Approaches to spread, scale-up, and sustainability

Few interventions that succeed in improving healthcare locally end up becoming spread and sustained more widely. This indicates that we need to think differently about spreading improvements in practice. Drawing on a focused review of academic and grey literature, the authors outline how spread, sca...

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Bibliographic Details
Other Authors: Papoutsi, Chrysanthi, 1984- author (author), Greenhalgh, Trisha, author, Marjanovic, Sonja, author
Format: eBook
Language:Inglés
Published: Cambridge : Cambridge University Press 2024.
Edition:1st ed
Series:Elements of improving quality and safety in healthcare (Series),
Subjects:
See on Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009790839406719
Description
Summary:Few interventions that succeed in improving healthcare locally end up becoming spread and sustained more widely. This indicates that we need to think differently about spreading improvements in practice. Drawing on a focused review of academic and grey literature, the authors outline how spread, scale-up, and sustainability have been defined and operationalised, highlighting areas of ambiguity and contention. Following an overview of relevant frameworks and models, they focus on three specific approaches and unpack their theoretical assumptions and practical implications: the Dynamic Sustainability Framework, the 3S (structure, strategy, supports) infrastructure approach for scale-up, and the NASSS (non-adoption, abandonment, and challenges to scale-up, spread, and sustainability) framework. Key points are illustrated through empirical case narratives and the Element concludes with actionable learning for those engaged in improvement activities and for researchers. This title is also available as Open Access on Cambridge Core.
Item Description:Title from publisher's bibliographic system (viewed on 16 Jan 2024).
Physical Description:1 online resource (44 pages) : digital, PDF file(s)
ISBN:9781009326001
9781009326025
9781009326049
Access:Open Access.