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	Espansione degli Interventi Sanitari	Traduzione della Conoscenza
Campo	Scienza dell'implementazione	Scienza dell'implementazione
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	2007	2004
Ideatore	Simmons, R., Fajans, P., Ghiron, L. (World Health Organization)	Canadian Institutes of Health Research (CIHR)
Tipo	Framework	Framework
Fonte seminale	Simmons, R., Fajans, P., & Ghiron, L. (Eds.). (2007). Scaling Up Health Service Delivery: From Pilot Innovations to Policies and Programmes. World Health Organization, Geneva.	Canadian Institutes of Health Research. (2004). Knowledge Translation Strategy 2004-2009. CIHR, Ottawa.
Alias	scaling up, expansion, scale, dissemination	KT, evidence-to-practice, research-to-practice
Correlati	5	5
Sintesi	Scaling Up is the deliberate expansion of successful health interventions from pilot sites to entire health systems, regions, or countries. Formalized by the World Health Organization (WHO) and Simmons et al. (2007), scaling up is distinct from simple dissemination; it requires systematic planning, financial modeling, capacity building, and policy alignment to ensure interventions work at scale. A pilot that succeeds brilliantly with champion leadership, dedicated funding, and motivated staff may fail when scaled to routine settings with limited resources. Scaling Up frameworks help practitioners anticipate and overcome these challenges.	Knowledge Translation (KT) is the systematic synthesis, dissemination, exchange, and application of research findings to improve health outcomes and healthcare practice. First formalized by the Canadian Institutes of Health Research in 2004, KT recognizes that evidence generation alone does not automatically change clinical or policy behaviour, and structures a purposeful process to bridge the gap between research and practice.