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PubMed2005

Innovation. Hook up.

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Diffusion of Innovation↗
PubMed1997

Databases in the next millennium.

Predicting the likelihood that large databases will become an important instrument for medical quality improvement is at least as difficult as most prognostication. This attempt at prediction starts by trying to ask the right questions: Can data serve as the agent for meaningful improvement? Is meaningful improvement possible without data? What elements are necessary and sufficient for improving the quality of medical care? It then looks for answers, starting with an unconventional excursion into the history of database use. This is followed by a recognition that the use of large databases for medical quality improvement is a true innovation, the future of which will probably be determined as much by the social and emotional forces that govern the diffusion of all innovations as by the technical strength of databases themselves. Finally, it examines some of the limitations and pitfalls that are likely to be associated with the increasing use of large databases in medicine.

Databases, Factual↗
PubMed1993

Diffusion of minimally invasive therapy in Europe.

This paper considers the diffusion of the 10 cases presented in this issue. Most of the cases have diffused relatively slowly. This slow diffusion can be explained by a number of factors, including budgetary restraints, financial incentives, physician conservatism, and lack of appropriate training. A consistent thread in the cases is the argument that evidence of effectiveness is not convincing. The article considers whether further diffusion of each innovation can be justified from existing evidence. This information is important for policy purposes. Policies might be developed to encourage or to discourage any potentially important innovation.

Angioplasty, Balloon, Coronary↗
PubMed1990

Health care innovations from the internal marketing perspective.

This paper presents an opportunity to apply the marketing concept internally to the diffusion and implementation of innovative services which can help organizations to achieve an advantageous external market position. An internal marketing communications model is discussed in this paper to identify factors and relationships influencing the internal diffusion and implementation of innovative services. Three case studies are presented to demonstrate the applicability of the model to a specific innovation in the health care industry. The notion of marketing innovative services from the inside out also is critical for other service firms. Further operational models are needed to present opportunities for marketing of innovative services.

Diffusion of Innovation↗
PubMed1994

Predictors of nurse adoption of a computerized information system as an innovation.

This descriptive study focused on factors that influence the diffusion and adoption of an innovation after it is first introduced to members of a social system. The purposes of the study were 1) to explore a set of individual, technological, and organizational characteristics as predictors of hospital nurse adoption of a computerized information system (CIS) as an innovation, and 2) to investigate the effect of organizational position on innovation adoption. A computerized nursing information system for staffing, scheduling and productivity management was selected as the innovation.

Attitude to Computers↗