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.

Journal of Medical Internet Research
Trisha GreenhalghSara Shaw

Abstract

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 evidence-based, theory-informed, and pragmatic framework to help predict and evaluate the success of a technology-supported health or social care program. The study had 2 parallel components: (1) secondary research (hermeneutic systematic review) to identify key domains, and (2) empirical case studies of technology implementation to explore, test, and refine these domains. We studied 6 technology-supported programs-video outpatient consultations, global positioning system tracking for cognitive impairment, pendant alarm services, remote biomarker monitoring for heart failure, care organizing software, and integrated case management via data sharing-using longitudinal ethnography and action research for up to 3 years across more than 20 organizations. Data were collected at micro level (individual technology users), meso level (organizational processes and systems), and macro level (national policy and wider context). Analysis and synthes...Continue Reading

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References

Oct 26, 1999·International Journal of Medical Informatics·M Berg
Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Mar 30, 2002·Computers in Biology and Medicine·Arminée Kazanjian, Carolyn J Green
Mar 30, 2002·Computers in Biology and Medicine·Nicola T Shaw
Mar 11, 2003·Journal of the American Medical Informatics Association : JAMIA·M J Van Der MeijdenA Hasman
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
May 17, 2005·Social Science & Medicine·Trisha GreenhalghRichard Peacock
Oct 19, 2005·BMJ : British Medical Journal·Trisha Greenhalgh, Richard Peacock
Oct 24, 2007·Evaluation and Program Planning·Kathryn H DanskyTammy Sanner
Oct 30, 2007·International Journal of Medical Informatics·Maryati Mohd YusofLampros K Stergioulas
Nov 19, 2008·BMJ : British Medical Journal·Trisha Greenhalgh
Jan 14, 2009·Journal of Telemedicine and Telecare·Priscilla E Esser, Richard H M Goossens
Apr 25, 2009·American Journal of Community Psychology·Penelope HaweTherese Riley
Aug 19, 2009·PLoS Medicine·Lorraine Catwell, Aziz Sheikh
Feb 27, 2010·Social Science & Medicine·Trisha Greenhalgh, Rob Stones
Jul 2, 2010·Journal of Health Services Research & Policy·Glenn RobertRichard Peacock
Nov 13, 2010·PLoS Medicine·Trisha Greenhalgh, Jill Russell
Jan 19, 2011·Sociology of Health & Illness·Jeannette Pols, Dick Willems
May 14, 2011·American Journal of Preventive Medicine·Rodger Kessler, Russell E Glasgow
Aug 23, 2011·Lancet·Stefan D AnkerWilliam T Abraham
Oct 29, 2011·Otolaryngologic Clinics of North America·Gil Siegal
Dec 14, 2011·Journal of Medical Internet Research·Julia E W C van Gemert-PijnenErwin R Seydel
Dec 30, 2011·Journal of Medical Internet Research·Maarten van LimburgErwin R Seydel
Feb 22, 2012·Journal of Medical Internet Research·Shariq KhojaAmmad Fahim
Mar 3, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Ronald C Merrell, Charles R Doarn
May 17, 2012·Bulletin of the World Health Organization·Frances S MairElizabeth Murray
May 19, 2012·American Journal of Public Health·Russell E GlasgowChristine Hunter
Jul 21, 2012·BMJ Open·Trisha GreenhalghSara Shaw
Aug 7, 2012·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Kristen Mitchell-Box, Kathryn L Braun
Nov 14, 2012·International Journal of Medical Informatics·Kathrin Cresswell, Aziz Sheikh
Dec 5, 2012·Journal of Telemedicine and Telecare·Victoria Wade, Jaklin Eliott
Oct 4, 2013·Implementation Science : IS·David A ChambersKurt C Stange
Oct 17, 2013·Journal of the American Medical Informatics Association : JAMIA·Marie-Pierre GagnonClaude Sicotte
Jan 22, 2014·International Journal of Medical Informatics·Patricia A AbbottPatricia C Dykes
Jan 28, 2014·International Journal of Environmental Research and Public Health·Liezl van Dyk
Apr 12, 2014·BMC Health Services Research·Urvashi Sharma, Malcolm Clarke

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Citations

Oct 16, 2018·Disability and Rehabilitation. Assistive Technology·A GrigorovichP Kontos
Mar 13, 2018·BMJ Global Health·David PeirisDavid C Mohr
Feb 24, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Margit NeherPeter Johansson
Feb 23, 2019·Clinical Child and Family Psychology Review·Matthew R SandersCarol W Metzler
May 12, 2019·BMJ : British Medical Journal·Trisha Greenhalgh, Chrysanthi Papoutsi
Jul 26, 2019·BMC Health Services Research·Line Lundvoll Warth, Kari Dyb
Dec 12, 2018·Translational Behavioral Medicine·Alex R DoppAaron R Lyon
Nov 12, 2019·Journal of Medical Internet Research·Quynh PhamJoseph A Cafazzo
Jan 9, 2020·Diabetes Technology & Therapeutics·Conor FarringtonHelen R Murphy
Jan 17, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·C FarringtonR Hovorka
Feb 16, 2020·International Journal of Environmental Research and Public Health·Michael StellefsonJ Don Chaney
Mar 18, 2020·Journal of Health Organization and Management·Gregory ManiatopoulosBob Hudson
May 5, 2020·Journal of Health Organization and Management·Gregory ManiatopoulosAllan Best
Jun 2, 2020·Annals of Internal Medicine·Robert S RudinDavid W Bates
Jun 15, 2020·Journal of Medical Internet Research·Erica CamachoJohn Torous
Jul 7, 2020·Journal of Medical Internet Research·Camille NadalGavin Doherty
Jul 21, 2020·Physiotherapy Theory and Practice·Madeleine KennyCarl Thompson

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