Diffusion Of Innovations Theory, Principles, And Practice
Diffusion Of Innovations Theory, Principles, And Practice
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DOI：
10.1377/hlthaff.2017.1104
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发表时间：
2018-02-01
期刊：
影响因子：
9.7
通讯作者：
Cox, Jeffrey G.
中科院分区：
文献类型：
--
作者：
Dearing, James W.;Cox, Jeffrey G.
被称为创新扩散的研究和实践范式的各个方面适用于卫生保健的复杂背景，无论是解释还是干预目的。本文通过确定扩散过程的参数来回答“什么是扩散？”这个问题：它们是什么，它们如何运作，以及为什么医疗保健领域有价值的创新没有更快地传播。我们阐明了创新的扩散如何与传播和实施、可持续性、改进活动和规模扩大的过程相关联，并提出了可以在干预措施设计中容易使用的扩散原则。
Aspects of the research and practice paradigm known as the diffusion of innovations are applicable to the complex context of health care, for both explanatory and interventionist purposes. This article answers the question, "What is diffusion?" by identifying the parameters of diffusion processes: what they are, how they operate, and why worthy innovations in health care do not spread more rapidly. We clarify how the diffusion of innovations is related to processes of dissemination and implementation, sustainability, improvement activity, and scale-up, and we suggest the diffusion principles that can be readily used in the design of interventions.