Warner K E
Health Serv Res. 1975 Winter;10(4):369-83.
Knowledge about the adoption and diffusion of innovations is briefly reviewed. A model is then proposed to explain how certain innovations, intended to address dire medical problems, might diffuse in a manner not previously reported, with extensive diffusion occurring during what would be a period of small-scale experimentation and limited adoption in the conventional innovation-diffusion environment. The model is illustrated with findings from a case study of the diffusion of drug therapies for four types of leukemia. Possible implications of "desperation-reaction" diffusion are suggested.
本文简要回顾了关于创新采纳与扩散的知识。随后提出了一个模型，以解释某些旨在解决严重医疗问题的创新如何以一种此前未被报道的方式进行扩散，即在传统创新扩散环境中通常处于小规模试验和有限采纳阶段时，却出现了广泛的扩散现象。通过对四种白血病药物疗法扩散的案例研究结果对该模型进行了说明。文中还提出了“绝望反应”扩散可能产生的影响。
