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Diffusion of healthcare technology: ...

Lin, