frameworks, and published hundreds of thousands of papers documenting the obstacles to putting evidence into practice. Leadership matters. Resources matter. Organizational culture matters. Training, workflow, stakeholder engagement, incentives, […]

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