The DOI matches its Crossref record; 53 of the 54 references it cites were found in a registry or an index.
Diffusion Of Innovations Theory, Principles, And Practice
Abstract
Aspects of the research and practice paradigm known as the diffusion of innovations are applicable to the complex context of health care, for both explanatory and interventionist purposes. This article answers the question, "What is diffusion?" by identifying the parameters of diffusion processes: what they are, how they operate, and why worthy innovations in health care do not spread more rapidly. We clarify how the diffusion of innovations is related to processes of dissemination and implementation, sustainability, improvement activity, and scale-up, and we suggest the diffusion principles that can be readily used in the design of interventions.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“This rapid adoption across the delivery system is likely driven both by an expectation that generative AI will address burnout among clinicians and increase patient volume and social, institutional, and mimetic processes.33,34”
From Uptake of Generative AI Integrated With Electronic Health Records in US Hospitals (2025) · cites this paper as [33]
In the citing paper
“From the perspective of innovation diffusion81, the use of digital health interventions for NCD management in primary health care of LMICs could be classified as “late majority” or even “laggards” in some regions”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [81]
Citations
Cites
Valente, T. W. (2003) · Genetics in Medicine · doi:10.1097/01.gim.0000061743.67794.c4 · Cited by 20,559
Keck, M. E., & Sikkink, K. (2014) · Cornell University Press eBooks · doi:10.7591/9780801471292 · Cited by 4,701
The answer is 17 years, what is the question: understanding time lags in translational research
Morris, Z. S., Wooding, S., & Grant, J. (2011) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.2011.110180 · Cited by 3,340
Disseminating Innovations in Health Care
Berwick, D. M. (2003) · JAMA · doi:10.1001/jama.289.15.1969 · Cited by 1,878
The Diffusion of Innovations among the American States
Walker, J. L. J. (1969) · American Political Science Review · doi:10.2307/1954434 · Cited by 1,740
Dissemination and Implementation Research in HealthTranslating Science to Practice
Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2012) · doi:10.1093/acprof:oso/9780199751877.001.0001 · Cited by 1,355
Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012) · Implementation Science · doi:10.1186/1748-5908-7-17 · Cited by 1,355
Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination
Flay, B. R., Biglan, A., Boruch, R. F., Castro, F. G., Gottfredson, D., Kellam, S., Mościcki, E. K., Schinke, S., Valentine, J. C., & Ji, P. (2005) · Prevention Science · doi:10.1007/s11121-005-5553-y · Cited by 1,338
Policy Entrepreneurship and Policy Change
Mintrom, M., & Norman, P. (2009) · Policy Studies Journal · doi:10.1111/j.1541-0072.2009.00329.x · Cited by 1,269
Coproduction of healthcare service
Batalden, M., Batalden, P., Margolis, P., Seid, M., Armstrong, G., Opipari-Arrigan, L., & Hartung, H. (2016) · BMJ Quality & Safety · doi:10.1136/bmjqs-2015-004315 · Cited by 1,078
Flagged first, then by citations
1 of the 54 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Green LW, 1991, Advances in health education and promotion, 91
Cited by
Sorted by citations
Items 601–700 of 755
Matulin, S. L., & Melchor, M. B. (2024) · EPRA International Journal of Environmental Economics Commerce and Educational Management · doi:10.36713/epra16845
Mugabi, N. (2024) · Routledge eBooks · doi:10.4324/9781003452423-11
Sova, C., Poon, E. G., Musser, R. C., & Chowdhury, A. (2024) · Applied Clinical Informatics · doi:10.1055/s-0044-1787648
THE IMPACT OF E-SBN IMPLEMENTATION TOWARDS RETAIL GOVERNMENT BOND INVESTMENT
