Summary of the primary decision makers and influencers at each level of the adoption process

Table 6: Summary of the primary decision makers and influencers at each level of the adoption process.

Participant/Stage	Patient	Medical provider	Payer	Dispenser	Regulator	Innovator/Manufacturer
Perception	Primary decision maker	Influence through routine screening	Influence through paying (or not) for routine screens			Influence through awareness campaigns
Seek treatment	Primary decision maker	Influence through availability and cost			Influence access and availability	Influence through help lines and educative campaigns
Diagnosis	If treat, then decision maker	Primary decision Maker		Influence in self-treatment situation		Influence by education, provision of diagnostics
Treatment plan	Influence through opinion and requests	Primary decision Maker	Secondary decision maker, influences through reimbursement rules	Primary/Secondary decision maker in self-treatment situation	Tertiary decision maker, controls band of possible treatments	Influence primary decision maker regarding selection of product and its inclusion in treatment plan
Delivery				Primary decision maker. Some delivery decisions	Influence type of dispensers & level of control
Evaluation	Primary decision maker	Secondary decision maker - if patient returns for evaluation				Influence through help lines and making comparative data available
Compliance	Primary decision maker	Limited control	Influence through ease of payment and level of cover			Influence through education and help lines