Oliver P. Keown (
Greg Parston is director of programs, World Innovation Summit for Health (WISH), Qatar Foundation, and an executive adviser at the Centre for Health Policy, Institute of Global Health Innovation, Imperial College London.
Health Aff (Millwood). 2014 Sep;33(9):1516-22. doi: 10.1377/hlthaff.2014.0382.
Health care systems are under increasing pressure to cope with shifting demographics, the threat of chronic and noncommunicable disease, and rising health care costs. The uptake of innovations to meet these challenges and to advance medicine and health care delivery is not as rapid as the pace of change. Greater emphasis on the diffusion of innovation and greater understanding of the structural and organizational levers that can be used to facilitate systemwide improvement are essential. This article describes the results of a qualitative and quantitative study to assess the factors and behaviors that foster the adoption of health care innovation in eight countries: Australia, Brazil, England, India, Qatar, South Africa, Spain, and the United States. It describes the front-line cultural dynamics that must be fostered to achieve cost-effective and high-impact transformation of health care, and it argues that there is a necessity for greater focus on vital, yet currently underused, organizational action to support the adoption of innovation.
医疗保健系统面临着越来越大的压力，需要应对人口结构变化、慢性和非传染性疾病的威胁以及不断上涨的医疗保健成本。为了应对这些挑战以及推进医学和医疗保健服务，创新的采用速度并不像变革的速度那么快。更加重视创新的传播，更加了解可以用来促进整个系统改进的结构和组织杠杆，这是至关重要的。本文描述了一项定性和定量研究的结果，该研究旨在评估在八个国家（澳大利亚、巴西、英国、印度、卡塔尔、南非、西班牙和美国）促进医疗保健创新采用的因素和行为。它描述了必须培养的一线文化动态，以实现具有成本效益和高影响力的医疗保健转型，并认为有必要更加关注目前未得到充分利用的重要组织行动，以支持创新的采用。
