Evidence on Scaling in Health and Social Care: An Umbrella Review.
Policy PointsMore 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 practi...
| Publicado en: | Milbank Quarterly Vol. 101; no. 3; pp. 881 - 922 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Sep2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=172046789&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 172046789 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0887378X MIQ jtl: Milbank Quarterly issn: 0887378X maglogo: Y pubinfo: dt: Sep2023 vid: 101 iid: 3 pid: 480 pub: Wiley-Blackwell artinfo: ui: 172046789 10.1111/1468-0009.12649 ppf: 881 ppct: 41 formats: tig: atl: Evidence on Scaling in Health and Social Care: An Umbrella Review. aug: au: CORÔA, ROBERTA DE CARVALHO GOGOVOR, AMÉDÉ BEN CHARIF, ALI HASSINE, ASMA BEN ZOMAHOUN, HERVÉ TCHALA VIGNON MCLEAN, ROBERT K. D. MILAT, ANDREW PLOURDE, KARINE V. RHEAULT, NATHALIE WOLFENDEN, LUKE LÉGARÉ, FRANCE affil: 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 CubecXpert Faculty of Nursing, Université Laval School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University International Development Research Centre Faculty of Medicine and Health Sciences, Stellenbosch University School of Public Health, University of Sydney Centre for Epidemiology and Evidence, NSW Ministry of Health School of Medicine and Public Health, University of Newcastle National Centre of Implementation Science, University of Newcastle Hunter New England Population Health su: Medical care Social case work Diffusion of innovations Professional practice Online information services Psychology information storage & retrieval systems CINAHL database Medical databases Medical information storage & retrieval systems Systematic reviews Evidence-based medicine Research funding Quality assurance Statistical models MEDLINE Grey literature sug: subj: Medical care Social case work Diffusion of innovations Professional practice Online information services Psychology information storage & retrieval systems CINAHL database Medical databases Medical information storage & retrieval systems Systematic reviews Evidence-based medicine Research funding Quality assurance Statistical models MEDLINE Grey literature keyword: capacity building delivery of health care diffusion of innovation evidence‐based practice health plan implementation review literature as topic scalability scaling science capacity building delivery of health care diffusion of innovation evidence‐based practice health plan implementation review literature as topic scalability scaling science ab: Policy PointsMore 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. Context: Scaling of effective innovations in health and social care is essential to increase their impact. We aimed to synthesize the evidence base on scaling and identify current knowledge gaps. Methods: We conducted an umbrella review according to the Joanna Briggs Institute Reviewers' Manual. We included any type of review that 1) focused on scaling, 2) covered health or social care, and 3) presented a methods section. We searched MEDLINE (Ovid), Embase, PsycINFO (Ovid), CINAHL (EBSCO), Web of Science, The Cochrane Library, Sociological Abstracts (ProQuest), Academic Search Premier (EBSCO), and ProQuest Dissertations & Theses Global from their inception to August 6, 2020. We searched the gray literature using, e.g., Google and WHO‐ExpandNet. We assessed methodological quality with AMSTAR2. Paired reviewers independently selected and extracted eligible reviews and assessed study quality. A narrative synthesis was performed. Findings: Of 24,269 records, 137 unique reviews were included. The quality of the 58 systematic reviews was critically low (n = 42). The most frequent review type was systematic review (n = 58). Most reported on scaling in low‐ and middle‐income countries (n = 59), whereas most first authors were from high‐income countries (n = 114). Most reviews concerned infectious diseases (n = 36) or maternal–child health (n = 28). They mainly focused on interventions (n = 37), barriers and facilitators (n = 29), frameworks (n = 24), scalability (n = 24), and costs (n = 14). The WHO/ExpandNet scaling definition was the definition most frequently used (n = 26). Domains most reported as influencing scaling success were building scaling infrastructure (e.g., creating new service sites) and human resources (e.g., training community health care providers). Conclusions: The evidence base on scaling is evolving rapidly as reflected by publication trends, the range of focus areas, and diversity of scaling definitions. Our study highlights knowledge gaps around methodology and research infrastructures to facilitate equitable North–South research relationships. Common efforts are needed to ensure scaling expands the impacts of health and social innovations to broader populations. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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