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Understanding orthodontists' decision making in relation to innovations from encounter to implementation: A
Margarita Papakostopoulou1, Josef Kučera1, Hana Tycová1
1Department of Orthodontics, First Medical Faculty, Charles University, Prague, Czech Republic.
Summary
Orthodontists consider practice status, innovation features, and external pressures when adopting new treatments. Understanding these factors can improve clinical practice and patient outcomes through evidence-based innovation.
Area of Science:
- Orthodontics
- Dental Innovation Adoption
- Clinical Practice Management
Background:
- High-quality scientific advancements are crucial for improving orthodontic treatment outcomes.
- Suboptimal research uptake and inconsistent innovation adoption highlight the need to understand clinician behavior.
- This study explores factors influencing orthodontists' adoption of innovations into practice.
Purpose of the Study:
- To explore the factors influencing orthodontists' adoption of innovations into their clinical practice.
- To understand the decision-making process of orthodontists regarding new knowledge and technologies.
- To identify facilitators and barriers to innovation adoption in orthodontics.
Main Methods:
- Qualitative study employing 9 semistructured in-depth interviews with orthodontists and residents.
- Digital recording and verbatim transcription of interviews, with thematic analysis for code and theme generation.
- Reporting adherence to the consolidated criteria for reporting qualitative studies (COREQ) checklist.
Main Results:
- Six primary themes identified as facilitators or barriers to adoption: current practice state, encounter features, innovation attributes, clinician traits, practice management, and external influences.
- A sequential process from knowledge encounter to implementation was described.
- Key influencing factors include perceived practice status, innovation characteristics, clinician personality, practice management strategies, and professional/patient/marketing pressures.
Conclusions:
- Provides insight into orthodontists' considerations when adopting new knowledge and innovations.
- Findings can aid clinicians in navigating innovation adoption decisions for quality improvement.
- Increased awareness of influencing factors can ensure practice changes lead to enhanced orthodontic treatment quality.
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