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No magic targets! Changing clinical practice to become more evidence based
Sue Dopson1, Louise FitzGerald, Ewan Ferlie
1Saïd Business School, Templeton College, University of Oxford, UK.
Health Care Management Review
|July 31, 2002
Summary
This study explores how clinical practice innovations are adopted. It investigates factors influencing the credibility and utilization of new medical knowledge, emphasizing the role of social context in decision-making.
Area of Science:
- Health Services Research
- Knowledge Translation
- Organizational Behavior
Background:
- The diffusion and adoption of innovations in clinical practice are critical for healthcare improvement.
- Understanding the later stages of knowledge adoption remains underresearched.
- Key questions involve the credibility, utilization, and contextual factors of new clinical knowledge.
Purpose of the Study:
- To investigate the factors that enhance the credibility and utilization of new knowledge in clinical settings.
- To understand the decision-making processes of healthcare actors regarding the adoption of innovations.
- To explore the significance of the social context in the diffusion and adoption of clinical innovations.
Main Methods:
- Qualitative analysis of factors influencing knowledge credibility.
- Exploration of decision-making drivers for adopting new practices.
- Examination of social and contextual influences on innovation adoption.
Main Results:
- Credibility is established through evidence, expert endorsement, and perceived utility.
- Adoption decisions are influenced by individual beliefs, perceived benefits, and social norms.
- Social context, including peer influence and organizational culture, significantly shapes adoption patterns.
Conclusions:
- Enhancing the credibility and utility of new knowledge is essential for its adoption in clinical practice.
- Addressing individual and social factors is crucial for successful knowledge translation.
- Future research should further elucidate the interplay between knowledge characteristics and social contexts.