The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
The State of the Art Versus the State of the Science: The Diffusion of New Medical Technologies into Practice
Abstract
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.
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Cites
Bucher, R., & Strauss, A. (1961) · American Journal of Sociology · doi:10.1086/222898 · Cited by 821
Cited by
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Anthonisen, N. R., Skeans, M. A., Wise, R. A., Manfreda, J., Kanner, R. E., Connett, J. E., & for the Lung Health Study Research Group* (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-142-4-200502150-00005 · Cited by 1,237
Local opinion leaders: effects on professional practice and health care outcomes
Flodgren, G., Parmelli, E., Doumit, G., Gattellari, M., O'Brien, M. A., Grimshaw, J., & Eccles, M. P. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000125.pub4 · Cited by 1,070
Knowledge Transfer and Exchange: Review and Synthesis of the Literature
MITTON, C., ADAIR, C. E., MCKENZIE, E., PATTEN, S. B., & PERRY, B. W. (2007) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2007.00506.x · Cited by 1,050
Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
GROL, R. P. T. M., BOSCH, M. C., HULSCHER, M. E. J. L., ECCLES, M. P., & WENSING, M. (2007) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2007.00478.x · Cited by 943
Clinical decision support systems for the practice of evidence-based medicine
Sim, I., Gorman, P., Greenes, R. A., Haynes, R. B., Kaplan, B., Lehmann, H., & Tang, P. C. (2001) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2001.0080527 · Cited by 732
Metadata
- Authors
- Greer, A. L.
- Venue
- International Journal of Technology Assessment in Health Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 1988-01
- Volume
- 4
- Issue
- 1
- Pages
- 5-26
- ISSN
- 0266-4623 (ISSN-L)
- 1471-6348
- OpenAlex
- W1970139648
- Cited by
- 348
- References
- 1
- FWCI
- 10.02
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The State of the Art Versus the State of the Science: The Diffusion of New Medical Technologies into Practice. https://app.cochat.ai/papers/10.1017/s0266462300003202
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- Greer, A. L. (1988). The State of the Art Versus the State of the Science: The Diffusion of New Medical Technologies into Practice. International Journal of Technology Assessment in Health Care. https://doi.org/10.1017/s0266462300003202
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
