This article summarizes an extensive literature review addressing the question, How can we spread and sustain innovations in health service delivery and organization? It considers both content (defining and measuring the diffusion of innovation in organizations) and process (reviewing the literature in a systematic and reproducible way). This article discusses (1) a parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, (2) clear knowledge gaps where further research should be focused, and (3) a robust and transferable methodology for systematically reviewing health service policy and management. Both the model and the method should be tested more widely in a range of contexts.

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highlighting an area where these two pragmatic research paradigms overlap. Not only do researchers in these areas aim to improve our understanding of decision making, they provide practical and realistic alternatives to laboratory-based research on decision making. The article presents a number of propositions for future research on NDM and organizations.

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