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Results for “Diffusion of Innovation”

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At least 991 records · Page 55Linked to original sources
PubMed2004

Good healthcare innovation practice (GHIP)--a network-driven, knowledge-conscious approach for innovation in the (Dutch) healthcare sector.

In this article we describe why and how a new approach has been developed for innovation projects in the Dutch healthcare sector. There are three key aspects in the approach: Innovation should be seen as a (fair) process, the process is owned by all stakeholders (which calls for a Network approach) and, finally, the process should be knowledge-enabled, i.e. in each process step it should be clear what knowledge is needed, what knowledge becomes available and how the flow of knowledge should be managed.

Diffusion of Innovation↗
PubMed1995

Evaluation of research-based nursing practice.

To determine the effectiveness of a research-based clinical intervention, a planned program of evaluation must be in place. The evaluation consists of two components: determining whether the intervention was implemented as intended and, if not, what barriers prevented the implementation; and determining whether the intervention produced the expected outcomes. Evaluation provides essential data for decision making and helps staff determine whether the intervention should be accepted, rejected, or modified for use in their setting. Research utilization activities complement QAI programs, and many patients benefit from new research-based practice innovations. Through research utilization, clinical practice becomes vital to nursing research because clinical practice provides the testing ground for research findings. Knowledge generated under controlled situations is evaluated in the real world of clinical practice, and clinical data produced through evaluation provides a rationale for practice that can be meaningfully understood both inside and outside the nursing profession.

Clinical Nursing Research↗
PubMed2003

Intelligent biomedical clothing for personal health and disease management: state of the art and future vision.

Telemedicine has been introduced to overcome distance in order to get prompt access to medical knowledge and appropriate health care. More recently, work in telemedicine has aimed at developing solutions to support the management of chronic diseases such as diabetes, and lung and heart diseases, as well as to provide support for home care services. Telemedicine is also entering the fields of health promotion/prevention disease, life style management, and well-being. The evolution and broadening of telemedicine gives birth to a nomenclature that includes "e-health," "telehealth," and "telecare." The latest developments in microsystems and nanotechnologies as well as in information processing and communication technologies allow miniaturization and non-invasive smart monitoring of physiological and physical data. Ongoing cutting-edge multidisciplinary research in textile fibers, biomedical sensors, and wireless and mobile telecommunications integrated with telemedicine, aims at developing intelligent biomedical clothing (IBC) that could pave the way to support personalized management of health and diseases at the point of need and at any time. In this study, we aim to describe the current status of multidisciplinary research and development of IBC, based on bibliographic research and reports from seminars, workshops, conferences, and working groups. A further aim is to inform the developers, the decision makers, and users in the health and healthcare sector regarding future solutions to support personalized health care and disease management. Both the textile sector and healthcare sector are looking with great interest at the innovative products and applications that could result from the integration of microsystems, nanotechnologies, biomedical sensors, textiles, and mobile telecommunications. For health monitoring, disease prevention and management, rehabilitation, and sport medicine, IBC may offer, in the mid-term future, a unique, wearable non-obtrusive telemedicine platform for individualized services that is readily accessible and of good quality.

Biomedical Technology↗
PubMed1990

Social processes affecting the appearance of innovative behaviors in capuchin monkeys.

We consider the role of social factors in the appearance of innovative problem-solving behaviors in capuchins. Processes supporting dissemination of innovative behaviors included social enhancement of interest in the objects and area around the task and (rarely) coaction. Factors inhibiting display of innovative behaviors included restricted access and requirements for social vigilance among animals of vulnerable social status and exploitation by noninnovators of others' behaviors. We urge caution in interpreting the increased appearance of novel behaviors in primates as evidence for imitation or facilitation and call for a more rigorous experimental investigation of social learning in primates.

Animals↗
PubMedDate not supplied

Networking health: learning from others, taking the lead.

