Diffusion of innovation theory for clinical change

Maximising the adoption of evidence-based practice has been argued to be a major factor in determining healthcare outcomes. However, there are gaps between evidence-based recommendations and current care. Bridging the evidence gap will not be achieved simply by informing clinicians about the evidenc...

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Bibliographic Details
Published inMedical journal of Australia Vol. 180; no. S6; p. S55
Main Author Sanson-Fisher, Robert W
Format Journal Article
LanguageEnglish
Published Australia 15.03.2004
Subjects
Communication
Decision Making
Diffusion of Innovation
Evidence-Based Medicine - organization & administration
Humans
Information Dissemination
Models, Organizational
Organizational Culture
Organizational Innovation
Practice Patterns, Physicians
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Summary:Maximising the adoption of evidence-based practice has been argued to be a major factor in determining healthcare outcomes. However, there are gaps between evidence-based recommendations and current care. Bridging the evidence gap will not be achieved simply by informing clinicians about the evidence. One theoretical approach to understanding how change may be achieved is Rogers' diffusion model. He argues that certain characteristics of the innovation itself may facilitate its adoption. Other factors influencing acceptance include promotion by influential role models, the degree of complexity of the change, compatibility with existing values and needs, and the ability to test and modify the new procedure before adopting it. The diffusion model may provide valuable insights into why some practices change and others do not, as well as guiding those who try to effect adoption of best-evidence practice.
ISSN:0025-729X
DOI:10.5694/j.1326-5377.2004.tb05947.x