title: Diffusion of innovations in service organizations: systematic review and recommendations.
abstract: This article summarizes an extensive literature review addressing the question, How can we spread and sustain innovations in health service delivery and organization? It considers both content (defining and measuring the diffusion of innovation in organizations) and process (reviewing the literature in a systematic 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 reviewing health service policy and management. Both the model and the method should be tested more widely in a range of contexts.
authors.affiliation: University College London, Room 403, Holborn Union Building, Highgate Hill, London N19 5LW, UK. p.greenhalgh@pcps.ucl.ac.uk
authors.forename: Trisha
authors.initials: T
authors.lastname: Greenhalgh
authors.forename: Glenn
authors.initials: G
authors.lastname: Robert
authors.forename: Fraser
authors.initials: F
authors.lastname: Macfarlane
authors.forename: Paul
authors.initials: P
authors.lastname: Bate
authors.forename: Olivia
authors.initials: O
authors.lastname: Kyriakidou
mesh_terms: D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D058016:Health Facility Administration; D017146:Models, Organizational; D013222:State Medicine; D006113:United Kingdom