Muhammad, F. R., & Khumairah, K. (2024) · Jurnal Manajemen dan Bisnis Performa · doi:10.29313/performa.v21i1.4081
The Role of Performance Management System in Improving Corporate Financial Performance
Ibrahim, I., Tahir, M., Ishak, I., Safrida, S., & Machmud, M. (2023) · ATESTASI Jurnal Ilmiah Akuntansi · doi:10.57178/atestasi.v6i1.890
Leopold, S. M., Brown, D. H., Zhang, X., Nguyen, X. T., Al‐Subu, A. M., & Olson, K. R. (2024) · Pediatric Cardiology · doi:10.1007/s00246-024-03573-y
Lazirko, M. (2024) · SSRN Electronic Journal · doi:10.2139/ssrn.4880584
Doamekpor, N. A. A.-M., Eshun, F., & Addy, M. N. (2024) · Lecture notes in energy · doi:10.1007/978-3-031-58086-4_3
Hemşirelikte Örgütsel Davranış: Güncel Yaklaşım ve Yönelimler
Demirtaş, H., Baykal, Ü., Kantek, F., Yeşilbaş, H., ÖZEN, T. A., Çınar, H. G., Vatan, F., Çamveren, H., Yılmaz, A., Duygulu, S., et al. (2024) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.3150
Lucumay, C. (2024) · International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences · doi:10.37082/ijirmps.v12.i4.230880
-, R. E. (2024) · International Journal For Multidisciplinary Research · doi:10.36948/ijfmr.2024.v06i04.26209 · Cited by 1
Gabelaia, I. (2024) · Advances in marketing, customer relationship management, and e-services book series · doi:10.4018/979-8-3693-3924-4.ch008
Chigbu, B. I., & Umejesi, I. (2024) · Advances in human resources management and organizational development book series · doi:10.4018/979-8-3693-7046-9.ch004
Dipon, R. G., & Cabudol, E. G. (2024) · The TQM Journal · doi:10.1108/tqm-12-2023-0416 · Cited by 2
Jing, J. (2024) · International Journal of Research Studies in Psychology · doi:10.5861/ijrsp.2024.042
Maina, S. N., & Simiyu, K. N. (2024) · African Journal of Empirical Research · doi:10.51867/ajernet.5.4.76
Embrett, M. G., & Sim, M. (2024) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.8663
Google Classroom and Students' Performance in Reading Comprehension in Ondo State, Nigeria
Emmanuel, I. F. (2024) · Journal of English Language and Pedagogy (JELPA) · doi:10.51826/jelpa.v2i2.1315
Theoretical Synthesis for Water, Energy, and Food (WEF) Nexus Security and Sustainability
David, L. O., Aigbavboa, C. O., Nwulu, N. I., & Adepoju, O. O. (2024) · Green energy and technology · doi:10.1007/978-3-031-72833-4_3
Introduction to Implementation Science
Snyder, S. E., & Wolk, C. B. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197579848.003.0007
Five user types of autonomous driving in Hungary
Lukovics, M., Nagy, B., & Prónay, S. (2024) · Engineering Management in Production and Services · doi:10.2478/emj-2024-0036
Vemulapalli, S., Prillinger, J. B., & Adams, D. H. (2025) · JACC: Cardiovascular Interventions · doi:10.1016/j.jcin.2025.01.444
Cheran, R. (2024) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc2415895
Workload model in school-based occupational therapy practice: Administrators’ perspectives
Boileau, R. K., Berry, H., & Potvin, M. (2025) · Journal of Occupational Therapy Schools & Early Intervention · doi:10.1080/19411243.2025.2494991
Heo, S., Chae, M. K., Yoo, S., & Cha, W. C. (2025) · Journal of the American College of Emergency Physicians Open · doi:10.1016/j.acepjo.2025.100143
Tamekloe, M. K., Ampong, E. A., Abiemo, E. J., Niangue, J. A., & Nuhu, M. G. (2025) · International Journal of Agriculture Extension and Rural Development Studies · doi:10.37745/ijaerds.15/vol12n11456
Gupta, A. D., & Yadav, Y. (2025) · doi:10.2196/preprints.77115
Kaufman, B. G., Lanford, T. J., Sperber, N. R., Stanwyck, C., Ma, J. E., Thorpe, J. M., Hastings, S. N., Bekelman, D. B., & Houtven, C. H. V. (2025) · Journal of Applied Gerontology · doi:10.1177/07334648251343484
Okpalaoka, C. (2025) · Humanities and Social Sciences Communications · doi:10.1057/s41599-025-05048-8
Strengthening student-centeredness in teachers in problem-based learning
