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Scaling Beyond Early Adopters: A Systematic Review and Key Informant Perspectives

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Systematic Review - Scaling Beyond Early Adopters

Prepared by:
Evidence Synthesis Program (ESP) Center West Los Angeles VA Medical Center Los Angeles, CA
Paul G. Shekelle, MD, PhD, Director

Recommended citation:
Miake-Lye IM, Mak SS, Lambert-Kerzner AC, Lam CA, Delevan DM, Secada PM, Beroes-Severin JM, Olmos-Ochoa TT, Shekelle PG. Scaling Beyond Early Adopters: A Systematic Review and Key Informant Perspectives. VA ESP Project #05-226; 2019.



Download PDF: Complete Report, Executive Summary, Report, Appendices

Introduction

The process of moving research insights into clinical practice can be slow and a gap often remains between best practices, frequently developed within single sites or small populations, and general practice delivered at a population scale. The field of implementation science seeks to mend this gap by promoting the adoption and appropriate use of effective interventions, practices, and programs, which includes the study of scale-up and spread of innovations. While hard-to-engage sites may have unique characteristics from sites that are engaged quickly or earlier, they are not typically differentiated in scale-up and spread processes. Thus, there is a lack of information about hard-to-engage sites and how to tailor approaches to these sites in scale-up and spread efforts. The objective of this project is to use systematic review and qualitative interview methods together to understand strategies available to scale up and spread clinical and administrative practices across large healthcare systems such as the VHA, with a focus on hard-to-engage" sites.

See also

Scaling Beyond Early Adopters: A Systematic Review and Key Informant Perspectives (Management eBrief)