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Figure 3 | Implementation Science

Figure 3

From: The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change

Figure 3

Using the dynamic sustainability framework as an engine for quality improvement. The DSF depicts a dynamic view of sustainability, which allows for the evolution of an intervention within a changing delivery system. The changes in the shape of the puzzle pieces and of the contexts reflects the ongoing change to interventions, practice settings, and care systems, and shows the use of quality improvement methods to optimize the 'fit’ and improve the public health benefit of sustained use of interventions.

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