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dc.contributor.authorFrancis, L
dc.contributor.authorDunt, D
dc.contributor.authorCadilhac, DA
dc.date.accessioned2021-02-04T01:17:47Z
dc.date.available2021-02-04T01:17:47Z
dc.date.issued2016-01-01
dc.identifier.citationFrancis, L., Dunt, D. & Cadilhac, D. A. (2016). How is the sustainability of chronic disease health programmes empirically measured in hospital and related healthcare services?a scoping review. BMJ OPEN, 6 (5), https://doi.org/10.1136/bmjopen-2015-010944.
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/11343/259316
dc.description.abstractOBJECTIVES: Programmes to address chronic disease are a focus of governments worldwide. Despite growth in 'implementation science', there is a paucity of knowledge regarding the best means to measure sustainability. The aim of this review was to summarise current practice for measuring sustainability outcomes of chronic disease health programmes, providing guidance for programme planners and future directions for the academic field. SETTINGS: A scoping review of the literature spanning 1985-2015 was conducted using MEDLINE, CINAHL, PsychINFO and The Cochrane Library limited to English language and adults. Main search terms included chronic disease, acute care, sustainability, institutionalisation and health planning. A descriptive synthesis was required. Settings included primary care, hospitals, mental health centres and community health. PARTICIPANTS: Programmes included preventing or managing chronic conditions including diabetes, heart disease, depression, respiratory disease, cancer, obesity, dental hygiene and multiple chronic diseases. PRIMARY AND SECONDARY OUTCOME MEASURES: Outcome measures included clarifying a sustainability definition, types of methodologies used, timelines for assessment, criteria levels to determine outcomes and how methodology varies between intervention types. RESULTS: Among 153 abstracts retrieved, 87 were retained for full article review and 42 included in the qualitative synthesis. Five definitions for sustainability outcome were identified with 'maintenance of programme activities' most frequent. Achieving sustainability was dependent on inter-relationships between various organisational and social contexts supporting a broad scale approach to evaluation. An increasing trend in use of mixed methods designs over multiple time points to determine sustainability outcomes was found. CONCLUSIONS: Despite the importance and investment in chronic disease programmes, few studies are undertaken to measure sustainability. Methods to evaluate sustainability are diverse with some emerging patterns in measurement found. Use of mixed methods approaches over multiple time points may serve to better guide measurement of sustainability. Consensus on aspects of standardised measurement would promote the future possibility of meta-analytic syntheses.
dc.languageEnglish
dc.publisherBMJ PUBLISHING GROUP
dc.titleHow is the sustainability of chronic disease health programmes empirically measured in hospital and related healthcare services?a scoping review
dc.typeJournal Article
dc.identifier.doi10.1136/bmjopen-2015-010944
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.affiliation.departmentMedicine and Radiology
melbourne.affiliation.department
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleBMJ Open
melbourne.source.volume6
melbourne.source.issue5
dc.rights.licenseCC BY-NC
melbourne.elementsid1063768
melbourne.contributor.authorDunt, David
melbourne.contributor.authorCadilhac, Dominique
melbourne.contributor.authorFrancis, Linda
dc.identifier.eissn2044-6055
melbourne.accessrightsOpen Access


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