000 02566nam a2200397 i 4500
001 CR9781009326049
003 UkCbUP
005 20240508141515.0
006 m|||||o||d||||||||
007 cr||||||||||||
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020 _a9781009326049 (ebook)
020 _z9781009462617 (hardback)
020 _z9781009326032 (paperback)
040 _aUkCbUP
_beng
_erda
_cUkCbUP
050 4 _aRA394
_b.P36 2024
082 0 4 _a362.1
_223
100 1 _aPapoutsi, Chrysanthi,
_d1984-
_eauthor.
245 1 0 _aApproaches to spread, scale-up, and sustainability /
_cChrysanthi Papoutsi, Trisha Greenhalgh, and Sonja Marjanovic.
264 1 _aCambridge :
_bCambridge University Press,
_c2024.
300 _a1 online resource (44 pages) :
_bdigital, PDF file(s).
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
490 1 _aCambridge elements. Elements of improving quality and safety in healthcare,
_x2754-2912
506 0 _aOpen Access.
_fUnrestricted online access
_2star
500 _aTitle from publisher's bibliographic system (viewed on 16 Jan 2024).
520 _aFew interventions that succeed in improving healthcare locally end up becoming spread and sustained more widely. This indicates that we need to think differently about spreading improvements in practice. Drawing on a focused review of academic and grey literature, the authors outline how spread, scale-up, and sustainability have been defined and operationalised, highlighting areas of ambiguity and contention. Following an overview of relevant frameworks and models, they focus on three specific approaches and unpack their theoretical assumptions and practical implications: the Dynamic Sustainability Framework, the 3S (structure, strategy, supports) infrastructure approach for scale-up, and the NASSS (non-adoption, abandonment, and challenges to scale-up, spread, and sustainability) framework. Key points are illustrated through empirical case narratives and the Element concludes with actionable learning for those engaged in improvement activities and for researchers. This title is also available as Open Access on Cambridge Core.
650 0 _aHealth care reform.
650 0 _aMedical care.
700 1 _aGreenhalgh, Trisha,
_eauthor.
700 1 _aMarjanovic, Sonja,
_eauthor.
776 0 8 _iPrint version:
_z9781009462617
830 0 _aElements of improving quality and safety in healthcare (Series),
_x2754-2912.
856 4 0 _uhttps://doi.org/10.1017/9781009326049
999 _c38571
_d38571