An Integrative Model for Change: Scoping Review of Human Factors,Implementation Science,and Quality Improvement Approaches in Primary Care

Abstract

This scoping review collects methods and frameworks from three fields with a shared goal of improving healthcare practice with a focus on primary care settings: Human Factors, Implementation Science, and Quality Improvement. The approaches from these three fields have been synthesized in a conceptual model that builds on complementarities between fields and encourages interdisciplinary integration. The resulting integrative model provides a helpful guide for organizing healthcare improvement approaches into a cyclical process that is consistent with real-world practice. Users of this model can select from a collection of existing approaches to support their improvement projects, develop and test new transdisciplinary approaches that combine or mix existing approaches, or guide their interdisciplinary education in primary care change approaches. Future work will refine and expand this model to balance practicality and rigor.