ArticleBMC health services research2020
Defining sustainability in practice: views from implementing real-world innovations in health care.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses 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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Methods used to design audit and feedback interventions to change clinical practice: a scoping review.Frontiers in health services · 2026Pooled it
- Revolutionising health and social care: innovative solutions for a brighter tomorrow - a systematic review of the literature.BMC health services research · 2024Pooled it
- Towards a Sub-Acute Cardiorespiratory Physiotherapy Service Within a Hospital-at-Home Model: A Descriptive Qualitative Study.Journal of multidisciplinary healthcare · 2026Article
- Investigating the Role of Situational Disruptors in Engagement with Digital Mental Health Tools.CSCW : proceedings of the Conference on Computer-Supported Cooperative Work. Conference on Computer-Supported Cooperative Work · 2025Article
- Co-Production, Co-Creation and Co-Design in Primary Health Care: A Scoping Review of Design, Implementation, Impact and Sustainability.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Exploring the sustainability of virtual care interventions: A scoping review.PLOS digital health · 2025Article
- Article
- Applying the updated MRC framework for developing and evaluating complex interventions with integrated implementation conceptual knowledge: an example using NeuroRehabilitation OnLine.Frontiers in health services · 2025Article
- Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework.Frontiers in health services · 2025Review
- Mobilizing strategic inflection points for sustainment of an effective intervention in an integrated learning health system: an interpretive description.Implementation science communications · 2024Article
- An initial typology of approaches used by policy and practice agencies to achieve sustained implementation of interventions to improve health.Implementation science communications · 2024Article
- Environmental effects of surgical procedures and strategies for sustainable surgery.Nature reviews. Gastroenterology & hepatology · 2023Review
- Potentially Identifying Variables Reported in 100 Qualitative Health Research Articles: Implications for Data Sharing and Secondary Analysis.Forum, qualitative social research · 2023Article
- Sustaining HIV Research in Resource-Limited Settings Using PLAN (People, Learning, Adapting, Nurturing): Evidence from the 4 Youth by Youth Project in Nigeria.Current HIV/AIDS reports · 2023Review
- Review article: A primer for clinical researchers in the emergency department: Part XII. Sustainability of improvements in care: An introduction.Emergency medicine Australasia : EMA · 2022Review
- Sustainability of evidence-based practices in the management of infants with bronchiolitis in hospital settings - a PREDICT study protocol.BMC health services research · 2022Article
- Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism.JAMA network open · 2022Article
- Coordination of sustainable financing for evidence-based youth mental health treatments: protocol for development and evaluation of the fiscal mapping process.Implementation science communications · 2022Article
- De-implementing and sustaining an intervention to eliminate nursing home resident bed and chair alarms: interviews on leadership and staff perspectives.Implementation science communications · 2021Article
- Wearable Activity Monitoring in Day-to-Day Stroke Care: A Promising Tool but Not Widely Used.Sensors (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundOne of the key conceptual challenges in advancing our understanding of how to more effectively sustain innovations in health care is the lack of clarity and agreement on what sustainability actually means. Several reviews have helped synthesize and clarify how researchers conceptualize and operationalize sustainability. In this study, we sought to identify how individuals who implement and/or sustain evidence-informed innovations in health care define sustainability.
methodsWe conducted in-depth, semi-structured interviews with implementation leaders and relevant staff involved in the implementation of evidence-based innovations relevant to cancer survivorship care (n = 27). An inductive approach, using constant comparative analysis, was used for analysis of interview transcripts and field notes.
resultsParticipants described sustainability as an ongoing and dynamic process that incorporates three key concepts and four important conditions. The key concepts were: (1) continued capacity to deliver the innovation, (2) continued delivery of the innovation, and (3) continued receipt of benefits. The key conditions related to (2) and (3), and included: (2a) innovations must continue in the absence of the champion or person/team who introduced it and (3a) adaptation is critical to ensuring relevancy and fit, and thus to delivering the intended benefits.
conclusionsParticipants provided a nuanced view of sustainability, with both continued delivery and continued benefits only relevant under certain conditions. The findings reveal the interconnected elements of what sustainability means in practice, providing a unique and important perspective to the academic literature.
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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.