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Fig. 1 | Implementation Science

Fig. 1

From: The health equity implementation framework: proposal and preliminary study of hepatitis C virus treatment

Fig. 1

The Health Equity Implementation Framework explains factors relevant to implementation and disparities in healthcare. In this framework, the innovation is delivered in the clinical encounter. We posit that the clinical encounter is an interaction between recipients (e.g., patient and provider) and the innovation itself (e.g., HIV prevention medication), although the interaction could occur in other settings (e.g., between patient and peer navigator). The Health Equity Implementation Framework identified healthcare system factors, broadly, which most closely aligned with the outer context in i-PARIHS. i-PARIHS specified two other levels within context: inner (local—clinic or unit or ward) and inner (organizational—hospital or network). In the Health Equity Implementation Framework, we highlight that societal influence is especially important to consider when assessing all other factors because of the impact society can have on healthcare disparities. Implementation facilitation, or facilitation, is an essential active process to ignite change to any of the elements or factors

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