Title

Overcoming Challenges in Codifying and Replicating Complex Health Care Interventions

Published journal

Health Affairs

Abstract

The complex nature of many health care interventions poses challenges for successful replication. This article presents insights on tackling these challenges primarily drawn from recent research and programs in the UK. These insights include the need to codify complex interventions in ways that reflect their social, context-sensitive, and dynamic nature; to capture learning as the intervention is implemented in new contexts; and to design programs in ways that respect adopters’ role in the spread process. We argue that program leaders should have familiarity with theoretical approaches for conceptualizing complex interventions, that a discrete testing-and-revision phase should be recognized as part of the spread process, and that programs should be designed in ways that build and sustain adopter commitment. These perspectives complement the traditional focus on the innovator in models of spread by highlighting the role adopters play in adapting interventions and generating learning, and they have implications for the design of programs to spread innovation.

You might also like...

Blog

Improving continuity of care in general practice: four lessons from the frontline

How can general practices balance continuity of care with the need to see a GP promptly? Angus Wiltshire explores four early ...

Briefing

The measurement maze

Our briefing suggests there's potential to make better use of quality measurement to improve quality of care.

Blog

Making time to talk: the challenge of spreading knowledge

Dr Nicola Burgess on the practical value of creating formal spaces to spread informal knowledge within organisations.

Citation

Overcoming Challenges In Codifying And Replicating Complex Health Care Interventions Tim J. Horton, John H. Illingworth, and Will H. P. Warburton Health Affairs 2018 37:2, 191-197
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more