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Organizing for Cancer Control: The Diffusion of a Dynamic Innovation in a Community Cancer Network

Published online by Cambridge University Press:  14 October 2009

Martha M. McKinney ,
Janet M. Barnsley  and
Arnold D. Kaluzny
Martha M. McKinney
Affiliation:
Health Resources and Services Administration
Janet M. Barnsley
Affiliation:
University of Toronto
Arnold D. Kaluzny
Affiliation:
University of North Carolina-Chapel Hill School of Public Health
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Abstract

This paper examines the diffusion of a “dynamic” innovation—research on the prevention and control of cancer—in a community cancer network. By analyzing the social structures and communication strategies of network members, as well as the attributes of the innovation, the authors explain why this innovation is diffusing more slowly than its “formed” counterpart—research on the treatment of cancer.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 8 , Issue 2 , Spring 1992 , pp. 268 - 288
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

1.Argyris, C., & Schon, D.Organizational dynamics. Reading, MA: Addison-Wesley, 1978.Google Scholar
2.Bailar, J. C., & Smith, E. M.Progress against cancer? The New England Journal of Medicine, 1986, 314, 1226–32.Google Scholar
3.Becker, M. H.Sociometric location and innovativeness: Reformulation and extension of the diffusion model. American Sociological Review, 1970, 35, 267–82.CrossRefGoogle Scholar
4.Breslow, L., & Cumberland, W. G.Progress and objectives in cancer control. Journal of the American Medical Association, 1988, 259, 1690–94.CrossRefGoogle ScholarPubMed
5.Buell, D. N.Memorandum to Director, DRCCA. Subject: Comparison of three major community oncology programs. 1982, March 24.Google Scholar
6.Cancer patient survival: What progress has been made. Publication GAO/PEMD-87−13. Washington, DC: General Accounting Office, 1987.Google Scholar
7.Coleman, J., Katz, E., & Menzel, H.The diffusion of an innovation among physicians. Sociometry, 1957, 20, 253–69.Google Scholar
8.Coleman, J. S., Katz, E., & Menzel, H.Medical innovation: A diffusion study. Indianapolis, IN: Bobbs-Merrill, 1966.Google Scholar
9.Daft, R. L., & Becker, S. W.Innovation in organizations. New York: Elsevier, 1978.Google Scholar
10.Daft, R. L., & Lengel, R. H. Information richness: A new approach to managerial behavior and organization design. In Staw, B. M. & Cummings, L. L. (eds.), Research in organizational behavior. Greenwich, CT: JAI Press, 1984, 191–233.Google Scholar
11.Downs, G. W., & Mohr, L. B.Conceptual issues in the study of innovation. Administrative Science Quarterly, 1976, 21, 700–14.Google Scholar
12.Feigl, P., & Diehr, P.Community cancer care evaluation executive summary. NCI contract no. N01-CN-35009. Seattle, WA: Statistical Analysis and Quality Control Center, Fred Hutch-inson Cancer Research Center, 1987.Google Scholar
13.Feller, I., & Menzel, D. C.Diffusion milieus as a focus of research on innovation in the public sector. Policy Sciences, 1977, 8, 49–68.Google Scholar
14.Fennell, M. L., & Warnecke, R. B.The diffusion of medical innovations: An applied net work analysis. New York: Plenum Press, 1988.Google Scholar
15.Fineberg, H. V. Effects of clinical evaluation on the diffusion of medical technology. In Committee for Evaluating Medical Technologies in Clinical Use, Institute of Medicine, National Academy of Sciences (eds.), Assessing medical technologies. Washington, DC: National Academy Press, 1985, 176–210.Google Scholar
16.Ford, L. G., Hunter, C. P., Diehr, P., et al. Effects of patient management guidelines on physician practice patterns: The Community Hospital Oncology Program experience. Journal of Clinical Oncology, 1987, 5, 504–11.Google Scholar
17.Galbraith, J. R.Designing the innovating organization. Organizational Dynamics, 1982, 10, 5–25.Google Scholar
18.Greenwald, P., & Cullen, J. W.The scientific approach to cancer control. CA-A Cancer Journal for Clinicians, 1984, 34, 328–32.Google Scholar
