Responsibility for clinical innovation. A case study in neonatal medicine
| Autor: | Gail Ross, Alfred N. Krauss, Valerie Miké |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Process (engineering)
Attitude of Health Personnel MEDLINE Context (language use) Transcutaneous oxygen monitoring 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Nursing Intensive care Intensive Care Units Neonatal Health care Medicine Humans Ethics Medical 030212 general & internal medicine Physician's Role Legal profession News media business.industry Health Policy Infant Newborn Public relations Diffusion of Innovation business Blood Gas Monitoring Transcutaneous |
| Zdroj: | Evaluationthe health professions. 21(1) |
| ISSN: | 0163-2787 |
| Popis: | Proper evaluation of clinical innovations and of the process of their diffusion is essentialfor the development of sound health care policy. This case study examines transcutaneous oxygen monitoring in neonatal intensive care, a procedure that was rapidly adopted in the late 1970s as a scientific breakthrough of great promise, then all but abandoned within a decade in favor of pulse oximetry, a still more recent technology. The study incorporates the results of interviews with representatives of industry as well as biomedical researchers and clinicians involved with these devices. Factors in technology diffusion are analyzed, with special attention to those susceptible to change by policy makers. Participants in the diffusion process also include nurses, hospital administrators, the legal profession, the news media, and the public, but the pivotal roleand hence ultimate responsibility-is seen to be that of the physician. The discussion is presented in the context of a proposed "ethics of evidence " pertinent to medical decision making. |
| Databáze: | OpenAIRE |
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