Toward the sustainability of health care innovations to "transform our world": current status and the road ahead.

Inadequate sustainability of health care innovations or evidence-based interventions has led to calls from policymakers, researchers, and funders for research on how sustainability can be optimized to avoid research waste. In this discussion paper, we argue that research on health care innovation su...

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Published in:JBI Evidence Implementation Vol. 24; no. 1; pp. 202 - 223
Main Authors: Chicoine, Gabrielle, Straus, Sharon E.
Format: tables/charts Journal Article
Published: Lippincott Williams & Wilkins Jan2026
Online Access:View this record in EBSCOhost
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      dt: Jan2026
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Toward the sustainability of health care innovations to "transform our world": current status and the road ahead.
      aug:
        au:
          Chicoine, Gabrielle
          Straus, Sharon E.
        affil: Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada
      sug:
        subj:
          Technology, Medical
          Diffusion of Innovation
          Organizational Efficiency
          Sustainable Growth
          Research, Medical
          Professional Practice, Research-Based
          Implementation Science
          Models, Theoretical
          Research Priorities
      ab: Inadequate sustainability of health care innovations or evidence-based interventions has led to calls from policymakers, researchers, and funders for research on how sustainability can be optimized to avoid research waste. In this discussion paper, we argue that research on health care innovation sustainability needs to be advanced. We critically examine the literature on the concept of sustainability and propose that research should address the fundamental question: How can we advance knowledge on health care innovation sustainability? We provide examples of important work undertaken in the field of implementation science, including definitions and conceptualizations of sustainability. We also highlight theories, models, and frameworks that have been proposed to inform sustainability research and guide how to plan for sustainability. Our analysis of the literature reveals a growing interest in the sustainability of health care innovations but also confirms that implementation science has yet to put sustainability at the center of its research endeavors. To assist this shift, we identify priority research gaps and use the United Nations 2030 Agenda for Sustainable Development as a road map for an implementation science research agenda to drive health care innovation sustainability. We propose three new research directions that, overall, aim for "better health for all, leaving no one behind." These directions include: (1) advancing substantive research on sustainability while avoiding duplication; (2) identifying barriers, facilitators, and strategies to sustain engagement with multiple partners; and (3) advancing methods and tools to support monitoring, evaluation, and revision of strategies over time. http://links.lww.com/IJEBH/A323
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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