title: Explaining diffusion patterns for complex health care innovations.
abstract: Why are some less solidly supported health care innovations widely adopted while others with apparently stronger scientific support remain underused? Drawing on four case studies, the authors argue that the way in which the distribution of benefits and risks map onto the interests, values, and power distribution of the adopting system is critical to understanding how innovations diffuse.
authors.affiliation: Département d'administration de la santé, Université de Montréal, Québec, Canada.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Denis
authors.forename: Yann
authors.initials: Y
authors.lastname: Hébert
authors.forename: Ann
authors.initials: A
authors.lastname: Langley
authors.forename: Daniel
authors.initials: D
authors.lastname: Lozeau
authors.forename: Louise-Hélène
authors.initials: LH
authors.lastname: Trottier
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D003657:Decision Making; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005374:Filtration / Q000295:instrumentation; D006302:Health Services Research; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D019982:Organizational Case Studies; D009936:Organizational Innovation; D011209:Power, Psychological; D017064:Process Assessment, Health Care; D006435:Renal Dialysis / Q000295:instrumentation; D018570:Risk Assessment; D013808:Therapeutic Community; D020246:Venous Thrombosis / Q000188:drug therapy
chemical_list: D006495:Heparin, Low-Molecular-Weight