ArticleHealth affairs (Project Hope)2018
Taking Innovation To Scale In Primary Care Practices: The Functions Of Health Care Extension.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02560428 (Evaluating System Change to Advance Learning and Take Evidence to Scale), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Federal Investment in Primary Care Transformation: A Systematic Review and Qualitative Analysis.JAMA health forum · 2025Pooled it
- Trial
- Article
- Veteran Perspectives on Priority Areas for Rural Community-Level Suicide Prevention.Rural mental health · 2025Article
- Supporting Practice Facilitators in a Learning Health Care System.The Permanente journal · 2023Article
- Estimating the Cardiovascular Disease Risk Reduction of a Quality Improvement Initiative in Primary Care: Findings from EvidenceNOW.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Development of the SPREAD framework to support the scaling of de-implementation strategies: a mixed-methods study.BMJ open · 2022Review
- Why social accountability of medical schools in Sudan can lead to better primary healthcare and excellence in medical education?Journal of family medicine and primary care · 2020Review
- The Role of Health Extension in Practice Transformation and Community Health Improvement: Lessons From 5 Case Studies.Annals of family medicine · 2019Article
- Facilitating Practice Transformation in Frontline Health Care.Annals of family medicine · 2019Article
- Specifying and comparing implementation strategies across seven large implementation interventions: a practical application of theory.Implementation science : IS · 2019Observational
- Learning from the transfer of a fellowship programme to support primary care workforce needs in the UK: a qualitative study.BMJ open · 2019Article
- The Capacity of Primary Care for Improving Evidence-Based Care: Early Findings From AHRQ's EvidenceNOW.Annals of family medicine · 2018Article
- Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study.Annals of family medicineArticle
- Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices.Annals of family medicineArticle
- Improving Smoking and Blood Pressure Outcomes: The Interplay Between Operational Changes and Local Context.Annals of family medicineArticle
- The Need for Coaches in the Clinical World.Annals of family medicineArticle
- Dedicated Workforce Required to Support Large-Scale Practice Improvement.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
Health care extension is an approach to providing external support to primary care practices with the aim of diffusing innovation. EvidenceNOW was launched to rapidly disseminate and implement evidence-based guidelines for cardiovascular preventive care in the primary care setting. Seven regional grantee cooperatives provided the foundational elements of health care extension-technological and quality improvement support, practice capacity building, and linking with community resources-to more than two hundred primary care practices in each region. This article describes how the cooperatives varied in their approaches to extension and provides early empirical evidence that health care extension is a feasible and potentially useful approach for providing quality improvement support to primary care practices. With investment, health care extension may be an effective platform for federal and state quality improvement efforts to create economies of scale and provide practices with more robust and coordinated support services.
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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.