19.Greer, A. L.Advances in the study of diffusion of innovation in health care organizations. The Milbank Memorial Fund Quarterly/Health and Society, 1977, 55, 505–32.Google Scholar
20.Greer, A. L.The state of the art versus the state of the science: The diffusion of new medical technologies into practice. International Journal of Technology Assessment in Health Care, 1988, 4, 5–26.Google Scholar
21.Hakansson, H. Product development in networks. In Hakansson, H. (ed.), Industrial tech nological development: A network approach. London: Croom Helm, 1987, 84–127.Google Scholar
22.Kaluzny, A. D., Ricketts, T., Warnecke, R., et al. Evaluating organizational design to assure technology transfer: The case of the Community Clinical Oncology Program. Journal of the National Cancer Institute, 1989, 81, 1717–25.CrossRefGoogle ScholarPubMed
23.Kanter, R. B.The change masters: Innovations for productivity in the American corporation. New York: Simon and Schuster, 1983.Google Scholar
24.Kimberly, J. R. Managerial innovation. In Nystrom, P. C. & Starbuck, W. H. (eds.), Handbook of organizational design: Adapting organizations to their environments, vol. 1. New York: Oxford University Press, 1981, 84–104.Google Scholar
25.Kimberly, J. R.Managerial innovation and health policy: Theoretical perspectives and research implications. Journal of Health Politics, Policy, and Law, 1982, 6, 637–52.Google Scholar
26.Kimberly, J. R. Organizational and contextual influences on the diffusion of technological innovation. In Pennings, J. M. & Buitendam, A. (eds.), New technology as organizational innovation: The development and diffusion of microelectronics. Cambridge, MA: Ballinger Publishing, 1987, 237–59.Google Scholar
27.Manning, P. R., & Denson, T. A.How internists learned about cimetidine. Annals of Internal Medicine, 1980, 92, 690–92.Google Scholar
28.Meyer, A. D., & Goes, J. B.Organizational assimilation of innovations: A multilevel contextual analysis. Academy of Management Journal, 1988, 31, 897–923.CrossRefGoogle Scholar
29.Mytinger, R. E.Innovation in local health services. Arlington, VA: Public Health Service, U.S. Department of Health, Education, and Welfare, 1968.Google Scholar
30.Perry, J. L., & Kraemer, K. L.Innovation attributes, policy intervention, and the diffusion of computer applications among local governments. Policy Sciences, 1978, 9, 179–99.Google Scholar
31.Quinn, J. B.Strategic change: Logical incrementalism. Sloan Management Review, 1978, 20, 7–19.Google Scholar
32.Request for Research Grant Applications: RFA no. 10-NIH-NCI-DRCCA. Community clinical oncology program. 1982, July 16.Google Scholar
33.Ricketts, T. R., & Kaluzny, A. D.Innovation within innovation: A paradox for cancer control research. Family and Community Health, 1989, 12, 54–62.Google Scholar
34.Rogers, E. M.Diffusion of innovations, 3rd ed.New York: Free Press, 1983.Google Scholar
35.Rogers, E. M., & Shoemaker, F. F.Communication of innovations: A cross-cultural approach. New York: Free Press, 1971.Google Scholar
36.Scott, W. R. Systems within systems: The mental health sector. In Scott, W. R. & Black, B. L. (eds.), The organization of mental health services: Societal and community systems. Beverly Hills, CA: Sage, 1986, 31–52.Google Scholar
37.Seidler, J.On using informants: A technique for collecting quantitative data and controlling measurement error in organization analysis. American Sociological Review, 1974, 39, 816–31.Google Scholar
38.Shortell, S. M.The medical staff of the future: Replanting the garden. Frontiers of Health Services Management, 1985, 1, 3–48.Google Scholar
39.Tornatzky, L. G., & Klein, K. J.Innovation characteristics and innovation adoption-implementation: A meta-analysis of findings. IEEE Transactions on Engineering Management, 1982, EM-29, 28–45.CrossRefGoogle Scholar
40.Zaltman, G., Duncan, R., & Holbek, J.Innovations and organizations. New York: John Wiley and Sons, 1973.Google Scholar