ArticleBMC research notes2016
Towards the implementation of large scale innovations in complex health care systems: views of managers and frontline personnel.
Article in BMC research notes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- Understanding Implementation of a Technology-Facilitated Hypertension Model in Federally Qualified Health Centers: A Realist Evaluation of Staff Experiences.Journal of general internal medicine · 2026Article
- Balancing standardisation and flexibility in National complex intervention scale-up: a qualitative study of leadership experiences and management in the implementation of Proactive Health Support in Denmark.BMC health services research · 2026Article
- Article
- Scale and spread of innovation in health and social care: Insights from the evaluation of the New Care Model/Vanguard programme in England.Journal of health services research & policy · 2023Article
- Scaling-Up eConsult: Promising Strategies to Address Enabling Factors in Four Jurisdictions in Canada.International journal of health policy and management · 2023Review
- Article
- A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice.International journal of environmental research and public health · 2021Article
- Article
- Article
- The barriers and facilitators to the implementation of National Clinical Programmes in Ireland: using the MRC framework for process evaluations.BMC health services research · 2018Article
- PROTOCOL: Strategies for scaling up the implementation of interventions in social welfare: protocol for a systematic review.Campbell systematic reviews · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreasingly, theorists and academic researchers develop, implement and test frameworks and strategies for improving the safety, effectiveness and efficiency of health care-at scale. The purpose of this research was to surface the views of health system managers and frontline personnel charged with implementing these improvement processes, to better understand key to success from personal experience.
resultsA total of 17 out of 21 individuals invited to participate took part. Respondents, who were experienced senior managers and executives from various health agencies, provided comments via semi-structured discussions that lasted approximately 1 h. The discussions broadly focussed on what enables and inhibits the wider application of innovations to improve health service delivery. Respondents identified a number of broad factors that underpinned the successful and sustainable implementation of innovative initiatives: (1) a sound business case or 'case for change'; (2) good preparation for the change process and thought given to how the initiative could be adapted to different contexts; (3) good engagement of clinicians, administrators and others; and (4) good support provided through the implementation phase, including having the right people, structures and strategies in place to coordinate implementation across the system.
conclusionsMeasured responses that acknowledge both the tangible and less tangible aspects of a change process are required for the planning and implementation of large scale, successful and sustainable change initiatives across complex health systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.