Interlocking Interactions, the Diffusion of Innovations in Health Care
基于英国医疗保健领域的两项定性研究,重新评估了创新在组织中的扩散过程,发现新科学知识具有模糊性和争议性,扩散是高度互动的,且没有单一的采纳决策。
This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of innovations in health care in the UK. These projects were a matched pair of qualitative studies, using purposeful selections of comparative case studies. The results demonstrate the ambiguous, contested nature of new scientific knowledge. The highly interactive nature of diffusion, with active adopters is illustrated. There is no evidence of a single adoption decision. The science is socially mediated. The features of context and of actors interlock to influence diffusion.