Spreading and scaling innovation and improvement: understanding why the differences matter

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES
Helen Bevan, Diane Ketley, Roseanna Cawthorne, Charitini Stavropoulou, Harry Scarbrough
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引用次数: 0

Abstract

In this paper, we make a distinction between spreading and scaling innovations and spreading and scaling good practices for improvement, as many healthcare change practitioners often feel there is a “muddle” between them. We argue there are multiple factors where the spread and scale factors are similar for innovation and improvement, such as enabling leadership, the capacity and capability for spread and scale, a process of behaviour change, use of data and evidence and system alignment. However, there are multiple characteristics that may be different, including the level of complexity, the nature of the intervention, the approach to fidelity and adaptability, the source of the innovation or improvement and the outcome metrics. These insights enable us to be better equipped to design and deliver successful spread and scale strategies tailored to the specific intervention and situation and realise the full benefits of our change initiatives.
推广和扩大创新与改进:了解差异为何重要
在本文中,我们将传播和推广创新与传播和推广良好的改进实践区分开来,因为许多医疗变革实践者常常觉得两者之间存在 "混淆"。我们认为,对于创新和改进而言,传播和推广有多种因素是相似的,如有利的领导、传播和推广的能力、行为改变的过程、数据和证据的使用以及系统协调。然而,也有多种特征可能有所不同,包括复杂程度、干预措施的性质、保真度和适应性方法、创新或改进的来源以及成果衡量标准。这些见解使我们能够更好地根据具体干预措施和情况设计和实施成功的推广和规模战略,并实现变革举措的全部效益。
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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