Barriers to the Diffusion of Medical Technologies within Healthcare: A Systematic Review

Warty, RR; Smith, V; Salih, M; Fox, D; McArthur, SL; Mol, BW

Barriers to the Diffusion of Medical Technologies within Healthcare: A Systematic Review

Warty, RR Smith, V Salih, M Fox, D

McArthur, SL Mol, BW

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Publisher:: Institute of Electrical and Electronics Engineers (IEEE)
Publication Type:: Journal Article
Citation:: IEEE Access, 2021, 9, pp. 139043-139058
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Warty, RR
dc.contributor.author	Smith, V
dc.contributor.author	Salih, M
dc.contributor.author	Fox, D https://orcid.org/0000-0002-8032-8633
dc.contributor.author	McArthur, SL
dc.contributor.author	Mol, BW
dc.date.accessioned	2021-12-28T23:30:49Z
dc.date.available	2021-12-28T23:30:49Z
dc.date.issued	2021-01-01
dc.identifier.citation	IEEE Access, 2021, 9, pp. 139043-139058
dc.identifier.issn	2169-3536
dc.identifier.issn	2169-3536
dc.identifier.uri	http://hdl.handle.net/10453/152553
dc.description.abstract	Implementing medical devices into a clinical setting is a complex and lengthy process. Existing models, such as Rogers' Diffusion of Innovation, try to elucidate this process, however, need to be updated to the evolving healthcare context as fewer than 7% of devices achieve implementation. The aim of this systematic review was to describe the barriers to diffusion in relation to this model to understand why so few technologies are implemented and how to address these challenges to mitigate risk during the translation process. To do this, we searched PubMed, Medline, and Embase databases for studies published between 01/01/1999-30/10/2019. Theoretical and application studies were included, and thematic analysis was employed using the Braun and Clarke framework to generate broad themes from the specific concepts described by included studies. A total of 33 articles were eligible for inclusion. Innovation processes constituting an obstacle to diffusion included: technology-specific challenges (8/33), clinical evidence/uncertainty (5/33), regulatory affairs (6/33), health technology assessment (7/33), reimbursement (15/33), and adoption (6/33). The factors that contributed to these themes were identified as being associated to the 11 tenets of Rogers' Diffusion of Innovation. This allowed the discussion of the identified barriers to medical device diffusion in relation with the Rogers' model. This analysis enabled the development and proposal of a framework that incorporates considerations within commercialization and translation strategies for these barriers to ultimately facilitate medical technology implementation.
dc.language	en
dc.publisher	Institute of Electrical and Electronics Engineers (IEEE)
dc.relation.ispartof	IEEE Access
dc.relation.isbasedon	10.1109/ACCESS.2021.3118554
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	08 Information and Computing Sciences, 09 Engineering, 10 Technology
dc.title	Barriers to the Diffusion of Medical Technologies within Healthcare: A Systematic Review
dc.type	Journal Article
utslib.citation.volume	9
utslib.for	08 Information and Computing Sciences
utslib.for	09 Engineering
utslib.for	10 Technology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-12-28T23:30:48Z
pubs.publication-status	Published
pubs.volume	9

Abstract:

Implementing medical devices into a clinical setting is a complex and lengthy process. Existing models, such as Rogers' Diffusion of Innovation, try to elucidate this process, however, need to be updated to the evolving healthcare context as fewer than 7% of devices achieve implementation. The aim of this systematic review was to describe the barriers to diffusion in relation to this model to understand why so few technologies are implemented and how to address these challenges to mitigate risk during the translation process. To do this, we searched PubMed, Medline, and Embase databases for studies published between 01/01/1999-30/10/2019. Theoretical and application studies were included, and thematic analysis was employed using the Braun and Clarke framework to generate broad themes from the specific concepts described by included studies. A total of 33 articles were eligible for inclusion. Innovation processes constituting an obstacle to diffusion included: technology-specific challenges (8/33), clinical evidence/uncertainty (5/33), regulatory affairs (6/33), health technology assessment (7/33), reimbursement (15/33), and adoption (6/33). The factors that contributed to these themes were identified as being associated to the 11 tenets of Rogers' Diffusion of Innovation. This allowed the discussion of the identified barriers to medical device diffusion in relation with the Rogers' model. This analysis enabled the development and proposal of a framework that incorporates considerations within commercialization and translation strategies for these barriers to ultimately facilitate medical technology implementation.

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http://hdl.handle.net/10453/152553