Comment on "Diffusion of innovations in service organizations: systematic review and recommendations".

Milbank Quarterly (Impact Factor: 3.38). 02/2005; 83(1):177-8; author reply 178-9.
Source: PubMed


This article summarizes an extensive literature review addressing the question, How can we spread and sustain innovations in health service delivery and or- ganization? It considers both content (defining and measuring the diffusion of innovation in organizations) and process (reviewing the literature in a sys- tematic and reproducible way). This article discusses (1) a parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, (2) clear knowledge gaps where further research should be focused, and (3) a robust and transferable methodology for systematically re- viewing health service policy and management. Both the model and the method should be tested more widely in a range of contexts.

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Available from: Mary Jo Pugh
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    • "We considered evidence related to concepts such as well-functioning IPHC teams and related contextual factors. Over the past decade, scholars have identified multiple historical, political, economic, and social contextual challenges within a complex health and broader public service system that are associated with well-functioning collaborative interprofessional community-based teams (Scott et al., 2000; Alexander et al., 2003; Greenhalgh et al., 2004; Arevian, 2005; Watson and Wong, 2005; Table 1 Factors related to interprofessional PHC team collaborations arising from literature review "
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