November 1, 2017Journal of Medical Internet Research2,950 citationsOpen Access
Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies
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Key Points
- The aim is to evaluate nonadoption, abandonment, and scalability of health and care technologies using the NASSS framework.
- Applied NASSS framework to various health and social care technologies.
- Identified technological solutions with low chances for sustained adoption despite interest.
- Planned technology implementation and rollout strategies.
- Identified potential failures in technology programs and implementation strategies.
- Demonstrated that NASSS can guide technology design and inform adoption strategies.
- Proposed learning pathways from program failures to improve future technology adoption.
Abstract
Subject to further empirical testing, NASSS could be applied across a range of technological innovations in health and social care. It has several potential uses: (1) to inform the design of a new technology; (2) to identify technological solutions that (perhaps despite policy or industry enthusiasm) have a limited chance of achieving large-scale, sustained adoption; (3) to plan the implementation, scale-up, or rollout of a technology program; and (4) to explain and learn from program failures.
Cite This Study
Greenhalgh et al. (2017) studied this question.