New medical knowledge: what socio-managerial mechanisms enhance its application in health care practice?

Viktoras Justickis, Nomeda Gudeliene, Juris Plenta

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    Research application is the most powerful engine for the development of medical practice. New knowledge, diagnostic tools, medications, and innovative methods of medical treatment are the driving force of health care system, causing chain reaction of innovations: the development of old and emergence of new medical services, new medical specialties and innovative ways of diagnosis and treatment. All of the above, in their turn, cause broader innovations in organization, management and legal regulation of the health care system. Thus, the transfer and application of new knowledge is crucial for the development of medical practice. It is widely accepted that there are numerous factors facilitating or hampering the application of new medical knowledge in health care practice. The paper is aimed to discuss that beside the above-mentioned factors special socio-managerial mechanisms (sets of organizational, legal, cultural and psychological factors) that initiate, regulate and control transfer of research into practice exist. Four different socio-managerial mechanisms regulating research transfer to medical practice are discussed: administrative (administrative regulation charges the author of research with the responsibility for its application), customary (research application is imparted on the community of practitioners, that applies it according to their professional custom), legal imperative (imperative legal provision obliges to use new medical knowledge each time it can be useful) and market-based (research application is imparted on supply / demand market forces).
    Each of the above-mentioned mechanisms is different from the rest ones in two ways: 1) who is seen as the main actor responsible for the application of new knowledge: a scientist or a practitioner; 2) what is the social force motivating this actor to use the new knowledge: a custom, law or economic incentive. Advantages and disadvantages of every mechanism are discussed. It is being concluded that no one of the suggested socio-managerial research application mechanisms is superior to the others but every mechanism has its advantages and disadvantages. The salience of every advantage or disadvantage and their ratio depends in every case on social, economic, organisational or legal context and can be quite different. It means that application of any new knowledge should be started with selection of the most appropriate research application mechanism, having the best ratio of advantages / disadvantages for a given innovation and in a given social, economic, organizational and legal context.
    Original languageEnglish
    Pages (from-to)906-926
    JournalSocietal innovations for global growth : research papers = Socialinės inovacijos globaliai plėtrai
    Issue number1
    Publication statusPublished - 2012



    • Research application
    • Mechanisms for research application
    • Administrative mechanism

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