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Evidence on Scaling in Health and Social Care: An Umbrella Review
Authors:ROBERTA DE CARVALHO CORÔA  AMÉDÉ GOGOVOR  ALI BEN CHARIF  ASMA BEN HASSINE  HERVÉ TCHALA VIGNON ZOMAHOUN  ROBERT K. D. MCLEAN  ANDREW MILAT  KARINE V. PLOURDE  NATHALIE RHEAULT  LUKE WOLFENDEN  FRANCE LÉGARÉ
Affiliation:1. VITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale

Unité de soutien au système de santé apprenant Québec

Faculty of Medicine, Université Laval;2. CubecXpert;3. VITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale

Faculty of Nursing, Université Laval;4. Faculty of Medicine, Université Laval

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University;5. International Development Research Centre

Faculty of Medicine and Health Sciences, Stellenbosch University;6. School of Public Health, University of Sydney

Centre for Epidemiology and Evidence, NSW Ministry of Health;7. VITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale;8. VITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et services sociaux de la Capitale-Nationale

Unité de soutien au système de santé apprenant Québec;9. School of Medicine and Public Health, University of Newcastle

National Centre of Implementation Science, University of Newcastle

Hunter New England Population Health

Abstract:

Policy Points

  • More rigorous methodologies and systematic approaches should be encouraged in the science of scaling. This will help researchers better determine the effectiveness of scaling, guide stakeholders in the scaling process, and ultimately increase the impacts of health innovations.
  • The practice and the science of scaling need to expand worldwide to address complex health conditions such as noncommunicable and chronic diseases.
  • Although most of the scaling experiences described in the literature are occurring in the Global South, most of the authors publishing on it are based in the Global North. As the science of scaling spreads across the world with the aim of reducing health inequities, it is also essential to address the power imbalance in how we do scaling research globally.
Keywords:scaling science  scalability  diffusion of innovation  capacity building  delivery of health care  health plan implementation  evidence-based practice  review literature as topic
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