OnCo
ideasIdea

A public tracker of how long each country takes to adopt new evidence

Measure and publish, for every practice-changing result, how long it takes before most eligible patients in each country and hospital actually receive it.

The 17-year 'bench to bedside' figure is a slogan, not a measurement. Using structured treatment data and registry linkage, the time from publication to 50 percent uptake among eligible patients can be computed per country, region and centre for each practice change. The proposal funds a public dashboard of these diffusion metrics, updated quarterly, to make slow adoption visible and comparable.

Hypothesis
Publishing diffusion times will reveal variation of years between countries and centres for the same evidence, and centres in the slowest quartile will improve after publication.
Rationale
What is measured and published improves; cancer survival comparisons (EUROCARE, CONCORD) drove national cancer plans, and adoption speed is a more actionable metric.
What would test it
Compute diffusion curves for ten practice changes since 2015 across five countries with structured data; publish; track whether laggard centres accelerate over the next two years.
Maturity
speculative
Who has to act
data
Cost to try
Small (under $1M)
Years to first evidence
2
Bottlenecks it attacks

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