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Evidence on scaling in health and social care: protocol for a living umbrella review. | LitMetric

AI Article Synopsis

  • There is a rising demand for scaling effective health innovations to ensure equitable access to quality health services globally, though many challenges hinder this process.
  • This study will conduct a comprehensive umbrella review of existing literature related to scaling in health and social care, utilizing various electronic databases while assessing the quality and risk of bias in the studies.
  • The review aims to summarize what is currently known about scaling initiatives—highlighting key themes like sustainability and barriers—while identifying gaps in knowledge that can inform future research and practice in both high- and low-income countries.

Article Abstract

Background: 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.

Methods: We will conduct a living umbrella review according to the Joanna Briggs Institute Reviewers' Manual. We will consider all knowledge syntheses addressing scaling in health or social care (e.g., any setting, any clinical area) and conducted in a systematic way. We will search the following electronic databases: MEDLINE (Ovid), Embase, PsychINFO (Ovid), CINAHL (EBSCO), Web of Science, The Cochrane Library, Sociological Abstract (Proquest), Academic Search Premier (EBSCO), and Proquest Dissertations & Theses Global, from inception. 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 assess the methodological quality of the included reviews using AMSTAR2 and the risk of bias using ROBIS. Results will be presented in tabular form and accompanied by a narrative synthesis covering the traditional themes of scaling science that emerge from the analysis, such as coverage, range, and sustainability, as well as themes less covered in the literature, including reporting guidance, models, tools, barriers, and/or facilitators to scaling innovations, evidence regarding application in high-income or low-income countries, and end-user engagement. We will disseminate the findings via publications and through relevant networks.

Discussion: 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.

Systematic Review Registration: This protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on November 11, 2020 (registration number: CRD42020183774 ).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485425PMC
http://dx.doi.org/10.1186/s13643-021-01813-3DOI Listing

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