Leatemia, L. D. (2025) · doi:10.26481/dis.20250626ll
A Method for Selecting Sociotechnical Theories in Information Systems Research
Shaanika, I. N., Nyikana, W., & Iyamu, T. (2025) · European Conference on Research Methodology for Business and Management Studies · doi:10.34190/ecrm.24.1.3650
Hailu, H. A. (2025) · CIB Conferences · doi:10.7771/3067-4883.1900
Overcoming Barriers to Adoption of Glucagon-Like Peptide-1 Antagonists in India
Arora, S., Grandhi, B., & Vakhariya, S. (2025) · doi:10.38124/ijisrt/24may2403
Basic theoretical frameworks of health education, research needs and practice implications in China
Xu, J. (2025) · Global Medical Education · doi:10.1515/gme-2024-0027
Alfarizi, M. (2025) · Jurnal Ilmu Ekonomi Terapan · doi:10.20473/jiet.v10i1.64250
Telemedicine and Pediatrics – Building a Technology-Based Collaborative in Montana
Bodnar, C. E. F. (2025) · IntechOpen eBooks · doi:10.5772/intechopen.115584
Joseph, S., Mathew, J., & Kuncheria, J. M. (2025) · Humanities and Social Sciences Communications · doi:10.1057/s41599-025-04540-5
Understanding Filipino Consumers' Willingness and Reluctance Toward Rabbit Meat ConsumptionPreprint
Narita, R. L., Caintic, J., Oco, D. M., Ibon, S. M. J., & Fornal, M. S. A. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5364759
Şişman, Ö. Ö. (2025) · Erciyes İletişim Dergisi · doi:10.17680/erciyesiletisim.1637303
(2023) · Health and population. Perspectives and issues · doi:10.5005/hppi-11041-46203
Etingen, B., Smith, B., Shimada, S. L., Robinson, S. A., Higashi, R. T., Ndiwane, N., Frisbee, K. L., Lipschitz, J. M., Richardson, E., Irvin, D., et al. (2025) · JMIR Formative Research · doi:10.2196/77113
AI Adoption in Family Businesses’ Talent Management: A Literature Review
Pal, R., & Bhowmick, B. (2025) · International Journal of Global Business and Competitiveness · doi:10.1007/s42943-025-00120-1
Ugba, G. H., Akase, T. M., & Akpede, K. S. (2024) · Journal of Institute of Africa Higher Education Research and Innovation (IAHERI) · doi:10.59479/jiaheri.v1i001.33
Overview of shared decision making implementation
Forcino, R. C., Schubbe, D. C., & Mitchell, M. (2025) · Oxford University Press eBooks · doi:10.1093/med/9780198897804.003.0017
Ogbomah, T. O., Megheze, O., & Appah, E. (2025) · Global Journal of Politics and Law Research · doi:10.37745/gjplr.2013/vol13n5125
Singh, V., & Sharma, S. K. (2025) · International Journal of Computer Integrated Manufacturing · doi:10.1080/0951192x.2025.2563801 · Cited by 1
Hulsey, J. N., Kelly, B. C., Rosenberg, J., Molfenter, T. D., & Taxman, F. S. (2025) · CrimRxiv · doi:10.21428/cb6ab371.f9f7bb45
Amayreh, R., Shah, S., Goode, J. R., Thomson, M. D., Pontinha, V. M., Kaefer, T. N., & Salgado, T. M. (2025) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2025.102963
Stevens, N., & Alla, F. (2025) · BMC Public Health · doi:10.1186/s12889-025-25040-w
Lestari, A., Syafitri, R., & Niko, N. (2025) · Priviet Social Sciences Journal · doi:10.55942/pssj.v5i11.697
Insulins, Technologies, and Telemedicine
Cipponeri, E., Vitale, L., Milani, I., & Caruso, R. (2025) · Springer eBooks · doi:10.1007/978-3-032-01700-0_16
Abdulkareem, S., Sadiq, M. A., Mohammed, A., Musa, A., Umar, M. L., & Bulus, N. G. (2025) · International Journal of Emerging Multidiciplinaries Biomedical and Clinical Research · doi:10.54938/ijemdbmcr.2025.03.2.531
Expériences professionnelles des acteurs du dépistage du cancer du col de l’utérus en Côte d’Ivoire
Nédélec, É., Mensah, K., Banga, M.-F., Lahmidi, N., & Beaudrap, P. D. (2025) · L’Ouest Saharien · doi:10.3917/ousa.021.0069
Kalume, S. B., & Omido, K. H. (2025) · International Journal of Social Science and Humanities Research (IJSSHR) · doi:10.61108/ijsshr.v3i3.240
E-Invoicing for Sustainable Business
Lim, T.-C., Goh, C. C., & Kee, D. M. H. (2025) · IGI Global eBooks · doi:10.4018/979-8-3373-3394-6.ch008