The Internet provides one of the most compelling examples of the way in which government research investments can, in time, lead to innovations of broad social and economic impact. This paper reviews the history of the Internet's evolution, emphasizing in particular its relationship to biomedical computing and to the nation's health care system. Here I summarize current national research programs, emphasizing the need for greater involvement by the medical research community and leadership from federal health care agencies.

Delivery of Health Care↗
PubMed2004

What if... [the consequences of innovation].

Innovations that could turn health care upside down are already here, in use or in development. These technological or clinical "wild cards" so resemble science fiction that they are easily dismissed--for example, brain implants to help the disabled control remote appliances or human arteries grown from scratch. Ignore them at your own risk.

Biomedical Technology↗
PubMed2005

Innovation in telehealth and a role for the government.

The convergence of information technology and telecommunications, including Internet technologies, is emerging as a key tool to drive increased efficiency and effectiveness in health systems worldwide. With part of its roots in medical research for military and space applications, telemedicine is expected to make it possible to link medical expertise with patients in the most distant locations-providing clinicians with valuable new tools for remote monitoring, diagnosis, and intervention.

Diffusion of Innovation↗
PubMed2003

Applied psychophysiology: beyond the boundaries of biofeedback (mending a wall, a brief history of our field, and applications to control of the muscles and cardiorespiratory systems).

The field of applied psychophysiology overlaps a number of others, from behavioral and psychosomatic medicine to Eastern disciplines and complementary medicine. Although the proliferation of societies and professional identities across these fields emphasizes this diversity, it also may hinder growth. The history of our field is one of innovation, often at odds with conventional wisdom and practice. It is important that this innovativeness not be sacrificed in a justified quest for professional respectability. This paper reviews the earliest research in biofeedback and applied psychophysiology, and modern applications and interpretations in the areas of muscular and autonomic control, including progressive relaxation and heart rate variability biofeedback, and draws parallels to disciplines of Yoga, QiGong, and Zen practices and their psychophysiological effects.

Arousal↗
PubMed1995

New drug adoption models: a review and assessment of future needs.

New drug products today are the key to survival in the pharmaceutical industry. However, the new product development process in the pharmaceutical industry also happens to be one of the riskiest and most expensive undertakings because of the huge research and development costs involved. Consequently market forecasting of new pharmaceutical products takes on added importance if the formidable investments are to be recovered. New drug adoption models provide the marketer with a means to assess new product potential. Although several adoption models are available in the marketing literature for assessing potential of common consumer goods, the unique characteristics of the prescription drug market makes it necessary to examine the current state of pharmaceutical innovations. The purpose of this study, therefore, is to: (1) review new drug adoption models in the pharmaceutical literature, (2) evaluate the existing models of new drug adoption using the ten criteria for a good model as prescribed by Zaltman and Wallendorf (1983), and (3) provide an overall assessment and a ¿prescription¿ for better forecasting of new drug products.

Decision Theory↗
PubMedDate not supplied

Opportunities for nursing innovation in a changing health care system: a case analysis.

Opportunities for nursing leadership and innovation have emerged as a result of the reorganization of health systems. A case study illustrates such opportunities, with reference to the related literature of health care redesign. The creation of a new department and a new role for nursing as a response to current market forces are presented as an exemplar in organizational redesign and nursing leadership.

Delivery of Health Care, Integrated↗
PubMed1996

The innovative personality.

Health care is changing rapidly. It is incumbent upon the advanced practice nurse (APN) to discern the signposts of this change and sit at the table where the new script is being written. Newer models of community-based primary care delivery demand a broader approach to delivering health services and call the APN to be at the center of this change, leading partners and patients into a more effective and consumer-focused health system.

Diffusion of Innovation↗
PubMed2001

Physicians' adoption of information technology: a consumer behavior approach.

