| The state of the art versus the state of the science. The diffusion of new medical technologies into practice. | |
| | |
MedLine Citation:
|
PMID: 10287114 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This paper offers a theory to explain the diffusion of new medical technologies into local practice. Based on several hundred interviews with community hospital physicians, it anchors technology decisions in the norms and relationships of local practice. Physician descriptions of their use of different types of assessment information provide insight into the way in which local consenses on appropriate practice are formed, guide behavior, and change. To understand new technology adoption, it is necessary to (a) differentiate "formed" (complete) and "dynamic" (still developing) technologies, and (b) appreciate the extent to which medical practice is locally organized. Concepts from organizational literature, then, become useful in explaining the penetration of these medical communities and the circumstances under which a new modality takes hold in them. Within the framework presented, previously puzzling findings regarding variations in local practice and the poor relationship between practice behavior and the published literature become understandable. |
| | |
Authors:
|
A L Greer |
Related Documents
:
|
7889764 - Atim, accompanying measure on the assessment of information technology in medicine. 9865044 - Understanding, navigating and communicating knowledge: issues and challenges. 9223034 - Beyond the superhighway: exploiting the internet with medical informatics. 10932974 - Gynaecology in the new millennium. 10293914 - Health-care decision making, part ii. choices for incapacitated patients. 15773824 - Framig 2000: medical and therapeutic management of migraine in france. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: International journal of technology assessment in health care Volume: 4 ISSN: 0266-4623 ISO Abbreviation: Int J Technol Assess Health Care Publication Date: 1988 |
Date Detail:
|
Created Date: 1988-06-15 Completed Date: 1988-06-15 Revised Date: 2009-11-19 |
Medline Journal Info:
|
Nlm Unique ID: 8508113 Medline TA: Int J Technol Assess Health Care Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 5-26 Citation Subset: H |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Attitude of Health Personnel* Canada Communication* Diffusion of Innovation* England Hospitals, Community Humans Interviews as Topic Medicine Philosophy, Medical* Physician's Practice Patterns* Specialization Technology Assessment, Biomedical* United States |
| Grant Support | |
ID/Acronym/Agency:
|
1 FO6 TWO 00986-01/TW/FIC NIH HHS; R01 HS 03238888-01A1/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The role of the universities in assessing technology and disseminating information.
Next Document: The role and function of professional journals in the transfer of information.