Two qualitative studies in the U.K. health care sector trace eight purposefully selected innovations. Complex, contested, and nonlinear innovation careers emerged. Developing the nonlinear perspective on innovation spread further, we theorize that multi-professionalization shapes "nonspread."...

This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of...

The objectives of the present paper are to describe selected findings from a research project on the diffusion and adoption of innovations in primary-care settings. The project design was a comparative case study design exploring four innovations in different settings. The findings are used to...

Objectives: To study the relationship between research evidence and clinical behaviour change in the UK National Health Service (NHS) in the period 1995–1997 by examining the ‘careers' of change issues designed to reshape clinical practice, the impact of such change efforts, and the factors...

The recent health care reforms include major changes to the composition (and, it is hoped, role) of health authorities. The research team at the Centre for Corporate Strategy and Change, Warwick Business School, will be undertaking a major study of these reforms, financed by the National Health...

The last two decades have seen a shift in public services organizations from hierarchies to networks. Network forms are seen as particularly suited to handling ‘wicked problems'. We make an assessment of the nature and impact of this shift. Using recent evidence from the United Kingdom (UK)...