ArticleBMC health services research2015
Determining the predictors of innovation implementation in healthcare: a quantitative analysis of implementation effectiveness.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Point-of-care tests to manage acute respiratory tract infections in primary care: a systematic review and qualitative synthesis of healthcare professional and patient views.The Journal of antimicrobial chemotherapy · 2025Pooled it
- Exploring "patient-centered" hospitals: a systematic review to understand change.BMC health services research · 2017Pooled it
- A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial.Journal of acquired immune deficiency syndromes (1999) · 2022Trial
- Positive Health Check evaluation: A type 1 hybrid design randomized trial to decrease HIV viral loads in patients seen in HIV primary care.Contemporary clinical trials · 2020Trial
- Increasing clinicians' EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC.Behaviour research and therapy · 2016Trial
- Introduction of early health technology assessment for innovators, clinicians, and funders.npj health systems · 2026Review
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Direct integration of deep learning-based GTV auto-segmentation into a clinical radiotherapy planning system.Physics and imaging in radiation oncology · 2026Article
- ElastoMeric Infusion Pumps for Hospital AntibioTICs (EMPHATIC): A Feasibility Study.Antibiotics (Basel, Switzerland) · 2025Article
- Care at home for remdesivir treatment of COVID-19: a survey study of patient and physician experiences.BMC infectious diseases · 2025Article
- Preparing for implementation in aged care: a readiness assessment tool.JBI evidence implementation · 2025Article
- Exploring Determinants of Effective Implementation of an Innovation Within Health Care: Qualitative Insights from Program Champions on Implementing One-at-a-Time Therapy Within Addictions and Mental Health Services in New Brunswick.Administration and policy in mental health · 2025Article
- Characteristics of a Successful Nurse Peer Champion in the Implementation of Innovative Digital Technologies in Hospitals: A Qualitative Study.PEC innovation · 2024Article
- On "Is Clinical Research as Helpful to Clinicians as It Could Be?" Turolla A, Guccione AA, Tedeschi R, Pillastrini P. Phys Ther. 2023;103:pzad060. https://doi.org/10.1093/ptj/pzad060.Physical therapy · 2024Article
- RadDeploy: A framework for integrating in-house developed software and artificial intelligence models seamlessly into radiotherapy workflows.Physics and imaging in radiation oncology · 2024Article
- User Requirements and Perceptions of a Sensor System for Early Stress Detection in People With Dementia and People With Intellectual Disability: Qualitative Study.JMIR formative research · 2024Article
- Implementation of a Clinical Vessel Wall MR Imaging Program at an Academic Medical Center.AJNR. American journal of neuroradiology · 2024Article
- Project ECHOBMC health services research · 2024Article
- Decision discovery using clinical decision support system decision log data for supporting the nurse decision-making process.BMC medical informatics and decision making · 2024Article
- Addressing Disparities in Acute Stroke Management and Prognosis.Journal of the American Heart Association · 2024Review
7 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundThe failure rates for implementing complex innovations in healthcare organizations are high. Estimates range from 30% to 90% depending on the scope of the organizational change involved, the definition of failure, and the criteria to judge it. The innovation implementation framework offers a promising approach to examine the organizational factors that determine effective implementation. To date, the utility of this framework in a healthcare setting has been limited to qualitative studies and/or group level analyses. Therefore, the goal of this study was to quantitatively examine this framework among individual participants in the National Cancer Institute's Community Clinical Oncology Program using structural equation modeling.
methodsWe examined the innovation implementation framework using structural equation modeling (SEM) among 481 physician participants in the National Cancer Institute's Community Clinical Oncology Program (CCOP). The data sources included the CCOP Annual Progress Reports, surveys of CCOP physician participants and administrators, and the American Medical Association Physician Masterfile.
resultsOverall the final model fit well. Our results demonstrated that not only did perceptions of implementation climate have a statistically significant direct effect on implementation effectiveness, but physicians' perceptions of implementation climate also mediated the relationship between organizational implementation policies and practices (IPP) and enrollment (p <0.05). In addition, physician factors such as CCOP PI status, age, radiological oncologists, and non-oncologist specialists significantly influenced enrollment as well as CCOP organizational size and structure, which had indirect effects on implementation effectiveness through IPP and implementation climate.
conclusionsOverall, our results quantitatively confirmed the main relationship postulated in the innovation implementation framework between IPP, implementation climate, and implementation effectiveness among individual physicians. This finding is important, as although the model has been discussed within healthcare organizations before, the studies have been predominately qualitative in nature and/or at the organizational level. In addition, our findings have practical applications. Managers looking to increase implementation effectiveness of an innovation should focus on creating an environment that physicians perceive as encouraging implementation. In addition, managers should consider instituting specific organizational IPP aimed at increasing positive perceptions of implementation climate. For example, IPP should include specific expectations, support, and rewards for innovation use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.