2012
DOI: 10.1186/1748-5908-7-17
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The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research

Abstract: BackgroundThe introduction of evidence-based programs and practices into healthcare settings has been the subject of an increasing amount of research in recent years. While a number of studies have examined initial implementation efforts, less research has been conducted to determine what happens beyond that point. There is increasing recognition that the extent to which new programs are sustained is influenced by many different factors and that more needs to be known about just what these factors are and how … Show more

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Cited by 936 publications
(1,132 citation statements)
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References 187 publications
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“…[12][13][14][15] Unfortunately, when funding ends, sites often have difficulty sustaining changes. 16 We developed an IF strategy in collaboration with the Department of Veterans Affairs' (VA) regional mental health and primary care leadership that addresses these challenges. We served as consultants, providing implementation science expertise, 6,17 tools 18 and resources 19 needed to support implementation.…”
Section: Introductionmentioning
confidence: 99%
“…[12][13][14][15] Unfortunately, when funding ends, sites often have difficulty sustaining changes. 16 We developed an IF strategy in collaboration with the Department of Veterans Affairs' (VA) regional mental health and primary care leadership that addresses these challenges. We served as consultants, providing implementation science expertise, 6,17 tools 18 and resources 19 needed to support implementation.…”
Section: Introductionmentioning
confidence: 99%
“…ART service delivery had not yet transitioned into being an integral part of their organizations. The notion of intervention ‘permanence’ as an indicator of the program sustainability of innovations in health service organizations is consistent in the literature [14,16,34]. O’Loughlin et al [35], used perceived permanence of an intervention as an outcome measure in their investigation of the sustainability of heart health promotion interventions in Canada.…”
Section: Discussionmentioning
confidence: 78%
“…Against this background, the sustainability of the implementation of ART scale-up in SSA has come into critical focus [1,4,911]. The institutionalization or integration of interventions in the organizational routines of health service organizations is considered an important indicator of long-term program sustainability [1216]. Although there have been numerous studies documenting the initial phase of ART scale-up in SSA [4,7], there is a dearth of systematic analysis of level of institutionalization of ART programs in externally supported health facilities in Uganda and the broader Sub-Saharan Africa region.…”
Section: Introductionmentioning
confidence: 99%
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“…A common element, however, is the continuation of programme activities in order to provide ongoing benefits to the target group. [1][2][3] The behavioural outcomes of community-based public health programmes often concern changes that occur over the longer-term. 4,5 Sustaining programme operation beyond the initial period of support may, therefore, be essential if benefits are to manifest fully.…”
Section: Introductionmentioning
confidence: 99%