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September 17, 2003

Disseminating Health Care Innovation—Reply

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: 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?