Improving cancer outcomes through innovative cancer detection initiatives in primary care is an international policy priority. There are unique implementation challenges to the roll-out and scale-up of different innovations, requiring synchronisation between national policy levers and local implementation strategies. We draw on implementation science to highlight key considerations when seeking to sustainably embed cancer detection initiatives within health systems and clinical practice. Points of action include considering the implications of change on the current configuration of responsibility for detecting cancer; investing in understanding how to adapt systems to support innovations; developing strategies to address inequity when planning innovation implementation; and anticipating and making efforts to mitigate the unintended consequences of innovation. We draw on examples of contemporary cancer detection issues to illustrate how to apply these recommendations to practice.

中文翻译：

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改善癌症检测的宣言：在初级和二级护理领域实施创新时的四个关键考虑因素


通过初级保健中的创新癌症检测举措改善癌症结果是国际政策的优先事项。不同创新的推出和扩大规模存在独特的实施挑战，需要国家政策杠杆和地方实施战略之间的同步。我们利用实施科学来强调在寻求将癌症检测举措可持续地嵌入卫生系统和临床实践时的关键考虑因素。行动要点包括考虑变革对当前癌症检测责任配置的影响；投资于了解如何调整系统以支持创新；在规划创新实施时制定解决不平等问题的战略；预测并努力减轻创新的意外后果。我们利用当代癌症检测问题的例子来说明如何将这些建议应用于实践。