Debel, M. T., & Wang, F. (2025) · Economics of Innovation and New Technology · doi:10.1080/10438599.2025.2597924
Chen, K.-L., Wen, M.-F., Tsai, H.-Y., Chen, J.-H., & Huang, Y. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13869-1
Read, A. J., Rice, M. D., Baker, J. R., Waljee, A. K., & Saini, S. D. (2022) · Figshare · doi:10.6084/m9.figshare.19498015
Smith, A. L., Watts, C. G., Henderson, M., Long, G. V., Rapport, F., Saw, R. P. M., Scolyer, R. A., Spillane, A. J., Thompson, J. F., & Cust, A. E. (2022) · Figshare · doi:10.6084/m9.figshare.21258342
Kurz, M., Guerra‐Alejos, B. C., Min, J. E., Barker, B., Pauly, B., Urbanoski, K., & Nosyk, B. (2024) · Figshare · doi:10.6084/m9.figshare.24954506
Molina, R. L., Benski, A.-C., Bobanski, L., Tuller, D. E., & Semrau, K. E. A. (2021) · Figshare · doi:10.6084/m9.figshare.14936224
Neill, R., Hernández, A. L., Koon, A. D., & Bachani, A. M. (2024) · Figshare · doi:10.6084/m9.figshare.26718498
Neill, R., Hernández, A. L., Koon, A. D., & Bachani, A. M. (2024) · Figshare · doi:10.6084/m9.figshare.26718495
McLoughlin, G. M., Allen, P., Walsh‐Bailey, C., & Brownson, R. C. (2021) · Figshare · doi:10.6084/m9.figshare.14853441
Straw, C., Antelo, V. S., Kohler, R. E., Paolino, M., Viswanath, K., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26562286
Dreger, M., Eckhardt, H., Felgner, S., Ermann, H., Lantzsch, H., Rombey, T., Busse, R., Henschke, C., & Пантели, Д. (2021) · Figshare · doi:10.6084/m9.figshare.16909822
Neill, R., Hernández, A. L., Koon, A. D., & Bachani, A. M. (2024) · Figshare · doi:10.6084/m9.figshare.26718492
Pedersen, B. S., Kirk, J. W., Olesen, M. K., Grønfeldt, B. M., Stefánsdóttir, N. Þ., Brødsgaard, R., Tjørnhøj-Thomsen, T., Nilsen, P., Andersen, O., Bandholm, T., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19568737
Straw, C., Antelo, V. S., Kohler, R. E., Paolino, M., Viswanath, K., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26562292
Read, A. J., Rice, M. D., Baker, J. R., Waljee, A. K., & Saini, S. D. (2022) · Figshare · doi:10.6084/m9.figshare.19498018
Straw, C., Antelo, V. S., Kohler, R. E., Paolino, M., Viswanath, K., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26562289
Dreger, M., Eckhardt, H., Felgner, S., Ermann, H., Lantzsch, H., Rombey, T., Busse, R., Henschke, C., & Пантели, Д. (2021) · Figshare · doi:10.6084/m9.figshare.16909825
Bwalya, N., & Siame, P. (2025) · Journal of Emerging Markets and Management · doi:10.63385/jemm.v1i3.216
Malonjao, R., Malonjao, J., Lumbab, J., Archival, J., Medio, G., & Alivio, J. (2025) · Cleaner Water · doi:10.1016/j.clwat.2025.100197
Sani, A. S., Sadiq, M., Muhammad, L., Mohammed, A., Musa, A., Bulus, N. G., Muhammad, U. I., Jalo, M., & Bala, J. (2025) · International Journal of Biomedical Engineering and Clinical Science · doi:10.11648/j.ijbecs.20251104.12
Geoffrey, E. O. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5987327
The Actionable Innovation Day Approach: Participatory Model for Advancing Critical Care Innovation
Hryciw, B. N., Tran, C., Ramchandani, R., Love, C., Caron, C., Sarti, A. J., Miller, A. E., Madore, S., Chassé, M., Pan, A., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/73614
Transforming Local Municipalities Through 4IR and E-Government: A Batho Pele Framework
Moloto, A. (2025) · International Journal of Applied Research in Business and Management · doi:10.51137/wrp.ijarbm.439
Mahapatra, B., & Smadi, L. (2026) · Population Research and Policy Review · doi:10.1007/s11113-025-09988-6
Millet, L. (2024) · Journal de gestion et d économie médicales · doi:10.54695/jges.244.0035
Technology Acceptance and Usage Model for Sustainable Smart Farm Platform Development
Banluesapy, S., Ketcham, M., & Rattanasiriwongwut, M. (2025) · International Joint Symposium on Artificial Intelligence and Natural Language Processing (iSAI-NLP) · doi:10.1109/isai-nlp66160.2025.11320752
