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Studying Scale-Up and Spread as Social Practice: Theoretical Introduction and Empirical Case Study.

James A ShawSara E ShawJoseph WhertonGemma HughesTrisha Greenhalgh
Published in: Journal of medical Internet research (2017)
Health and care technologies need to be embedded within sociotechnical networks and made to work through situated knowledge, personal habits, and collaborative routines. A technology that "works" for one individual in a particular set of circumstances is unlikely to work in the same way for another in a different set of circumstances. We recommend the further study of social practices and the application of co-design principles. However, our findings suggest that even if this occurs, the scale-up and spread of many health and care technologies will be neither rapid nor smooth.
Keyphrases
  • healthcare
  • quality improvement
  • mental health
  • primary care
  • health information
  • public health
  • palliative care
  • affordable care act
  • risk assessment
  • climate change
  • sensitive detection