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Ecosystem Barriers to Innovation Adoption in Clinical Practice
Calum A MacRae1, Rahul C Deo1, Stanley Y Shaw1
1Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Genomic and molecular diagnostics are underused in medicine, hindering disease subtype identification. Addressing stakeholder perspectives can accelerate the adoption of new health innovations.
Area of Science:
- Genomics and molecular diagnostics
- Translational research
- Healthcare innovation adoption
Background:
- Genomic and molecular understanding of diseases is advancing.
- Clinical deployment of these advancements remains limited.
- This gap impedes identifying actionable disease subtypes.
Purpose of the Study:
- To examine factors influencing the adoption of molecular and digital phenotypes in healthcare.
- To propose strategies for accelerating the integration of new diagnostic technologies.
- To foster a 'learning' healthcare ecosystem.
Main Methods:
- Review of historical examples of healthcare innovation adoption.
- Analysis of stakeholder perspectives across the healthcare ecosystem.
- Framework development for integrating discovery and implementation.
Main Results:
- Stakeholder perspectives significantly impact the adoption of healthcare innovations.
- Uneven deployment of genomics and phenotypic assays limits translational research.
- A 'learning' healthcare ecosystem approach is crucial for progress.
Conclusions:
- Integrating molecular and digital phenotypes requires addressing diverse stakeholder needs.
- Consideration of the entire innovation lifecycle, from discovery to implementation, is essential.
- Accelerating adoption necessitates a collaborative, ecosystem-wide strategy.
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