Road map for diffusion of innovation in health care

E Andrew Balas, Wendy W. Chapman

Research output: Contribution to journalComment/debate

2 Citations (Scopus)

Abstract

New scientific knowledge and innovation are often slow to disseminate. In other cases, providers rush into adopting what appears to be a clinically relevant innovation, based on a single clinical trial. In reality, adopting innovations without appropriate translation and repeated testing of practical application is problematic. In this article we provide examples of clinical innovations (for example, tight glucose control in critically ill patients) that were adopted inappropriately and that caused what we term a malfunction. To address the issue of malfunctions, we review various examples and suggest frameworks for the diffusion of knowledge leading to the adoption of useful innovations. The resulting model is termed an integrated road map for coordinating knowledge transformation and innovation adoption. We make recommendations for the targeted development of practice change procedures, practice change assessment, structured descriptions of tested interventions, intelligent knowledge management technologies, and policy support for knowledge transformation, including further standardization to facilitate sharing among institutions.

Original languageEnglish (US)
Pages (from-to)198-204
Number of pages7
JournalHealth Affairs
Volume37
Issue number2
DOIs
StatePublished - Feb 1 2018

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Diffusion of Innovation
Knowledge Management
Critical Illness
Clinical Trials
Technology
Delivery of Health Care
Glucose

ASJC Scopus subject areas

  • Health Policy

Cite this

Road map for diffusion of innovation in health care. / Balas, E Andrew; Chapman, Wendy W.

In: Health Affairs, Vol. 37, No. 2, 01.02.2018, p. 198-204.

Research output: Contribution to journalComment/debate

Balas, E Andrew ; Chapman, Wendy W. / Road map for diffusion of innovation in health care. In: Health Affairs. 2018 ; Vol. 37, No. 2. pp. 198-204.
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