Systematic Reviews volume 10 , Article number: Cite this article. Metrics details. There is a growing interest in scaling effective health innovations to promote equitable access to high-quality health services worldwide. However, multiple challenges persist in scaling innovations. In this study, we aim to summarize the scaling evidence in the health and social care literature and identify current knowledge gaps.
We will consider all knowledge syntheses addressing scaling in health or social care e. Furthermore, we will conduct searches of the grey literature. No restriction regarding date or language will be applied. Each phase of the review will be processed by two independent reviewers. We will develop a data extraction form on Covidence.
We will disseminate the findings via publications and through relevant networks. The findings of the umbrella review will facilitate access to scaling evidence in the literature and help strengthen the science of scaling for researchers, policy makers, and program managers. Finally, this work will highlight important knowledge gaps and help prioritize future research questions. There is great interest in implementing health care innovations at a larger scale to achieve better health of populations and to reduce per capita cost of health care.
Spread replicating an innovation and scale building infrastructure to support full scale implementation [ 1 ] are both used in the fields of knowledge translation KT and implementation science to refer to increasing the reach and adoption of innovations.
The concepts of spread and scale broadly correspond with what others describe respectively as vertical and horizontal approaches. Vertical scaling up consists of using policy, regulation, or financial tools to expand an innovation simultaneously across a whole system e.
