title: The Science And Art Of Delivery: Accelerating The Diffusion Of Health Care Innovation.
abstract: There is a widely acknowledged time lag in health care between an invention or innovation and its widespread use across a health system. Much is known about the factors that can aid the uptake of innovations within discrete organizations. Less is known about what needs to be done to enable innovations to transform large systems of health care. This article describes the results of in-depth case studies aimed at assessing the role of key agents and agencies that facilitate the rapid adoption of innovations. The case studies-from Argentina, England, Nepal, Singapore, Sweden, the United States, and Zambia-represent widely varying health systems and economies. The implications of the findings for policy makers are discussed in terms of key factors within a phased approach for creating a climate for change, engaging and enabling the whole organization, and implementing and sustaining change. Purposeful and directed change management is needed to drive system transformation.
authors.affiliation: Greg Parston (g.parston@imperial.ac.uk) is an executive adviser at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, in the United Kingdom.
authors.forename: Greg
authors.initials: G
authors.lastname: Parston
authors.affiliation: Julie McQueen is a policy fellow at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London.
authors.forename: Julie
authors.initials: J
authors.lastname: McQueen
authors.affiliation: Hannah Patel is a program support officer at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London.
authors.forename: Hannah
authors.initials: H
authors.lastname: Patel
authors.affiliation: Oliver P. Keown is a clinical adviser and policy fellow at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London.
authors.forename: Oliver P
authors.initials: OP
authors.lastname: Keown
authors.affiliation: Gianluca Fontana is a senior policy fellow at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Fontana
authors.forename: Hanan
authors.initials: H
authors.lastname: Al Kuwari
authors.affiliation: Hannan Al Kuwari is managing director of the Hamad Medical Corporation, in Doha, Qatar.
authors.forename: Hannan
authors.initials: H
authors.lastname: Al Kuwari
authors.affiliation: Ara Darzi is executive chair of the World Innovation Summit for Health (WISH), Qatar Foundation, and director of the Institute of Global Health Innovation, Imperial College London.
authors.forename: Ara
authors.initials: A
authors.lastname: Darzi
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D006801:Humans; D038622:Internationality; D019982:Organizational Case Studies; D009936:Organizational Innovation
keywords: Health Innovation; Health Reform; International/global health studies; Organization and Delivery of Care; Quality Of Care