Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies

• Published in: Journal of medical Internet research Vol. 19; no. 11; p. e367
• Main Authors: Greenhalgh, Trisha, Wherton, Joseph, Papoutsi, Chrysanthi, Lynch, Jennifer, Hughes, Gemma, A'Court, Christine, Hinder, Susan, Fahy, Nick, Procter, Rob, Shaw, Sara
• Format: Journal Article
• Language: English
• Published: Canada Gunther Eysenbach MD MPH, Associate Professor 01.11.2017; JMIR Publications
• Subjects: Action research; Adoption of innovations; Biological markers; Biomarkers; Business plans; Caregivers; Case management; Case studies; Cognitive impairment; Components; Computerized physician order entry; Delivery of Health Care - methods; Diabetes; Ethnography; Exegesis & hermeneutics; Global positioning systems; GPS; Health care; Health services; Heart failure; Humans; Implementation; Innovations; Literature reviews; Medical technology; Meetings; New technology; Organizational change; Original Paper; Patients; Positioning; Social services; Sustainability; Systematic review; Systems approach; Technological change; Technology - methods; Telemedicine; Tracking; United Kingdom > UK; innovation adoption; nonadoption, abandonment, scale-up, spread, sustainability framework; implementation; scale-up; business planning; program sustainability; complexity of innovations; NASSS framework; diffusion of innovation

Many promising technological innovations in health and social care are characterized by nonadoption or abandonment by individuals or by failed attempts to scale up locally, spread distantly, or sustain the innovation long term at the organization or system level. Our objective was to produce an evid...