Greer A L
Milbank Mem Fund Q Health Soc. 1977 Fall;55(4):505-32.
Federal government programs of the 1960s to rapidly diffuse technologies have been displaced on the '70s by efforts to constrain costly technological growth. As a guide to action, the understanding of reasons for adoption of innovation is essential; but the utility of available diffusion theory is limited by its focus on the speed of diffusion rather than any reasons for its adoption by organizations. In a practical sense, more is known about the administrator as decision maker than about those increasing situatiions in which physicians play a more central part. Until coherent, empirically grounded theories of organizational innovation are available, large-scale "tests" are premature and wasteful.
20世纪60年代旨在迅速推广技术的联邦政府计划，在70年代已被抑制成本高昂的技术增长的努力所取代。作为行动指南，理解创新采用的原因至关重要；但现有扩散理论的效用有限，因为它侧重于扩散速度，而非组织采用创新的任何原因。实际上，人们对作为决策者的管理者的了解，比对医生在其中发挥更核心作用的日益增多的情况的了解更多。在获得连贯的、基于实证的组织创新理论之前，大规模“试验”为时过早且浪费资源。