Studies report physician resistance to information technology in a time when the practice of medicine could benefit from technological support. Anecdotally, it is suspected that lack of training, discomfort with technological innovations, a perceived shift in the doctor/patient relationship, or medical/legal issues may account for this circumstance. Empirical studies attribute this lag to age, personality factors, behavioral issues, and occupational influences. This paper integrates the information technology and consumer behavior literatures to discuss physicians' acceptance, adoption, and application of IT.

Attitude of Health Personnel↗
PubMed2004

Innovations in technology for critical care medicine.

This new section in Critical Care presents a selection of clinically important examples of advances in critical care health technology. This article is divided into two main areas: diagnostics and monitoring. Attention is given to how bedside echocardiography can alter the cardiovascular physical examination, and to novel imaging techniques such as virtual bronchoscopy. The monitoring section discusses recent claims of improved efficiency with telemedicine for intensive care units.

Bronchoscopy↗
PubMed1993

The dynamics of innovation in minimally invasive therapy.

The emergence of minimally invasive therapy (MIT), which provides alternatives to major open-surgery procedures, is affecting all aspects of medical care delivery. In the present environment of resource and cost constraint in health services, an uncommon consensus among patients, physicians, providers, and payers has evolved regarding the rapid acceptance of this area of medical intervention, an acceptance that, in turn, is stimulating further innovation. This paper discusses the dynamics of medical innovation and analyzes these forces in the context of three minimally invasive therapies: percutaneous transluminal coronary angioplasty, extracorporeal shock wave lithotripsy, and laparoscopic cholecystectomy. The different experiences of the United States and Europe are used to illustrate how scientific, medical, economic, and regulatory factors affect both the rate and direction of technological change in minimally invasive therapy.

Angioplasty, Balloon, Coronary↗
PubMed2004

Health technology assessment: a sociological commentary on reflexive innovation.

This study provides a sociological commentary on the current debates within health technology assessment (HTA), specifically in response to the approaches taken in France, The Netherlands, Sweden, and the United Kingdom. It argues that HTA is part of a wider reflexive innovation system that seeks to order current and prospective technologies. The study discusses the socio-political process of HTA priority setting, the rhetorical role of HTA, the localised and contingent use of HTA, and the policy gap between guidelines and practice. It argues for the development of new types of methodologies for assessment and for a stronger social embedding of HTA practice.

Decision Making, Organizational↗
PubMed1999

Declining mortality from congenital heart disease related to innovations in diagnosis and treatment: a population-based study.

The majority of live births with severe congenital cardiac malformations that do not undergo intervention of some form die prematurely. The population of Malta provides an ideal closed cohort from which to monitor trends. We have observed a significant declining specific mortality from congenital heart disease, and circumstantial evidence relates this decline to the introduction of new techniques used in the diagnosis and treatment of these malformations.

Cohort Studies↗
PubMedDate not supplied

Disruptive technology: new medical advances are troublesome for even the most successful health systems and innovator health companies.

An independent expert panel conducted a multi-year research/education/advocacy initiative on the impact of the new drug-eluting stent technology. They conclude that this technology represents a "tipping point" in a series of transformative drugs and medical devices, often used in combination, and recommend that healthcare decision makers develop careful, data-based strategies to avoid the disruptiveness of these medical advances.

Decision Making, Organizational↗
PubMed2006

Online purchases in an Infocomm sophisticated society.

This paper presents a preliminary investigation of attitude and intention in relation to online shopping in Singapore. Singaporeans display high levels of Infocomm proficiency, the result of many intense government initiatives to transform the country into an Intelligent Community. Does this Internet embracing environment enhance attitude and intention to online shopping? This study considers the links between personal consequences, subjective norms, behavioral control, and personal innovativeness with attitude and intention among Singaporeans. It uses a model based on the Theory of Planned Behavior and makes some initial comparisons of its findings with those of existing studies. The effects of behavioral control and intention on actual purchase behavior are not investigated. Findings permit the tentative proposition that level of Infocomm knowledge impacts on attitude and intention.

Attitude to Computers↗