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SDO Project (08/1819/223)

Organisational factors influencing technology adoption and assimilation in the NHS: a systematic literature review Report for the 1DWLRQDO,QVWLWXWHIRU+HDOWK5HVHDUFK Service Delivery and Organisation SURJUDPPH

June, 2009 prepared by Dr Glenn Robert 

National Nursing Research Unit, King’s College London

Professor Trisha Greenhalgh 

Department of Primary Care & Population Health, University College London

Dr Fraser MacFarlane 

School of Management, University of Surrey

Mr Richard Peacock 

Archway Healthcare Library, Middlesex University

Address for correspondence Dr Glenn Robert National Nursing Research Unit King’s College London

© Queen’s Printer and Controller of HMSO 2009

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SDO Project (08/1819/223)

James Clerk Maxwell Building 57 Waterloo Road London SE1 8WA

E-mail: [email protected]

© Queen’s Printer and Controller of HMSO 2009

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SDO Project (08/1819/223)

Contents 1

Introduction ...................................................... 6 Key points ......................................................................... 6 1.1 Aims ................................................................................6 1.2 Scope ................................................................................6 1.3 Definitions ..........................................................................8 1.3.1 Technological innovation in healthcare organisations ....... 8 1.3.2 Adoption................................................................... 9 1.3.3 Assimilation .............................................................10 1.4 Limitations........................................................................10 1.5 Structure of this review ......................................................10

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Policy context .................................................. 12 Key points ........................................................................12 2.1 Contemporary NHS practice and policy recommendations ........12 2.1.1 Recommendations of the Healthcare Industries Task Force (HITF), 2004 .......................................................................12 2.1.2 House of Commons Health Committee: The Use of New Medical Technologies within the NHS, 2005..............................14 2.1.3 NHS National Innovation Centre and the NHS Technology Adoption Centre, 2007 ............................................................15 2.1.4 Other ongoing policy debates and inquiries ...................17

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An initial overview of the literature ................. 20 Key points ........................................................................20 3.1 The ‘state-of-the-art’ and recent reviews...............................21 3.2 Our previous review ...........................................................22 3.2.1 The inner context......................................................23 3.3 Drawing lessons for practice ................................................24

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Methods ........................................................... 26 Key points ........................................................................26 4.1 Outline of method ..............................................................26 4.1.1 Electronic searching of four databases .........................26 4.1.2 Hand searching of key journals ...................................27 4.1.3 Citation searches ......................................................28 4.1.4 Inclusion and exclusion criteria ...................................28 4.2 Mapping phase ..................................................................29 4.3 Appraisal and synthesis phase .............................................31

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Findings .......................................