Zheng, X., Luo, C., Wu, C., Zhang, Z., Zhang, Y., & Skitmore, M. (2026) · Journal of Construction Engineering and Management · doi:10.1061/jcemd4.coeng-16923
Vasoactive regimens and outcomes in patients with septic shock: an observational cohort study
Bhuiya, S., Teja, B. J., Law, A. C., Gershengorn, H. B., Iwashyna, T. J., Vail, E. A., Walkey, A. J., Wunsch, H., & Bosch, N. A. (2026) · Annals of the American Thoracic Society · doi:10.1093/annalsats/aaoaf051
Assessment of Rapeseed Soapstock as a Potential Source of Lecithin for Food Industry Applications
Zvaigzne, A., Laipniece, L., Litavniece, L., Lazdoviča, K., Wieda, N., Kotāne, I., Silicka, I., Sīle, E., Gaile, A., & Lonska, J. (2026) · Sustainability · doi:10.3390/su18031456
Şişman, Ö. Ö. (2025) · DergiPark (Istanbul University)
Delivering Change: The Diffusion of Doula Awareness in Black American Communities
Whitwam, B. (2026) · Journal of Health Communication · doi:10.1080/10810730.2026.2629289
Beta Test of an Alcohol Awareness and Prevention Intervention for the U.S. Fire Service
Jitnarin, N., Haddock, C. K., Kaipust, C. M., Poston, W. S. C., Hollerbach, B. S., Koeppel, M. D. H., Jahnke, S. A., & Caetano, R. (2026) · Fire · doi:10.3390/fire9020083 · Cited by 2
Entrepreneurial bottom-up sustainability action – a spatial and scalar analysis at the local level
Gimenez-Maranges, M., Breuste, J. H., & Hof, A. (2026) · Journal of Enterprising Communities People and Places in the Global Economy · doi:10.1108/jec-03-2025-0078
Aborisade, A., Ali, A. M., Amedari, M. I., Salako, A., Akinsolu, F. T., Abodunrin, O. R., Ola, O. M., Olagunju, M. T., Eleje, G. U., Lusher, J. M., et al. (2026) · medRxiv · doi:10.64898/2026.02.27.26346208
Teacher Leaders as Catalysts for Transformative Integration of Generative AI in Education
Sabour, M., & Williams, M., Jr. (2026) · IGI Global eBooks · doi:10.4018/979-8-3373-6911-2.ch004
Evans, W. D., Bingenheimer, J. B., Zaman, T., Adebayo, S. B., David, F. A., Gar, S. A., & Abdulkarim, M. (2026) · Journal of Global Health · doi:10.7189/jogh.16.04023
Purwanto, E., Kusmiati, R., Oktarina, S., & Santoso, H. (2026) · Jurnal Penyuluhan · doi:10.25015/22202661755 · Cited by 1
Sangode, P. B., & Marwah, P. (2026) · Journal of Agribusiness in Developing and Emerging Economies · doi:10.1108/jadee-02-2025-0090
Fatorachian, H., & Omowunmi, L. (2026) · Procedia Computer Science · doi:10.1016/j.procs.2026.02.095
Educators' Perspectives on AI Integration in Education
Ong, A. W. H., Low, C. S., Yap, Y. W., Junit, J., & Rao, P. S. B. P. (2026) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3693-6346-1.ch007
Tibble, H., Lee, B., & Skene, I. (2026) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-026-00498-2 · Cited by 1
Gao, J., Idris, M. A., Jones, E. C., Brown, L. D., & Tsai, J. (2026) · doi:10.2196/preprints.96231
Metadata
- Authors
- Dearing, J. W., & Cox, J. G.
- Affiliations
- Michigan State University (US)
- ORCID
- Dearing, James W.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2018-02
- Volume
- 37
- Issue
- 2
- Pages
- 183-190
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2787575783
- Semantic Scholar
- c51cca517bacd0aeb780046843be80d73cde6311
- Cited by
- 757
- References
- 54
- Citations by year
- 2026: 95 · 2025: 133 · 2024: 133 · 2023: 125 · 2022: 114 · 2021: 85 · 2020: 40 · 2019: 23 · 2018: 6
- FWCI
- 58.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Decision Sciences › Management Science and Operations Research › Innovation Diffusion and Forecasting
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- diffusion of innovations, healthcare innovation, diffusion, dissemination, implementation, sustainability, scale-up, intervention design
- MeSH terms
- Delivery of Health Care, Diffusion of Innovation, Health Plan Implementation, Humans, Organizational Innovation, Information Dissemination
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review