A stakeholder-driven agenda for advancing the science and practice of scale-up and spread in health
| Autor: | Wynne E. Norton, C. Joseph McCannon, Brian S. Mittman, Marie W. Schall |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty Capacity Building Debate Scale-up Spread Dissemination Health Informatics Healthcare delivery Health systems research Health informatics Health administration 03 medical and health sciences 0302 clinical medicine Nursing Health care Improvement Humans Medicine 030212 general & internal medicine Health Education Health policy Medicine(all) Public health lcsh:R5-920 Health Priorities Information Dissemination business.industry 030503 health policy & services Health Policy Healthcare Stakeholder Health services research Public Health Environmental and Occupational Health International health General Medicine Public relations 3. Good health Implementation lcsh:Medicine (General) 0305 other medical science business Delivery of Health Care |
| Zdroj: | Implementation Science, Vol 7, Iss 1, p 118 (2012) Implementation Science : IS |
| ISSN: | 1748-5908 |
| DOI: | 10.1186/1748-5908-7-118 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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