Trialists perspectives on sustaining, spreading, and scaling-up of quality improvement interventions.

ABSTRACT:

Background

Quality improvement (QI) evaluations rarely consider how a successful intervention can be sustained long term, nor how to spread or scale to other locations. A survey of authors of randomized trials of diabetes QI interventions included in an ongoing systematic review found that 78% of trials reported improved quality of care, but 40% of these trials were not sustained. This study explores why and how the effective interventions were sustained, spread, or scaled.

Methods

A qualitative approach was used, focusing on case examples. Diabetes QI program trial authors were purposefully sampled and recruited for telephone interviews. Authors were eligible if they had completed the author survey, agreed to follow-up, and had a completed a diabetes QI trial they deemed "e

SUBMITTER: Laur C 

PROVIDER: S-EPMC8017766 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature