From: Advancing the pragmatic measurement of sustainment: a narrative review of measures
 | Sustainment definition and constructs | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
The input(s) continue to be delivered | Routinization and institutionalization of the inputs, while adapting and evolving, and the outputs on the part of the health provider and/or health consumer are maintained. | Ongoing capacity across levels to support the delivery of the inputs. | |||||||||||
Outer context | Inner context | ||||||||||||
Ongoing use/provision | Adaptation and improvement | Monitoring | Reflection and team involvement | Routinization | Institutionalization | External support and communication | Partnership | Financial resources and funding | Leadership support and organizational climate | Organizational capacity | Training | Staff support, behavior, and attitudes | |
Level of Institutionalization Scale (LoIn) [12] | X | X | X | X | Â | X | Â | Â | X | Â | X | Â | X |
NHS Sustainability Model [67] | X | X | X | X | X | X | X | Â | Â | X | X | X | X |
Measure of Sustainability of work practices [15] | X | X | X | X | X | X | Â | Â | Â | Â | X | X | Â |
NoMAD [14] | X | X | Â | X | X | X | Â | Â | Â | X | X | X | X |
Program Sustainability Assessment Tool [45] | X | X | X | Â | X | Â | X | X | X | X | X | Â | Â |
Program Sustainability Index (PSI) [56] | X | X | X | X | X | Â | X | X | X | X | X | X | X |