Adoption and Diffusion

How the latest clinical, technological, and policy advances are incorporated into clinical practice and health care delivery.

When Genetic Screening is Useful, but Not Used

Issue Brief
Aug. 3, 2011

This Issue Brief describes the case of a genetic condition for which genetic screening of family members is clearly useful, and just as clearly underused. It explores the barriers to the use of genetic screening and has implications for the future as genetic technologies become more complex and produce more uncertainty.

Adoption and Diffusion of Medical Innovation: Development of a New Analytical Approach

Principal Investigator:
J. Sanford Schwartz, MD

Abstract: The appropriate adoption (and disadoption) and diffusion of medical innovation is central to the practice of high quality, cost-effective medical care. The gap between knowledge and practice - that many “good” innovations simply do not diffuse far enough or fast enough - frequently is cited as a major problem facing U.S. health care.

Selective Adoption: the Case of Surgeons

Principal Investigator:
Mark V. Pauly, PhD

Abstract: The technology adoption literature often does not focus on the potential role of physicians, despite the fact that almost all medical technologies involve physician use or prescription. As such, there is a gap in understanding the role of physician selection in the adoption and diffusion of technology in health care. How does the uncertainty discouraging adoption balance out against the incentive for technological preeminence encouraging it?