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Uptake of an innovation in surgery: observations from the cluster-randomized Quality Initiative in Rectal Cancer trial
Author(s) -
Marko Šimunović,
Angela Coates,
Andrew Smith,
Lehana Thabane,
Charles H. Goldsmith,
Mark N. Levine
Publication year - 2013
Publication title -
canadian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 64
eISSN - 1488-2310
pISSN - 0008-428X
DOI - 10.1503/cjs.019112
Subject(s) - medicine , randomized controlled trial , colorectal cancer , quality (philosophy) , cluster (spacecraft) , general surgery , surgery , cancer , philosophy , epistemology , computer science , programming language
Theory suggests the uptake of a medical innovation is influenced by how potential adopters perceive innovation characteristics and by characteristics of potential adopters. Innovation adoption is slow among the first 20% of individuals in a target group and then accelerates. The Quality Initiative in Rectal Cancer (QIRC) trial assessed if rectal cancer surgery outcomes could be improved through surgeon participation in the QIRC strategy. We tested if traditional uptake of innovation concepts applied to surgeons in the experimental arm of the trial.

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