The Future of Innovation Diffusion Research and its Implications for Management

McGrath, Cathleen; Zell, Deone

doi:10.1177/1056492601104012

Cited by 49 publications

(35 citation statements)

References 3 publications

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“…In addition, organizations that Profit-oriented organizations are expected to have a greater receptivity to using medications because of the low labor costs associated with pharmacotherapies. The relatively low labor costs assists for-profit centers in the management of the intense pressure they face to increase the number of clients served while maintaining treatment costs (McGrath and Zell, 2001;Roman and Johnson, 2002). Each of these measures is consistent with the finding that the availability of both financial and human resource slack (Miller and Friesen, 1982) provides an environment conducive to innovation experimentation (Damanpour, 1991;Drazin and Schoonhoven, 1996).…”

supporting

confidence: 63%

Section: External Characteristicsmentioning

confidence: 99%

“…Market competition is related to the concept of bounded instability (Stacey, 1992). If there is market competition combined with an increasing number of nearby centers adopting naltrexone, then there is a powerful impetus to mimic those organizations and adopt the innovation (Glassman, 1995;McGrath and Zell, 2001). Research on the adoption of technical innovations in hospitals is positively influenced by competition with neighboring facilities (Kimberly and Evanisko, 1981).…”

Section: External Characteristicsmentioning

confidence: 99%

“…For-profit agencies were more likely to adopt naltrexone across the four time periods than nonprofit agencies, possibly because of the low labor costs associated with pharmacotherapies. This strategy could be the result of an impetus faced by for-profit centers to increase patient capacity while maintaining treatment costs (McGrath and Zell, 2001;Roman and Johnson, 2002). Also, for-profit centers possess both the financial slack to assume the start-up costs of pharmacological adoption and the human resource slack necessary to engage in innovation experimentation (Damanpour, 1991;Miller and Friesen, 1982).…”

Section: Summary Of Findingsmentioning

confidence: 99%

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Organizational-Level Predictors of Adoption Across Time: Naltrexone in Private Substance-Use Disorders Treatment Centers

Oser

Roman

2007

J. Stud. Alcohol Drugs

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Objective-Prominent on the nation's research agenda on substance-use disorders treatment is the dissemination of effective pharmacotherapies. Thus, the purpose of this article is to use a "diffusion of innovations" theoretical framework to examine the organizational-level predictors of the adoption of a pharmacotherapy, naltrexone (Revia), in private substance use-disorders treatment centers (N = 165).Method-Data for these analyses were derived from the National Treatment Center Study, which contains four waves of data collected between 1994 and 2003. An event history model examined the impact of culture, leadership characteristics, internal structure, and external characteristics on the likelihood of adopting naltrexone between 1994 and 2003.Results-The results suggest that organizations embracing a 12-step model and those employing more experienced administrators were significantly less likely to adopt naltrexone. Moreover, treatment centers that used prescription drugs, possessed an employee handbook, were accredited, and operated on a for-profit basis were significantly more likely to adopt naltrexone over time.Conclusions-Structural characteristics do affect the innovation adoption behaviors of private substance-use disorders treatment centers. Organizational-level "research to practice" implications to further the adoption of innovative evidence-based treatments are discussed.A Major Focus Within the substance-use disorders treatment field is on conducting clinical trials in an effort to identify more effective treatment modalities. Despite the development of a number of evidence-based treatment strategies, including pharmacotherapies, substanceuse disorders treatment providers (Foreman et al., 2001;McGovern et al., 2004) and community treatment programs have been slow to adopt these new strategies Lamb et al., 1998;Read et al., 2001) suggesting that the adoption of innovations is a more complex organizational process. We argue that much of the "gap" that exists between research and practice can be explained by the structural variations of treatment organizations. Therefore, the purpose of this article is to use a "diffusion of innovations" * This research was supported by National Institute on Drug Abuse grants R01-DA13110 and R03-DA107199. (Rogers, 2003) to examine the organizational predictors of innovation adoption in private substance-use disorders treatment centers using an event history analysis. Specifically, the adoption of naltrexone (Revia) between 1994 and 2003 will be explored. Naltrexone is an opiate antagonist used in the treatment of both opiate and alcohol dependence. The development of naltrexone for the treatment of opiate dependence was approved by the U.S. Food and Drug Administration (FDA) in 1984. Subsequently, naltrexone can be defined as an innovation (Rogers, 2003) since it was approved for the treatment of alcohol dependence a decade later based on two randomized trials (O'Malley et al., 1992;Volpicelli et al., 1992). Theoretical concepts predicting naltrexone adoptionA...

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supporting

confidence: 63%

Section: External Characteristicsmentioning

confidence: 99%

Section: External Characteristicsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

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Organizational-Level Predictors of Adoption Across Time: Naltrexone in Private Substance-Use Disorders Treatment Centers

Oser

Roman

2007

J. Stud. Alcohol Drugs

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“…A meta-analysis undertaken by Greenlaugh et al (2004) found thirteen different disciplines with a research tradition of diffusion and adoption literature. In addition, research also included adoption of technological innovations and health care (Peeters, JE de Veer, van der Hoek, & Francke, 2012), farming (McGrath, & Zell, 2001), banking (Gopallakkrishnan, Wischnevsky, & Damanpour, 2003), intervention research in third world countries ( Pandey & Yadama, 1992), public health ( Katz, 1963;Haider & Kreps, 2004), health promotion (Ferrence, 2001), drug prevention (Pankratz, Hallfors, & Cho, 2002), and counseling (Murray, 2009) …”

Section: Conceptual Foundation/theorymentioning

confidence: 99%

Implementation of emergency preparedness in long term care and Rogers' diffusion of innovation theory.

Shiels¹

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They have been my core champions, all ten of them! It is hard to describe how our family values of perseverance, excellence, integrity and humor have carried me to this end point. I think of all of you with a warm smile, a belly laugh and tears of gratitude for your support.We have shared it all.iii ACKNOWLEDGEMENTS I have been surrounded by supportive communities of family, friends, faculty, and professional colleagues in this endeavor over these many years. It has required patience and ongoing support from all the communities as I have attempted to complete this course of study and maintain a work life that has had to keep pace with disasters, regulatory changes, decreases in Congressional funding and everything that is involved with emergency preparedness and response.My first acknowledgement is to Dr. Rod Barber for his leadership, commitment and integrity in everything that he does. Dr. Barber introduced me to the Kent School in 1991 when I was making a dramatic shift in the direction of my life. In addition, his example and support created an environment that challenged ways to look at ideas and theories that give credence to our work together and this study. In these events, individual long term care facilities and local/state responders rely even more so on good planning (Bolton & Zimmerman, 2007;Waxman et al., 2017).Emergency responses need to be based on sound plans that are pre-tested using exercises organized and facilitated by community partners that include first responders. The lessons learned by the research about solid decision-making for shelter-in-place or evacuation decisions are just as important in no-notice events as hurricane emergencies.

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Assimilation of Healthcare Information Systems (HIS): An Analysis and Critique

Sulaiman

Wickramasinghe

2011

Critical Issues for the Development of Sustainable E-Health Solutions

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The Future of Innovation Diffusion Research and its Implications for Management

Cited by 49 publications

References 3 publications

Organizational-Level Predictors of Adoption Across Time: Naltrexone in Private Substance-Use Disorders Treatment Centers

Organizational-Level Predictors of Adoption Across Time: Naltrexone in Private Substance-Use Disorders Treatment Centers

Implementation of emergency preparedness in long term care and Rogers' diffusion of innovation theory.

Assimilation of Healthcare Information Systems (HIS): An Analysis and Critique

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