TY - JOUR AU - Bak, Kate AU - Dobrow, Mark J. AU - Hodgson, David AU - Whitton, Anthony PY - 2011 DA - 2011/07/31 TI - Factors affecting the implementation of complex and evolving technologies: multiple case study of intensity-modulated radiation therapy (IMRT) in Ontario, Canada JO - BMC Health Services Research SP - 178 VL - 11 IS - 1 AB - Research regarding the decision to adopt and implement technological innovations in radiation oncology is lacking. This is particularly problematic since these technologies are often complex and rapidly evolving, requiring ongoing revisiting of decisions regarding which technologies are the most appropriate to support. Variations in adoption and implementation decisions for new radiation technologies across cancer centres can impact patients' access to appropriate and innovative forms of radiation therapy. This study examines the key steps in the process of adopting and implementing intensity modulated radiation therapy (IMRT) in publicly funded cancer centres and identifies facilitating or impeding factors. SN - 1472-6963 UR - https://doi.org/10.1186/1472-6963-11-178 DO - 10.1186/1472-6963-11-178 ID - Bak2011 ER -