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Innovation, although a subject of considerable debate (e.g., Baregheh et al., 2009; Christensen, 1997), can be defined as the introduction and dissemination of a new or a different idea into use or practice that drives impact (Solis and Sinfield, 2014). Many studies and editorials have highlighted the complexity of the United States health system and detailed the slow speed by which innovative ideas materialize into impactful innovations (Continuing America’s leadership (2017); England & Stewart (2007); Kannampallil, Schauer, Cohen & Patel (2011)). While there are many advances in sensor and wearable technologies in this instance, the adoption rate by oncologists has been slow. This slow or lack of adoption has a deep impact on the care, comfort, and potential survival of cancer patients. This study intends to describe barriers and facilitators to sensor technology adoption in oncology, then map those barriers and facilitators across two sets of stakeholders (oncologists and technologists).
This qualitative study highlights key barriers including costs of technology, lack of time by oncologists, lack of communication between the two group, cultural and organizational factors, as well as global and policy factors. The enablers included the desire by both groups to work together for the benefit of the patients, as well as the need for tailored interventions leveraging an architected framework to propel this collaboration and align the stakeholders. The result of the study is a comprehensive conceptual framework and next steps detailed a short, medium, and long-term approach leading to adaptation, adoption, and diffusion. Being a first study of its kind, this can lead to further advancement in the field in terms of research and translational science.
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Hanna, Sam, "Sensors and Wearables in Oncology: A study of the Barriers and Facilitators to Adoption" (2020). Doctor of Philosophy in Translational Heath Sciences Dissertations. Paper 2.