Journal Article10.1111/J.1749-6632.1993.TB26351.X
Diffusion, Dissemination, and Implementation: Who Should Do What?
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TL;DR: The concepts of diffusion, dissemination, and implementation are distinguished as progressively more active steps in the process of flowing valid and reliable research information into clinical practice.
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Abstract: The concepts of diffusion, dissemination, and implementation are distinguished as progressively more active steps in the process of flowing valid and reliable research information into clinical practice. Using a staged model of behavior change, diffusion is seen as a precursor for dissemination activities, which in turn "predispose" physicians to consider change in their practices. Local implementation activities capitalize on this by "enabling" and subsequently "reinforcing" the desired behavior change. Different skills are needed for each activity. Biomedical journals, with some improvements, are identified as diffusion agents. Collaboration between academics and medical organizations is best suited to the dissemination stage. Local agents, empowered by resources, are best equipped for implementation activities.
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References
The diffusion of innovations
TL;DR: In this paper, the diffusion of innovations is studied in the context of the Nordic countries. Andersen et al., 1983, vol. 8, No. 1-4, pp. 23-36.
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Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians.
Jonathan Lomas,Geoffrey M. Anderson,Karin Domnick-Pierre,Eugene Vayda,Murray Enkin,Walter J. Hannah +5 more
TL;DR: It is concluded that guidelines for practice may predispose physicians to consider changing their behavior, but that unless there are other incentives or the removal of disincentives, guidelines may be unlikely to effect rapid change in actual practice.
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Scientific versus commercial sources of influence on the prescribing behavior of physicians
TL;DR: To study the relative contributions of scientific and commercial sources of information, two index drugs were chosen, whose pharmacologic effects have been shown by controlled studies to be minimal or not significantly different from those of nonprescription (over-thecounter) preparations, but which are heavily advertised as being effective.
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Implementing clinical practice guidelines: social influence strategies and practitioner behavior change
TL;DR: A broad range of strategies for implementing clinical practice guidelines based on the social influences that affect health practitioner behavior are described and issues surrounding the selection and use of individual strategies or combinations of strategies in specific efforts to improve the quality of health care are examined.
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