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Table 4 Definitions

From: The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review

Concepts Definitions Associated sub-concepts
Spread The process through which new working methods developed in one setting are adopted, perhaps with appropriate modifications, in other organisational contexts [25, 67] Dissemination [63]
Diffusion [59, 63]
Sustainability The process through which new working methods, performance enhancements and continuous improvements are maintained for a period appropriate to a given context [25] Adoption [81]
Implementation [82]
Scale The ambition or process of expanding the coverage of health interventions, but can also refer to increasing the financial, human and capital resources required to expand coverage [83] Scalability [84]
Expandability [70]
Fidelity [77]
Replication [85, 86]