方法对比

	Scaling Up Health Interventions	实施研究综合框架 (CFIR)
领域	实施科学	实施科学
方法族	Process / pipeline	Process / pipeline
起源年份	2007	2009
提出者	Simmons, R., Fajans, P., Ghiron, L. (World Health Organization)	Damschroder, L. J., Aron, D. C., et al.
类型	Framework	Framework
开创性文献	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.
别名	scaling up, expansion, scale, dissemination	CFIR, CFIR model, consolidated framework
相关	5	5
摘要	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.