A stakeholder-driven agenda for advancing the science and practice of scale-up and spread in health

Implementation Science

Brian S Mittman¹  Marie W Schall³  C Joseph McCannon³  Wynne E Norton² 

[1] VA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, North Hills, CA, 91343, USA;Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL, 35294, USA;Institute for Healthcare Improvement, 20 University Road, Cambridge, MA, 02138, USA

关键词: Healthcare delivery;    Health systems research;    Dissemination;    Implementation;    Improvement;    Public health;    Healthcare;    Spread;    Scale-up;   

Others  :  813857
DOI  :  10.1186/1748-5908-7-118

 received in 2012-04-02, accepted in 2012-11-30,  发布年份 2012

【 摘 要 】

Background

Although significant advances have been made in implementation science, comparatively less attention has been paid to broader scale-up and spread of effective health programs at the regional, national, or international level. To address this gap in research, practice and policy attention, representatives from key stakeholder groups launched an initiative to identify gaps and stimulate additional interest and activity in scale-up and spread of effective health programs. We describe the background and motivation for this initiative and the content, process, and outcomes of two main phases comprising the core of the initiative: a state-of-the-art conference to develop recommendations for advancing scale-up and spread and a follow-up activity to operationalize and prioritize the recommendations. The conference was held in Washington, D.C. during July 2010 and attended by 100 representatives from research, practice, policy, public health, healthcare, and international health communities; the follow-up activity was conducted remotely the following year.

Discussion

Conference attendees identified and prioritized five recommendations (and corresponding sub-recommendations) for advancing scale-up and spread in health: increase awareness, facilitate information exchange, develop new methods, apply new approaches for evaluation, and expand capacity. In the follow-up activity, ‘develop new methods’ was rated as most important recommendation; expanding capacity was rated as least important, although differences were relatively minor.

Summary

Based on the results of these efforts, we discuss priority activities that are needed to advance research, practice and policy to accelerate the scale-up and spread of effective health programs.

【 授权许可】

   
2012 Norton et al.; licensee BioMed Central Ltd.

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