| How medical specialists appraise three controversial health innovations: scientific, clinical and social arguments. | |
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MedLine Citation:
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PMID: 19961559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medical specialists play a pivotal role in health innovation evaluation and policy making. Their influence derives not only from their expertise, but also from their social status and the power of their professional organisations. Little is known, however, about how medical specialists determine what makes a health innovation desirable and why. Our qualitative study investigated the views of 28 medical specialists and experts from Quebec and Ontario (Canada) on three controversial innovations: electroconvulsive therapy, prostate-specific antigen screening and prenatal screening for Down's syndrome. Our findings indicate that the scientific, clinical and social arguments of medical specialists combine to create a relatively consistent narrative for each innovation. Our comparative analysis suggests that these narratives bring about a 'soft' resolution to controversies, which relies on a more or less tacit understanding of the social desirability of innovations and which sets the stage for their routinisation. Such an unpacking of medical specialists' arguments both for and against new technologies is needed because such arguments may easily be considered authoritative and because there are few forums for debating the social desirability of innovations not generally deemed to be highly controversial. |
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Authors:
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Pascale Lehoux; Jean-Louis Denis; Melanie Rock; Myriam Hivon; Stephanie Tailliez |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-12-03 |
Journal Detail:
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Title: Sociology of health & illness Volume: 32 ISSN: 1467-9566 ISO Abbreviation: Sociol Health Illn Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-04-26 Completed Date: 2010-08-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8205036 Medline TA: Sociol Health Illn Country: England |
Other Details:
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Languages: eng Pagination: 123-39 Citation Subset: IM |
Affiliation:
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Department of Health Administration, University of Montreal, Montreal, Quebec, Canada. pascale.lehoux@umontreal.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biomedical Research* Decision Making Depression / therapy Diffusion of Innovation* Dissent and Disputes* Down Syndrome / diagnosis Electroconvulsive Therapy Health Knowledge, Attitudes, Practice Humans Interviews as Topic Male Medicine* Ontario Physician's Practice Patterns* Prejudice Prenatal Diagnosis Prostate-Specific Antigen Prostatic Neoplasms / diagnosis Qualitative Research Quebec Social Perception* |
| Grant Support | |
ID/Acronym/Agency:
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200609 MSH-83745//Canadian Institutes of Health Research; MOP-64200//Canadian Institutes of Health Research |
| Chemical | |
Reg. No./Substance:
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EC 3.4.21.77/Prostate-Specific Antigen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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