Openly accessible

A narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models

Brown, Vicki, Tran, Huong, Blake, Miranda, Laws, Rachel and Moodie, Marj 2020, A narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models, Health research policy and systems, vol. 18, no. 1, pp. 1-11, doi: 10.1186/s12961-020-00633-6.

Attached Files
Name Description MIMEType Size Downloads

Title A narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models
Author(s) Brown, VickiORCID iD for Brown, Vicki orcid.org/0000-0003-2891-9476
Tran, HuongORCID iD for Tran, Huong orcid.org/0000-0003-4892-8345
Blake, MirandaORCID iD for Blake, Miranda orcid.org/0000-0002-0649-2320
Laws, RachelORCID iD for Laws, Rachel orcid.org/0000-0003-4328-1116
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Journal name Health research policy and systems
Volume number 18
Issue number 1
Article ID 115
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2020
ISSN 1478-4505
1478-4505
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Health Care Sciences & Services
implementation
scale-up
theories
models
frameworks
economic
Summary Background Translating research evidence into practice is challenging and, to date, there are relatively few public health interventions that have been effectively and cost-effectively implemented and delivered at scale. Theories, models and frameworks (herein termed ‘frameworks’) have been used in implementation science to describe, guide and explain implementation and scale-up. While economic constructs have been reported as both barriers and facilitators to effective implementation and scale-up of public health interventions, there is currently no published review of how economic constructs are considered within commonly used implementation and scale-up frameworks. This paper aimed to narratively review the economic constructs incorporated in commonly used implementation and scale-up frameworks. Methods Frameworks for inclusion in the narrative review were identified from the literature and thematic content analysis was undertaken using a recursive deductive approach. Emergent key themes and sub-themes were identified and results were summarised narratively within each theme. Results Twenty-six framework publications were included in our analysis, with wide variation between frameworks in the scope and level of detail of the economic constructs included. Four key themes emerged from the data – ‘resources’, ‘benefit’, ‘cost’ and ‘funding’. Only five frameworks incorporated all four identified key themes. Overarching lenses from which to consider key themes included ‘stakeholder perspectives’, ‘stage in the research translation process’ and ‘context’. ‘Resources’ were most frequently considered in relation to the sub-themes of ‘types of resources’ (e.g. labour, time or infrastructure) and ‘availability’ of resources, and the opportunity for ‘economies of scale’. The ‘relative advantage of interventions’ emerged as an interconnecting sub-theme between ‘cost’ and ‘benefit’. ‘Funding’ was most often considered in relation to ‘funding sources’, ‘availability’, ‘sustainability’ or ‘contextual impact’. The concept of ‘opportunity cost’ was considered in relatively few frameworks, despite being fundamental to economic theory. Conclusions Implementation and scale-up frameworks provide a conceptual map to inform the effective and cost-effective implementation of public health interventions delivered at scale. Despite evidence of an emerging focus on the economic considerations of implementation and scale-up within some commonly used frameworks, our findings suggest that there is significant scope for further exploration of the economic constructs related to implementation and scale-up.
Language eng
DOI 10.1186/s12961-020-00633-6
Indigenous content off
Field of Research 1117 Public Health and Health Services
1605 Policy and Administration
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143416

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 23 Abstract Views, 3 File Downloads  -  Detailed Statistics
Created: Mon, 07 Dec 2020, 15:14:15 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.