tag:blogger.com,1999:blog-6076839327674215825.post7688247434491536626..comments2024-03-27T05:14:34.288-04:00Comments on Medinnovation And Health Reform: Clinical innovations, systems thinking - Short Take on Disseminating InnovationRichard L. Reece, MDhttp://www.blogger.com/profile/03446550629857699574noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-6076839327674215825.post-17805346011900883432008-03-18T18:00:00.000-04:002008-03-18T18:00:00.000-04:00This article really hit home. I am currently gett...This article really hit home. I am currently getting my Masters In Healthcare Innovation at Arizona State University. Tim Porter O'Grady is my program director and the diffusion of innovation in healthcare is our focus. Your article provided a great summary of the issues surrounding healthcare innovation. The challenge really is providing the context for the late majority and laggards so that they will eventually adopt it. Sometimes, it is appropriate to cut the head of the snake off and drag those laggards along for the ride... If the world changes around them, eventually they will have to adapt or die!NurseDanhttps://www.blogger.com/profile/09307760889379416509noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-27374446014946558762008-03-18T10:59:00.000-04:002008-03-18T10:59:00.000-04:00I agree with the need to crawl out of the present ...I agree with the need to crawl out of the present rut and this goes for the most of Europe as well.<BR/><BR/>However, there is significant evidence about how good practice doesn't spread and to some extent the old Roger's theories are no longer relevant in our twenty-first century. I have written about this in "Undressing the elephant; why good practice doesn't spread in healthcare" www.undressingtheelephant.co.uk <BR/><BR/>One of the issues that came out of the research was "pilotitis". How projects created by early adopters were not taken up by others because they were inherently designed in different contexts resulting in solutions that were not designed for the norm. This is a feature that is well known outside healthcare. In healthcare we are one of the few industries where we take one practice developed by one group and expect all the others to adopt it almost unchanged (like guidelines).<BR/><BR/>There are many other issues like this.<BR/><BR/>If the spread of good practice was simple, then it would have happened a long time ago in healthcare.Sarah Fraserhttps://www.blogger.com/profile/11038571949650043372noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-87882787272444387282008-03-17T18:41:00.000-04:002008-03-17T18:41:00.000-04:00thanks for this article. However, I don't like yo...thanks for this article. However, I don't like your new how, what, where, when style, especially since the entries don't always fit the category. eg. Your what in this article was actually a who. Otherwise, I love your blog and read it frequently.kevinh76https://www.blogger.com/profile/01983254281604124576noreply@blogger.com