Model Details

Model NameGreenhalgh Diffusion of Innovations in Service Organizations
D and/or ID=I
Construct Flexibility3
Socio-Ecological LevelsIndividual
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Figure No figure is associated with this model.
Field of OriginHealth Services Research
ConstructsAdopter/implementer/decision maker characteristics


Development of an Intervention




Context - Inner setting





Relative advantage


Number of Times Cited2340
CitationsGreenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. Milbank Q. 2004 Dec; 82(4): 581–629.
ExamplesGreenhalgh T, Stramer K, Bratan T, Byrne E, Mohammad Y, Russell J. Introduction of shared electronic records: multi-site case study using diffusion of innovation theory. BMJ. 2008 Oct 23;337:a1786. doi: 10.1136/bmj.a1786.

Macfarlane F, Greenhalgh T, Humphrey C, Hughes J, Butler C, Pawson R. A new workforce in the making? A case study of strategic human resource management in a whole-system change effort in healthcare. J Health Organ Manag. 2011;25(1):55-72. doi: 10.1108/14777261111116824.

Sugarhood P, Wherton J, Procter R, Hinder S, Greenhalgh T. Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare. Disabil Rehabil Assist Technol. 2014 Jan;9(1):79-87. doi: 10.3109/17483107.2013.823573.

Paina L, Namazzi G, Tetui M, Mayora C, Kananura RM, Kiwanuka SN, Waiswa P, Mutebi A, Ekirapa-Kiracho E. Applying the model of diffusion of innovations to understand facilitators for the implementation of maternal and neonatal health programmes in rural Uganda. Global Health. 2019 Jun 13;15(1):38. doi: 10.1186/s12992-019-0483-9

Valaitis R, MacDonald M, Kothari A, O'Mara L, Regan S, Garcia J, Murray N, Manson H, Peroff-Johnston N, Bursey G, Boyko J. Moving towards a new vision: implementation of a public health policy intervention. BMC Public Health. 2016 May 17;16:412. doi: 10.1186/s12889-016-3056-3.

[Health Equity] George S, Hamilton A, Baker RS. How Do Low-Income Urban African Americans and Latinos Feel about Telemedicine? A Diffusion of Innovation Analysis. Int J Telemed Appl. 2012;2012:715194. doi: 10.1155/2012/715194.

[Health Equity] Byambaa, T., Janes, C., Takaro, T. et al. Putting Health Impact Assessment into practice through the lenses of diffusion of innovations theory: a review. Environ Dev Sustain 17, 23–40 (2015).
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