Diffusion of Innovations in Service. Systematic Review and Recommendations

TRISHA GREENHALGH, GLENN ROBERT, FRASER MACFARLANE, PAUL BATE and OLIVIA KYRIAKIDOU

Innovation in service delivery and organization as a novel set of behaviors, routines, and ways of working that are directed and improving health outcomes, administrative efficiency, cost effectiveness, or users´experience and that are implemented by planned and coordinated actions.

We distinguished among:

• DIFUSSION: passive spread
• DISSEMINATION: active and planned efforts to persuade target groups to adopt an innovation.
• IMPLEMENTATION: active and planned efforts to mainstream an innovation within an organization.
• SUSTAINABILITY: making an innovation routine until it reaches obsolescence. The longer an innovation is sustained, the less likely the organization will open to additional innovation