| Acknowledgements |
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viii | |
| Foreword |
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ix | |
| How to read this book |
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x | |
| Summary overview |
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1 | (19) |
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20 | (12) |
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What is diffusion of innovations theory? |
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20 | (2) |
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Why did the UK Department of Health want to research the diffusion of innovations? |
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22 | (3) |
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25 | (1) |
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26 | (5) |
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31 | (1) |
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32 | (16) |
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32 | (2) |
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34 | (1) |
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35 | (2) |
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37 | (1) |
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38 | (2) |
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40 | (2) |
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Meta-narrative review: philosophical origins and links with other approaches to the synthesis of complex evidence |
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42 | (6) |
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48 | (35) |
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The origins of diffusion of innovations research |
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49 | (2) |
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51 | (2) |
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53 | (2) |
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55 | (1) |
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56 | (2) |
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Limitations of early diffusion research |
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58 | (2) |
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60 | (2) |
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62 | (2) |
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Evidence-based medicine and guideline implementation |
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64 | (2) |
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Structural determinants of organisational innovativeness |
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66 | (2) |
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Studies of organisational process, context and culture |
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68 | (2) |
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Interorganisational studies: networks and influence |
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70 | (1) |
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Knowledge-based approaches to diffusion in organisations |
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70 | (7) |
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Narrative organisational studies |
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77 | (2) |
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Complexity and general systems theory |
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79 | (1) |
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80 | (3) |
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83 | (17) |
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Background literature on attributes of innovations |
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83 | (4) |
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The Tornatzky and Klein meta-analysis of innovation attributes |
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87 | (3) |
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Empirical studies of innovation attributes |
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90 | (4) |
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Limitations of conventional attribution constructs for studying adoption in organisational settings |
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94 | (3) |
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Attributes of innovations in the organisational context |
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97 | (3) |
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100 | (14) |
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Characteristics of adopters: background literature |
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100 | (3) |
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Adoption as a process: background literature |
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103 | (3) |
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Assimilation of innovations in organisations |
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106 | (8) |
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Diffusion and dissemination |
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114 | (20) |
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Communication and influence through interpersonal networks |
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114 | (4) |
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118 | (8) |
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126 | (3) |
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129 | (1) |
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130 | (1) |
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130 | (4) |
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134 | (23) |
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The inner context: background literature |
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134 | (1) |
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Organisational determinants of innovativeness: meta-analyses |
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135 | (5) |
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Organisational determinants of innovativeness: overview of primary studies in the service sector |
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140 | (1) |
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Empirical studies on organisational size |
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141 | (5) |
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Empirical studies on structural complexity |
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146 | (2) |
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Empirical studies on leadership and locus of decision-making |
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148 | (2) |
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Empirical studies on organisational climate and receptive context |
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150 | (4) |
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Empirical studies on supporting knowledge utilisation and manipulation |
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154 | (3) |
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157 | (18) |
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Interorganisational influence through informal social networks |
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157 | (6) |
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Interorganisational influence through intentional spread strategies |
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163 | (7) |
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Empirical studies of environmental impact on organisational innovativeness |
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170 | (2) |
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Empirical studies of impact of politics and policymaking on organisational innovativeness |
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172 | (3) |
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Implementation and institutionalisation |
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175 | (24) |
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Overview of the implementation literature |
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176 | (2) |
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Measuring institutionalisation and related concepts |
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178 | (2) |
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Implementation and institutionalisation: systematic reviews and other high-quality overviews |
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180 | (6) |
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Empirical studies of interventions aimed at strengthening predisposition and capacity of the user system |
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186 | (4) |
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Empirical studies of interventions aimed at strengthening the resource system and change agency |
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190 | (1) |
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Empirical studies of linkage activities to support implementation |
