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Spreading and scaling up innovation and improvement

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Greenhalgh, Trisha, Papoutsi, Chrysanthi·2019·BMJ

DOI 10.1136/bmj.l2068PMC PMC6519511

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Abstract

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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Fig 1 Rapid cycle test of change model of spread used in implementation science. Drawing on insights and a previous diagram in a review by Barker3CC BY-NC · PubMed Central

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Authors: Greenhalgh, T., & Papoutsi, C.
Affiliations: University of Oxford (GB)
Corresponding author: Greenhalgh, Trisha
ORCID: Greenhalgh, Trisha
Papoutsi, Chrysanthi
Venue: BMJ
Publisher: BMJ
Published: 2019-05-10
Volume: 365
Pages: l2068
ISSN: 1756-1833 (ISSN-L)
0959-8138
DOI: 10.1136/bmj.l2068
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: cc-by-nc
www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
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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