Simon TurnerDanielle D ́LimaJessica SheringhamNicholas SwartEmma HudsonStephen MorrisNaomi Fulop2026-03-222026-03-22202110.1080/14719037.2021.1883098https://doi.org/10.1080/14719037.2021.1883098https://andeanlibrary.org/handle/123456789/45650Citaciones: 18A policy aspiration is that evidence should inform decision-making on introducing health service innovations. Internationally, innovation adoption has historically been slow and patchy. Three innovations in the English and Scottish National Health Service were analysed qualitatively: stroke service reconfiguration; revised national guidance on cancer referral; and ‘virtual’ glaucoma outpatient clinics. The authors identify three sociomaterial mechanisms through which evidence and context shape each other in decision-making: connecting, ordering, resisting. Shared preferences for research evidence enabled the medical profession to exert influence on decision-making, while other professions used alternative evidence. Implications for promoting inclusive public management around service innovations are discussed.enContext (archaeology)Public relationsService (business)ReferralSociologyNursingMedicineMarketingBusinessarticle