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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 · 2017 · Vol. 19(11) · pp. e367–e367

Trisha Greenhalgh✉(University of Oxford)Joseph Wherton(University of Oxford)Chrysanthi Papoutsi(University of Oxford)Jennifer Lynch(University of Hertfordshire)Gemma Hughes(University of Oxford)Christine A’Court(University of Oxford)Susan Hinder(RAFT Solutions (United Kingdom))Nick Fahy(University of Oxford)Rob Procter(University of Warwick)S. E. Shaw(University of Oxford)

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Abstract

Subject to further empirical testing, NASSS could be applied across a range of technological innovations in health and social care. It has several potential uses: (1) to inform the design of a new technology; (2) to identify technological solutions that (perhaps despite policy or industry enthusiasm) have a limited chance of achieving large-scale, sustained adoption; (3) to plan the implementation, scale-up, or rollout of a technology program; and (4) to explain and learn from program failures.

Telemedicine and Telehealth Implementation Electronic Health Records Systems Health Policy Implementation ScienceContext (archaeology)Health careKnowledge managementHealth technologyPsychologyProcess managementComputer scienceBusinessPolitical science

MeSH terms

Delivery of Health CareHumansTechnology

Funding

Wellcome Trust
NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research
National Institute for Health and Care Research
NIHR Sheffield Biomedical Research Centre

Citations

2,470

FWCI

110.62

field-weighted impact

References

120

Percentile

100%

vs. same field & year

Citations per year

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