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Innovation spread: lessons from HIV
Efficient spreading of evidence-based innovations among complex health systems remains an elusive goal despite extensive study in the social sciences. Biology provides a model of successful spread in viruses, which have evolved to spread with maximum efficiency using minimal resources. Here we explo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3723303/ https://www.ncbi.nlm.nih.gov/pubmed/23696582 http://dx.doi.org/10.1093/intqhc/mzt038 |
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author | Talbert-Slagle, Kristina Berg, David Bradley, Elizabeth H. |
author_facet | Talbert-Slagle, Kristina Berg, David Bradley, Elizabeth H. |
author_sort | Talbert-Slagle, Kristina |
collection | PubMed |
description | Efficient spreading of evidence-based innovations among complex health systems remains an elusive goal despite extensive study in the social sciences. Biology provides a model of successful spread in viruses, which have evolved to spread with maximum efficiency using minimal resources. Here we explore the molecular mechanisms of human immunodeficiency virus (HIV) spread and identify five steps that are also common to a recent example of spread in complex health systems: reduction in door-to-balloon times for patients with ST-segment elevation myocardial infarction (STEMI). We then describe a new model we have developed, called AIDED, which is based on mixed-methods research but informed by the conceptual framework of HIV spread among cells. The AIDED model contains five components: Assess, Innovate, Develop, Engage and Devolve, and can describe any one of the following: the spread of HIV among cells, the spread of practices to reduce door-to-balloon time for patients with STEMI and the spread of certain family health innovations in low- and middle-income countries. We suggest that by looking to the biological sciences for a model of spread that has been honed by evolution, we may have identified fundamental steps that are necessary and sufficient for efficient, low-cost spread of health innovations among complex health systems. |
format | Online Article Text |
id | pubmed-3723303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-37233032013-07-25 Innovation spread: lessons from HIV Talbert-Slagle, Kristina Berg, David Bradley, Elizabeth H. Int J Qual Health Care Papers Efficient spreading of evidence-based innovations among complex health systems remains an elusive goal despite extensive study in the social sciences. Biology provides a model of successful spread in viruses, which have evolved to spread with maximum efficiency using minimal resources. Here we explore the molecular mechanisms of human immunodeficiency virus (HIV) spread and identify five steps that are also common to a recent example of spread in complex health systems: reduction in door-to-balloon times for patients with ST-segment elevation myocardial infarction (STEMI). We then describe a new model we have developed, called AIDED, which is based on mixed-methods research but informed by the conceptual framework of HIV spread among cells. The AIDED model contains five components: Assess, Innovate, Develop, Engage and Devolve, and can describe any one of the following: the spread of HIV among cells, the spread of practices to reduce door-to-balloon time for patients with STEMI and the spread of certain family health innovations in low- and middle-income countries. We suggest that by looking to the biological sciences for a model of spread that has been honed by evolution, we may have identified fundamental steps that are necessary and sufficient for efficient, low-cost spread of health innovations among complex health systems. Oxford University Press 2013-09 2013-05-21 /pmc/articles/PMC3723303/ /pubmed/23696582 http://dx.doi.org/10.1093/intqhc/mzt038 Text en © The Author 2013. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. |
spellingShingle | Papers Talbert-Slagle, Kristina Berg, David Bradley, Elizabeth H. Innovation spread: lessons from HIV |
title | Innovation spread: lessons from HIV |
title_full | Innovation spread: lessons from HIV |
title_fullStr | Innovation spread: lessons from HIV |
title_full_unstemmed | Innovation spread: lessons from HIV |
title_short | Innovation spread: lessons from HIV |
title_sort | innovation spread: lessons from hiv |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3723303/ https://www.ncbi.nlm.nih.gov/pubmed/23696582 http://dx.doi.org/10.1093/intqhc/mzt038 |
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