Figure 2.

Framework merging implementation science arenas, stakeholders, and strategies with insights from social scientific research on health inequities. Like other implementation science frameworks, we place patients, providers, and families at the center of the action, and show that their healthcare seeking behaviors are affected by—and potentially limited by—factors in the inner clinic setting and outer clinic setting. We also show, however, that fundamental causes of disease (e.g., poverty, racism, structural inequalities) exert their influence. The heavy dashed line connects the nine major categories of implementation science strategies identified by the ERIC study [63,64]. The lighter dashed line connects the stakeholders who should play a role in dissemination and implementation efforts. Any of the nine categories of implementation science strategies identified by the ERIC study could be used by any of the stakeholders; indeed, an effective implementation may require the involvement of multiple stakeholders, each bringing their skills to the project.