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Lost in translation? : negotiating technological innovation in healthcare
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Maniatopoulos, Gregory, Llewellyn, Sue, Procter, Rob and Harvey, Gill (2011) Lost in translation? : negotiating technological innovation in healthcare. In: 27th EGOS Colloquium: Reassembling Organizations, Gothenburg, Sweden, July 6–9, 2011. Published in: Proceedings of the European Group for Organisational Studies Colloquium pp. 1-20.
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Official URL: http://www.egosnet.org/archive/2011_gothenburg/ove...
Abstract
Technological innovation in healthcare is growing at a rapid pace. Developments in genetics, stem cell research, bioinformatics, imaging and screening techniques have
broadened out the arena of health technology. These developments in sophisticated technology, it is suggested, have the potential to revolutionize the practices of medicine and healthcare by providing more proactive and powerful tools for the diagnosis, treatment, and prevention of illness and disease (Liddell et al, 2008;
Webster, 2002). In support of such claims, available research findings suggest that the
adoption of new innovative health technologies (IHTs) can result in reducing healthcare costs, increasing productivity, healthcare effectiveness, and improving the
patient’s experience of care by better management of chronic diseases (Liddell et al, 2008; Healthcare Industries Task Force, 2004).
At the same time, new innovative health technologies present many challenges.
Evidence indicates that patient safety and proven clinical effectiveness are insufficient to ensure the adoption and implementation of new clinical technologies. The prevailing organizational and policy context is crucially important as this may present barriers which slow or even prevent uptake (Lehoux 2006). In recent years there has
been a continuing debate around issues of clinical resistance, organizational/clinical restructuring, procurement and commissioning, public trust, and, more widely, around the ethical and social implications of techno-scientific innovations in medicine and health (Williams and Dickinson, 2008; Webster, 2006; Ferlie et al., 2005). Moreover, cost-effectiveness evidence is now required to inform decisions about the funding and procurement of new healthcare services and technologies (Fitzgerald et al., 2002).
Overall, the value of the innovation has to be clearly evident to a number of different stakeholders if technologies are to be embedded into actual work practices. These potential barriers have given rise to questions related to the diffusion and adoption of emerging medical and healthcare innovations.
This paper examines the dynamics and complexity of innovation adoption processes in the context of a rapidly changing healthcare policy landscape. Drawing upon the
inherently socially negotiated character of meaning, this paper illustrates the ambivalent nature of technological innovation by examining the complex ongoing
interplay of heterogeneous discourses in shaping the adoption of innovative health technologies (Law, 1987, 1994). Drawing upon Rye and Kimberly (2007) adoption is
here understood as a distinct organizational process related to an organization’s
potential interest in implementing a technological innovation. In so doing, this paper
draws on the findings of a three year research project which examines the adoption of
innovative clinical technologies in the UK NHS. In particular, we explore the nature,
role and dynamics of heterogeneous discourses (technological, managerial/professional, clinical), in shaping the adoption of a retinal imaging technology in a UK hospital Trust. In this regard, we contribute to the development of alternative ways of describing, analysing, and theorizing the process of technological innovation in healthcare.
Item Type: | Conference Item (Paper) | ||||
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Subjects: | H Social Sciences > HJ Public Finance R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine T Technology > T Technology (General) |
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Computer Science | ||||
Library of Congress Subject Headings (LCSH): | Medical care -- Technological innovations, Medical care -- Finance, Great Britain. National Health Service, Health planning -- Finance, Medical policy -- Great Britain | ||||
Journal or Publication Title: | Proceedings of the European Group for Organisational Studies Colloquium | ||||
Official Date: | July 2011 | ||||
Dates: |
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Page Range: | pp. 1-20 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||
Conference Paper Type: | Paper | ||||
Title of Event: | 27th EGOS Colloquium: Reassembling Organizations | ||||
Type of Event: | Conference | ||||
Location of Event: | Gothenburg, Sweden | ||||
Date(s) of Event: | July 6–9, 2011 |
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