Adoption of Innovation
Contribute your expertise – it takes about 10 minutes
For healthcare professionals, managers, procurement teams and health technology researchers.
Confidential – No identifiable clinical data is collected – If you wish, we will invite you to a professional workshop
Why this topic matters
Clinical value & safety
New technologies must deliver meaningful benefits without compromising patient safety.
Usability & workflow
Technology needs to fit clinical
routines, teams and real working environments.
Adoption & sustainability
Evidence, resources, leadership and
context determine whether innovation
lasts.
What we want to learn
1. Clinical need & value
Priority indications, expected benefits, limits of use, patient value and the evidence needed to support decisions.
2. Usability, workflow & safety
Set-up, ergonomics, surgical workflow, technical and human risks, compatibility and safe everyday use.
3. People, training & acceptability
Roles, skils, learning curves, training, professional confidence, patient information and acceptability.
4. Implementation, scale-up & sustainability
Organisational readiness, procurement and HTA, funding, monitoring, adaptation and conditions for wider adoption.
What the literature highlights
Successful adoption depends on interacting clinical, technological, professional, organisational and contextual factors.
Organisations and adopter systems are frequently reported sources of implementation barriers.
Evidence, regulation, HTA, reimbursement and professional adoption can shape medical-device diffusion.
Published NASSS framework
Source: Greenhalgh, T., Wherton, J., Papoutsi, C., et al. (2017). Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. Journal of Medical Internet Research, 19(11), e367. https://doi.org/10.2196/jmir.8775
Selected reading
Greenhalgh, et al., 2017
Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. Journal Medical Internet Research, 19(11):e367.
Shin, et al., 2025
The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review. PLOS Digital Health, 4(3): e0000418
Warty, et al., 2021
Barriers to the Diffusion of Medical Technologies Within Healthcare: A Systematic Review,” in IEEE Access, 9, 139043-139058.
How you can contribute
1. Interviews
One-to-one conversations to understand experiences, expectations and barriers.
2. Group conversations
Small group discussions to
identify shared needs and implementation challenges.
3. Co-creation activities
Collaborative activities to improve usability, safety and implementation plans.
4. Prioritisation of needs
Helping identify the changes and conditions that matter most for successful adoption.
Patients & representatives
Share what makes a technology understandable, acceptable and valuable for patients.
Healthcare professionals
Contribute experience of usability, workflow, safety, training and clinical value.
Managers & decision-makers
Contribute insights on implementation, HTA, procurement, resources and sustainability.
All activities follow ethical principles of respect, confidentiality and voluntary participation.
In collaboration with
Your experience can help make healthcare innovation work.
Together we can identify what technologies need to be useful, safe and sustainable in real care.