EPH4013: Diffusion, implementation and quality assurance of health
innovations in Europe
Faculty of Health, Medicine and Life Sciences (FHML)
MSc Governance and Leadership in European Public Health
,Table of contents
1. Roger’s theory of diffusion of innovations ............................................................................. 4
1.1 Roger’s key elements of diffusion .................................................................................... 5
1.2 Roger’s model of the innovation-decision process ........................................................ 11
2. Greenhalgh’s model of diffusion in service organizations ................................................... 16
3. SIDS ....................................................................................................................................... 26
4. Evidence implementation .................................................................................................... 31
4.1 Evidence implementation model ................................................................................... 34
5. Implementation of clinical guidelines .................................................................................. 39
5.1 Theoretical perspective .................................................................................................. 40
5.2 EBM/ EBP and clinical practice guidelines ..................................................................... 46
5.3 From CPG to application in practice ............................................................................... 49
6. Checklists in public health .................................................................................................... 54
6.1 Origins of the WHO surgical safety checklist ................................................................. 56
6.2 The WHO surgery safety checklist.................................................................................. 59
6.3 Difficulties in translating the surgery safety checklist into different settings ............... 61
6.4 WHO and the surgery safety checklist ........................................................................... 67
7. Project management (in healthcare) ................................................................................... 69
8. Transferability....................................................................................................................... 75
8.1 PIET-T model................................................................................................................... 76
9. Quality management in healthcare...................................................................................... 79
9.1 Quality of care ................................................................................................................ 79
9.2 Quality management ...................................................................................................... 82
2
, 9.3 Assessing the quality of care .......................................................................................... 84
10. Writing a project proposal ................................................................................................. 89
10.1 Checklist for research projects ..................................................................................... 94
11. Reporting a project proposal.............................................................................................. 96
11.1 Third Health Programme and its dissemination ........................................................ 100
11.2 Evaluation plan ........................................................................................................... 102
12. WHO health program ....................................................................................................... 107
12.1 CHAFEA ....................................................................................................................... 113
12.2 DG SANTE ................................................................................................................... 116
13. Health system governance ............................................................................................... 117
13.1 TAPIC framework ........................................................................................................ 121
14. Screening .......................................................................................................................... 123
14.1 Wilson & Junger (1968) criteria.................................................................................. 124
14.2 Andermann, Blancquaert, Beauchamp & Déry (2008) .............................................. 126
3
, 1. Roger’s theory of diffusion of innovations
https://books.google.nl/books?hl=nl&lr=&id=v1ii4QsB7jIC&oi=fnd&pg=PR15&dq=Rogers+E
M+(2003).+Diffusion+of+innovations+(fifth+edition).&ots=DMTswRQldO&sig=Z2s1x4FckGw
ojHnDwQU9ZKF3ZSc#v=onepage&q&f=false
Innovations (Rogers, 2003)
Innovation is an idea, practice or object that is perceived as new by an individual or other
unit of adoption. It matters little, so far as human behaviour is concerned, whether or not an
idea is ‘objectively’ new as measured by the lapse of time since its first discovery. The
perceived newness of the idea for the individual determines his or her reaction to it.
→ If an idea seems new to the individual, it is an innovation.
Diffusion
“The process by which an innovation is communicated through certain channels over time
among the members of a particular social system”.
Social change
Diffusion is a kind of social change. Social change is the process by which alteration occurs in
the structure and function of a social system.
- For example: the innovation of the use of smartphones.
Diffusion versus dissemination
- Diffusion: spontaneous spread (example, ink in a glass of water).
- Dissemination: active directed and managed approach to distribute/spread
innovation (communicating).
Communication
Communication is a process in which participants create and share information to reach
mutual understanding.
- Two-way process of a conversation.
- In diffusion communication involves a new idea (uncertainty).
4
innovations in Europe
Faculty of Health, Medicine and Life Sciences (FHML)
MSc Governance and Leadership in European Public Health
,Table of contents
1. Roger’s theory of diffusion of innovations ............................................................................. 4
1.1 Roger’s key elements of diffusion .................................................................................... 5
1.2 Roger’s model of the innovation-decision process ........................................................ 11
2. Greenhalgh’s model of diffusion in service organizations ................................................... 16
3. SIDS ....................................................................................................................................... 26
4. Evidence implementation .................................................................................................... 31
4.1 Evidence implementation model ................................................................................... 34
5. Implementation of clinical guidelines .................................................................................. 39
5.1 Theoretical perspective .................................................................................................. 40
5.2 EBM/ EBP and clinical practice guidelines ..................................................................... 46
5.3 From CPG to application in practice ............................................................................... 49
6. Checklists in public health .................................................................................................... 54
6.1 Origins of the WHO surgical safety checklist ................................................................. 56
6.2 The WHO surgery safety checklist.................................................................................. 59
6.3 Difficulties in translating the surgery safety checklist into different settings ............... 61
6.4 WHO and the surgery safety checklist ........................................................................... 67
7. Project management (in healthcare) ................................................................................... 69
8. Transferability....................................................................................................................... 75
8.1 PIET-T model................................................................................................................... 76
9. Quality management in healthcare...................................................................................... 79
9.1 Quality of care ................................................................................................................ 79
9.2 Quality management ...................................................................................................... 82
2
, 9.3 Assessing the quality of care .......................................................................................... 84
10. Writing a project proposal ................................................................................................. 89
10.1 Checklist for research projects ..................................................................................... 94
11. Reporting a project proposal.............................................................................................. 96
11.1 Third Health Programme and its dissemination ........................................................ 100
11.2 Evaluation plan ........................................................................................................... 102
12. WHO health program ....................................................................................................... 107
12.1 CHAFEA ....................................................................................................................... 113
12.2 DG SANTE ................................................................................................................... 116
13. Health system governance ............................................................................................... 117
13.1 TAPIC framework ........................................................................................................ 121
14. Screening .......................................................................................................................... 123
14.1 Wilson & Junger (1968) criteria.................................................................................. 124
14.2 Andermann, Blancquaert, Beauchamp & Déry (2008) .............................................. 126
3
, 1. Roger’s theory of diffusion of innovations
https://books.google.nl/books?hl=nl&lr=&id=v1ii4QsB7jIC&oi=fnd&pg=PR15&dq=Rogers+E
M+(2003).+Diffusion+of+innovations+(fifth+edition).&ots=DMTswRQldO&sig=Z2s1x4FckGw
ojHnDwQU9ZKF3ZSc#v=onepage&q&f=false
Innovations (Rogers, 2003)
Innovation is an idea, practice or object that is perceived as new by an individual or other
unit of adoption. It matters little, so far as human behaviour is concerned, whether or not an
idea is ‘objectively’ new as measured by the lapse of time since its first discovery. The
perceived newness of the idea for the individual determines his or her reaction to it.
→ If an idea seems new to the individual, it is an innovation.
Diffusion
“The process by which an innovation is communicated through certain channels over time
among the members of a particular social system”.
Social change
Diffusion is a kind of social change. Social change is the process by which alteration occurs in
the structure and function of a social system.
- For example: the innovation of the use of smartphones.
Diffusion versus dissemination
- Diffusion: spontaneous spread (example, ink in a glass of water).
- Dissemination: active directed and managed approach to distribute/spread
innovation (communicating).
Communication
Communication is a process in which participants create and share information to reach
mutual understanding.
- Two-way process of a conversation.
- In diffusion communication involves a new idea (uncertainty).
4
