Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In his article about desseminating
innovations in health care, Dr Berwick1 noted
that many innovations in health care are slow to be adopted. Some medical
innovations, however, are disseminated quite quickly. Coronary stents in angioplasty
were widely adopted in just a few years, and drug-eluting stents are likely
to be adopted even more quickly. Multidrug therapy for human immunodeficiency
virus infection changed the course of that disease in industrialized countries
in a matter of just a few years. Few hospitals now operate without a computerized
tomography scanner; many now have multiple magnetic resonance imaging scanners
and are purchasing positron emission scanners. What is the difference between
innovation that is disseminated rapidly and that which languishes?
Levin-Scherz J. Disseminating Health Care Innovation—Reply. JAMA. 2003;290(11):1454-1455. doi:10.1001/jama.290.11.1454-a