Implementation and Scale-Up of Integrated Depression Care in South Africa: An Observational Implementation Research Protocol

What is it about?

Highlights: This study protocol uses an in-site, iterative, observational implementation research design within a learning health system approach to assess the real-world implementation of an evidence-based collaborative model for integrated primary depression care. Potential refinement of each component of the model at multiple levels (patients, providers, system) is evaluated simultaneously, in contrast to evaluating the contribution of a fixed implementation strategy on a set of predetermined outcomes. The learning health systems approach promotes the alignment and response of the model to the priorities and practicalities of implementation across diverse, real-world settings, which should optimize implementation and wider dissemination.

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