GENERAL COMMENTARY article
Front. Health Serv.
Sec. Implementation Science
Volume 5 - 2025 | doi: 10.3389/frhs.2025.1571843
Commentary: Sustaining and scaling a clinic-based approach to address health-related social needs
Provisionally accepted
- VA HSR&D Center for Healthcare Organization and Implementation Research, Boston, MA, United States
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Scaling and sustaining evidence-based interventions (EBIs) in healthcare is a persistent challenge, particularly for models addressing health-related social needs (HRSN). Arbour et al. contribute valuable insights through their study of the Developmental Understanding and Legal Collaboration for Everyone (DULCE) model, which integrates social needs screening into pediatric well-child visits (WCVs). Their study evaluates whether a lower-intensity continuous quality improvement (CQI) strategy can sustain and expand DULCE while preserving key outcomes.By analyzing the transition from intensive to lower-intensity implementation support, this study highlights strategies for maintaining EBIs with fewer resources. These findings align with broader efforts to integrate social care into healthcare while balancing scalability and cost-effectiveness (1). This commentary expands on Arbour et al.'s findings by discussing CQI's role in sustainability, the influence of local context, and equity considerations in implementation support.A key strength of Arbour et al
Keywords: Commentary, Quality Improvement, sustainability, contextual factors, implementation science
Received: 10 Feb 2025; Accepted: 21 Apr 2025.
Copyright: © 2025 Kim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Bo Kim, VA HSR&D Center for Healthcare Organization and Implementation Research, Boston, MA, United States
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