ArticleHealth research policy and systems2019
The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review.
Article in Health research policy and systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation Outcomes and Their Determinants for Hospital-Led Care Coordination Interventions Targeting Patients With Complex Care Needs: A Qualitative Systematic Review.Journal of clinical nursing · 2026Pooled it
- Fidelity, pragmatism and the "grey line" in between-exploring the delivery of a pragmatic physical activity randomised controlled trial-a secondary analysis.BMC medical research methodology · 2024Trial
- Learning from scale-up: a qualitative study of scaling-up interventions for people with multiple long-term conditions in primary care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Feasibility, usability, and acceptability of the asynchronous trauma-focused CARE training program for healthcare providers: a cross-sectional study.BMC medical education · 2026Article
- Strategies for spreading, scaling and sustaining perinatal mental health interventions in low- and middle-income countries (LMICs): A scoping review and thematic synthesis.Global mental health (Cambridge, England) · 2026Review
- Taking stock: understanding key processes in the public health programs-stages of research and evaluation framework.Health promotion international · 2025Article
- Spread and Scale-Up of a Region-Wide Telehealth Navigation Service in a Rural Context: Qualitative Process Evaluation.Journal of medical Internet research · 2025Article
- Dissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care.PEC innovation · 2025Article
- Evaluating for learning and sustainability (ELS) framework: a realist synthesis.BMC health services research · 2025Article
- Building capability for clinician-led genomic change: insights from use and non-use of a theory-informed model for change.Frontiers in genetics · 2025Article
- The hierarchy of needs for laboratory medicine requires a foundational care delivery model.Dialogues in health · 2024Article
- Advancing scaling science in health and social care: a scoping review and appraisal of scaling frameworks.BMC health services research · 2024Article
- Experiences of central child health services teams regarding a special governmental investment in child health services.BMC health services research · 2024Article
- Practitioners support and intention to adopt universal access to self-collection in Australia's National Cervical Screening Program.Cancer medicine · 2024Article
- Clinician perspectives of the implementation of an early intervention service for eating disorders in England: a mixed method study.Journal of eating disorders · 2024Article
- European Society of Clinical Pharmacy: 'Implementing and scaling sustainable clinical pharmacy'.International journal of clinical pharmacy · 2024Article
- Clinical Informatics Team Members' Perspectives on Health Information Technology Safety After Experiential Learning and Safety Process Development: Qualitative Descriptive Study.JMIR formative research · 2024Article
- Sustaining e-health innovations in a complex hospital environment: learning through evidence.Frontiers in digital health · 2024Article
- Editorial: Scaling-up health-IT-sustainable digital health implementation and diffusion.Frontiers in digital health · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Innovation has the potential to improve the quality of care and health service delivery, but maximising the reach and impact of innovation to achieve large-scale health system transformation remains understudied. Interest is growing in three processes of the innovation journey within health systems, namely the spread, sustainability and scale-up (3S) of innovation. Recent reviews examine what we know about these processes. However, there is little research on how to support and operationalise the 3S. This study aims to improve our understanding of the 3S of healthcare innovations. We focus specifically on the definitions of the 3S, the mechanisms that underpin them, and the conditions that either enable or limit their potential. We conducted a scoping review, systematically investigating six bibliographic databases to search, screen and select relevant literature on the 3S of healthcare innovations. We screened 641 papers, then completed a full-text review of 112 identified as relevant based on title and abstract. A total of 24 papers were retained for analysis. Data were extracted and synthesised through descriptive and inductive thematic analysis. From this, we develop a framework of actionable guidance for health system actors aiming to leverage the 3S of innovation across five key areas of focus, as follows: (1) focus on the why, (2) focus on perceived-value and feasibility, (3) focus on what people do, rather than what they should be doing, (4) focus on creating a dialogue between policy and delivery, and (5) focus on inclusivity and capacity building. While there is no standardised approach to foster the 3S of healthcare innovations, a variety of practical frameworks and tools exist to support stakeholders along this journey.
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What OpenQuestion holds
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.