title: Emergent themes in the sustainability of primary health care innovation.
abstract: A synthesis of the findings of the five studies of sustainability of primary health care innovation across six domains (political, institutional, financial, economic, client and workforce) yielded three main themes. These were: the importance of social relationships, networks and champions; the effect of political, financial and societal forces; and the motivation and capacity of agents within the system. The need for routine assessment of the sustainability of primary health care innovations is discussed. Given the dearth of literature on the sustainability of primary health care innovation, there is potential to develop a program of research directed towards a future synthesis of evidence.
authors.affiliation: Australian Primary Health Care Research Institute, Australian National University, Canberra, ACT 0200, Australia. beverly.sibthorpe@anu.edu.au
authors.forename: Beverly M
authors.initials: BM
authors.lastname: Sibthorpe
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Glasgow
authors.forename: Robert W
authors.initials: RW
authors.lastname: Wells
mesh_terms: D002983:Clinical Competence; D019058:Community Networks; D003159:Community-Institutional Relations; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005378:Financial Support; D017048:Health Care Costs; D006801:Humans; D009042:Motivation; D020380:Needs Assessment; D009936:Organizational Innovation; D010342:Patient Acceptance of Health Care; D011057:Politics; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation / Q000191:economics; D000078329:Workforce