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191 | (4) |
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Empirical studies that have investigated `whole-systems' approaches to implementation |
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195 | (4) |
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199 | (20) |
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Developing and applying a unifying conceptual model |
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199 | (3) |
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Case study 1: integrated care pathways ('the steady success story') |
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202 | (2) |
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Case study 2: GP fundholding ('the clash') |
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204 | (2) |
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Case study 3: telemedicine ('the maverick initiative') |
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206 | (2) |
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Case study 4: the electronic health record ('the big roll-out') |
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208 | (2) |
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210 | (9) |
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219 | (13) |
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Overview and commentary on main findings |
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219 | (1) |
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A framework for applying the model in a service context |
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220 | (5) |
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Recommendations for further research |
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225 | (6) |
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231 | (1) |
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Appendix 1: Data extraction form |
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232 | (2) |
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Appendix 2: Critical appraisal checklists |
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234 | (11) |
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Box A.1 Quality checklist for experimental (randomised and non-randomised controlled trial) designs |
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234 | (1) |
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Box A.2 Quality checklist for quasi-experimental (interrupted time series) designs |
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235 | (1) |
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Box A.3 Quality checklist for attribution studies |
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236 | (1) |
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Box A.4 Quality checklist for questionnaire surveys |
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237 | (1) |
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Box A.5 Quality checklist for qualitative studies |
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238 | (1) |
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Box A.6 Quality checklist for mixed-methodology case studies and other in-depth complex designs |
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239 | (1) |
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Box A.7 Quality checklist for comparison of `real-world' implementation studies |
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240 | (2) |
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Box A.8 Quality checklist for action research designs |
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242 | (3) |
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Appendix 3: Descriptive statistics on included studies |
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245 | (10) |
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Table A.1 Main sources and yield of papers, books and book chapters |
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247 | (1) |
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Table A.2 Breakdown of studies included in the book |
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248 | (1) |
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Table A.3 Yield from hand search of journals |
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249 | (3) |
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Table A.4 Yield from search of electronic databases |
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252 | (2) |
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Table A.5 Yield from electronic citation tracking |
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254 | (1) |
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Appendix 4: Tables of included studies |
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255 | (38) |
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Table A.6 Narrative overviews used as key sources in this review |
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255 | (2) |
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Table A.7 Empirical studies of attributes of health care innovations in the organisational setting |
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257 | (3) |
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Table A.8 Empirical studies that focused on the process of adoption in health care organisations |
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260 | (2) |
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Table A.9 Network analyses of interpersonal influence in health care organisations |
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262 | (1) |
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Table A.10 Empirical studies of opinion leadership in health care organisations |
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263 | (2) |
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Table A.11 Controlled trials of opinion leaders as an intervention in health care organisations |
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265 | (2) |
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Table A.12 Empirical studies of impact of champions in health care organisations and selected other examples |
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267 | (2) |
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Table A.13 Meta-analyses that addressed the impact of the organisational context on adoption of innovations |
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269 | (2) |
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Table A.14 Empirical studies of `inner' context determinants of innovation in health care organisations and selected other examples |
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271 | (3) |
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Table A.15 Empirical studies from health care that looked at the organisational context for innovation from a knowledge utilisation perspective |
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274 | (2) |
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Table A.16 Empirical studies of informal inter-organisational influence amongst health care organisations and selected other examples |
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276 | (2) |
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Table A.17 Empirical studies on health care quality improvement collaboratives |
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278 | (2) |
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Table A.18 Empirical studies of impact of environmental factors on innovation in health care organisations and selected other examples |
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280 | (3) |
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Table A.19 Empirical studies of impact of political and policymaking forces on organisational innovation |
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283 | (2) |
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Table A.20 Systematic reviews relevant to the question of dissemination, implementation and sustainability of innovations in service delivery and organisation |
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285 | (2) |
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Table A.21 Surveys of perceptions about capacity or of association between capacity and implementation in health care organisations |
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287 | (2) |
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Table A.22 Empirical studies of interventions to enhance user system capacity in health care organisations |
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289 | (2) |
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Table A.23 `Whole-systems' approaches to implementation and sustainability of innovations in health care organisations and selected other examples |
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291 | (2) |
| Glossary |
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293 | (3) |
| References |
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296 | (17) |
| Index |
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313 | |
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