手法を比較

	Scaling Up Health Interventions	実装研究のための統合的フレームワーク（CFIR）
分野	実装科学	実装科学
系統	Process / pipeline	Process / pipeline
提唱年	2007	2009
提唱者	Simmons, R., Fajans, P., Ghiron, L. (World Health Organization)	Damschroder, L. J., Aron, D. C., et al.
種類	Framework	Framework
原典	Simmons, R., Fajans, P., & Ghiron, L. (Eds.). (2007). Scaling Up Health Service Delivery: From Pilot Innovations to Policies and Programmes. World Health Organization, Geneva.	Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowson, E. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 4, 50.
別名	scaling up, expansion, scale, dissemination	CFIR, CFIR model, consolidated framework
関連	5	5
概要	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.	The Consolidated Framework for Implementation Research (CFIR) is a five-domain model designed to systematically evaluate the factors influencing implementation success of evidence-based interventions in health systems. Developed by Damschroder et al. (2009) and refined through extensive use across health domains, CFIR provides a structured vocabulary and taxonomy of 39 constructs that identify implementation barriers and facilitators across intervention characteristics, organizational context, individual factors, and implementation process.