Department of Communication, Seoul National University, Seoul, KR.
Department of Communication, Michigan State University, East Lansing, MI, US.
Ann Glob Health. 2022 Aug 8;88(1):67. doi: 10.5334/aogh.3600. eCollection 2022.
Across the globe, there are successful health innovations that could help improve public health in US communities at lower cost and with higher effectiveness than standard practice. However, which factors should be considered to heighten the likelihood of successful transfer of global health ideas to the US still warrants more empirical investigation.
This study aimed to develop a conceptual framework delineating important factors to be considered for successful introduction of global health innovations to US communities, based on diffusion of innovations literature and case studies of global health innovations that have been adopted in US communities.
Five global health innovations adopted in US communities were selected based on expert panel recommendations and a review of academic and gray literatures. These innovations had diverse origins (Columbia, Mexico, South Africa, Sweden, and Wales) and exhibited various means of achieving desired health outcomes. We conducted archival research and 27 interviews (42 interviewees) with leaders and stakeholders of the five innovations to identify important factors for the transfer of global health innovations to the US.
Six factors were determined to be important for global health innovation adoption in the US: (1) innovation attributes, (2) linking agents, (3) inter-organizational partnerships, (4) scale up strategies, (5) implementation processes and outcomes in US communities, and (6) policy and social context. These factors correspond well to factors emphasized in the diffusion of innovation literature, although the importance of some sub-factors (e.g., stigma regarding the origin of innovations) diverged from the literature.
Based on our findings, we developed the Designing for Diffusion Framework for Global Health Innovations. The framework provides a comprehensive picture of factors that can be facilitators or hindrances for moving a global health innovation to the US to help smooth the diffusion process for better adoption and implementation in US communities.
在全球范围内，有一些成功的卫生创新，它们可以以比标准实践更低的成本和更高的效果帮助改善美国社区的公共卫生。然而，为了提高将全球卫生理念成功转移到美国的可能性，仍需要更多的实证研究来确定需要考虑哪些因素。
本研究旨在根据创新扩散文献和已被美国社区采用的全球卫生创新案例研究，制定一个概念框架，阐明将全球卫生创新成功引入美国社区需要考虑的重要因素。
根据专家小组的建议和对已被美国社区采用的全球卫生创新的学术和灰色文献的审查，选择了 5 项在美国社区采用的全球卫生创新。这些创新有不同的起源（哥伦比亚、墨西哥、南非、瑞典和威尔士），并采用了不同的方法来实现预期的健康结果。我们进行了档案研究和对 5 项创新的领导者和利益相关者的 27 次访谈（42 名受访者），以确定将全球卫生创新转移到美国的重要因素。
确定了 6 个对美国全球卫生创新采用很重要的因素：（1）创新属性，（2）联系代理，（3）组织间伙伴关系，（4）扩展策略，（5）美国社区的实施过程和结果，以及（6）政策和社会背景。这些因素与创新扩散文献中强调的因素非常吻合，尽管一些子因素的重要性（例如，对创新起源的污名化）与文献不同。
根据我们的发现，我们制定了《全球卫生创新设计扩散框架》。该框架全面描述了可以促进或阻碍将全球卫生创新推向美国的因素，有助于为更好地在美国社区采用和实施创新铺平道路，推动其扩散过程。
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