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Spreading and scaling up innovation and improvement
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Disseminating innovation across the healthcare system is challenging but potentially achievable through different logics: mechanistic, ecological, and social, say Trisha Greenhalgh and Chrysanthi Papoutsi
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“the successful spread and scaling up of innovations in health care systems is complex, and necessitates both structure and adaptability to the local context, benefitting from a participatory culture, distributed leadership, transparent assessment of outcomes, collective learning, and adaptation.10”
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“Given that sustainability requires ongoing effort, it is essential to build local capacity to adapt to constant change [14, 54].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [54]
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Additional file 1 of Defining re-implementation
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Changemakers: Designers in Healthcare
Miller, E., & Winter, A. (2024) · Springer eBooks · doi:10.1007/978-981-99-6811-4_1
Metadata
- Authors
- Greenhalgh, T., & Papoutsi, C.
- Affiliations
- University of Oxford (GB)
- Corresponding author
- Greenhalgh, Trisha
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2019-05-10
- Volume
- 365
- Pages
- l2068
- ISSN
- 1756-1833 (ISSN-L)
- 0959-8138
- PMC
- PMC6519511
- OpenAlex
- W2944295219
- Cited by
- 382
- References
- 24
- Citations by year
- 2026: 35 · 2025: 46 · 2024: 88 · 2023: 60 · 2022: 50 · 2021: 63 · 2020: 33 · 2019: 7
- FWCI
- 52.12
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- BMJ (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Wellcome Trust (104830/Z/14/Z)
- National Institute for Health and Care Research (HS&DR-13/59/26, 13/59/26)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- innovation dissemination, scale-up, healthcare innovation, social diffusion
- MeSH terms
- Delivery of Health Care, Diffusion of Innovation, Health Services Research, Humans, Organizational Innovation, Quality Improvement
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