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September 17, 2003

Disseminating Health Care InnovationDisseminating Health Care Innovation

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(11):1454-1455. doi:10.1001/jama.290.11.1454-a

To the Editor: Dr Berwick1 viewed dissemination of innovation as a social process. We have several questions, however, about his recommendations. How and by whom will "sound innovations" be identified in a timely manner? How are innovators and early adopters chosen? The underlying assumption is that such individuals can be prospectively selected in all relevant areas—a daunting task.

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