Diffusion of Innovations in Health Service Organisations: A by Trisha Greenhalgh

By Trisha Greenhalgh

It is a systematic evaluation on how recommendations in well-being carrier perform and agency will be disseminated and applied. this can be an educational textual content, initially commissioned by way of the dep. of overall healthiness from college collage London and college of Surrey, utilizing quite a few study equipment. the result of the overview are mentioned intimately in separate chapters overlaying specific options and the appropriate contexts. The e-book is meant as a source for well-being care researchers and teachers.

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Extra resources for Diffusion of Innovations in Health Service Organisations: A Systematic Literature Review (Studies in Urban and Social Change)

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Chapter 1 Introduction projects was that the intensive injection of energy, expertise and resources generally produced shortterm improvements in the targeted service, but two critical questions remain unanswered: (1) To what extent would the changes achieved through a Modernisation Agency–funded initiative be sustained after the official end of the project? (2) How could improvements achieved in one health service organisation be effectively and reliably disseminated to a wider group of comparable organisations, thus gaining maximum impact from the original efforts?

As with the chemical process from which the metaphor is taken, diffusion of ideas or practices is an essentially passive process whose key mechanism is imitation (‘let it happen’ rather than ‘make it happen’ – see Fig. 5, page 82). Wejnert,41 a political scientist and author of one of the most comprehensive overviews of diffusion of innovation from a socio-political perspective, views the task of the diffusion researcher as (page 297): ‘identifying the factors that influence the spread of innovations across groups, communities, societies and countries .

Our frustrations on a practical level reflected fundamental epistemological questions about the nature of knowledge and the implications for synthesising, summarising and prioritising complex, cross-disciplinary and disparate bodies of evidence. This aspect of the research is discussed further in Chapter 2 (page 32). 4 Definitions It is important to bear in mind when reading this book that there is not, nor will there ever be, a consensus on terminology. Different individuals, influenced by different professional, disciplinary and sociocultural traditions, use the same words in different contexts.

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