Fullaondo Ane, Hamu Yhasmine, Txarramendieta Jon, de Manuel Esteban
Biosistemak Institute for Health Systems Research, Basque Country, Spain.
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Int J Integr Care. 2024 Aug 9;24(3):15. doi: 10.5334/ijic.8605. eCollection 2024 Jul-Sep.
The absence of a coordinated approach to health and social care compromises the ability of health systems to provide universal, equitable, high-quality, and financially sustainable care. Transferring evidence-based practices focused on digitally-enabled integrated care to new contexts can overcome this challenge if implementation is satisfactory. This paper presents the scaling-out methodology that JADECARE has designed to spread effective innovative practices across Europe.
The scaling-out methodology pretends to guide the Next Adopters in the transfer and adoption of practices, whereas increasing their implementation capacity and providing an evaluation framework to assess impact and success.
JADECARE scaling-out effort is based on guiding principles found in the literature such as the balance between fidelity to the original practice and the degree of adaptation required to fit the new context, the need for capacity building in implementation to bridge the gap between research and routine practice and the focus on explaining why, for whom and in what circumstances an intervention works.
The JADECARE scaling-out methodology is theory-driven and pragmatic and aims to facilitate the transfer of complex interventions across different contexts.
缺乏协调一致的卫生与社会护理方法会损害卫生系统提供普遍、公平、高质量和财政可持续护理的能力。如果实施情况令人满意，将以数字技术为支撑的综合护理为重点的循证实践应用于新环境可以克服这一挑战。本文介绍了JADECARE设计的在欧洲推广有效创新实践的扩展方法。
扩展方法旨在指导后续采用者进行实践的转移和采用，同时提高其实施能力并提供一个评估框架来评估影响和成效。
JADECARE的扩展工作基于文献中发现的指导原则，例如在忠实于原始实践与适应新环境所需的适应程度之间取得平衡，在实施过程中进行能力建设以弥合研究与常规实践之间的差距，以及关注解释干预措施为何、为谁以及在何种情况下起作用。
JADECARE的扩展方法以理论为驱动且务实，旨在促进复杂干预措施在不同环境中的转移。
