Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health

Annual Review of Public Health, Vol. 30, p. 151, January 2009

27 Pages Posted: 6 Jan 2012

See all articles by Lawrence W. Green

Lawrence W. Green

University of California, San Francisco (UCSF) - School of Medicine

Judith Ottoson

San Francisco State University

Cesar Garcia

Central Washington University

Hiatt Robert

University of California, San Francisco (UCSF)

Multiple version iconThere are 2 versions of this paper

Date Written: 2009

Abstract

Legislators and their scientific beneficiaries express growing concerns that the fruits of their investment in health research are not reaching the public, policy makers, and practitioners with evidence-based practices. Practitioners and the public lament the lack of relevance and fit of evidence that reaches them and barriers to their implementation of it. Much has been written about this gap in medicine, much less in public health. We review the concepts that have guided or misguided public health in their attempts to bridge science and practice through dissemination and implementation. Beginning with diffusion theory, which inspired much of public health’s work on dissemination, we compare diffusion, dissemination, and implementation with related notions that have served other fields in bridging science and practice. Finally, we suggest ways to blend diffusion with other theory and evidence in guiding a more decentralized approach to dissemination and implementation in public health, including changes in the ways we produce the science itself.

Keywords: population health, social determinants of health, life course, socioeconomic status, longitudinal data

Suggested Citation

Green, Lawrence W. and Ottoson, Judith and Garcia, Cesar and Robert, Hiatt, Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health (2009). Annual Review of Public Health, Vol. 30, p. 151, January 2009. Available at SSRN: https://ssrn.com/abstract=1980325

Lawrence W. Green (Contact Author)

University of California, San Francisco (UCSF) - School of Medicine ( email )

513 Parnassus Ave
San Francisco, CA 94143
United States

Judith Ottoson

San Francisco State University ( email )

1600 Holloway Avenue
San Francisco, CA 94132
United States

Cesar Garcia

Central Washington University ( email )

400 E. University Way
Ellensburg, WA 98926
United States

Hiatt Robert

University of California, San Francisco (UCSF) ( email )

Third Avenue and Parnassus
San Francisco, CA 94143
United States

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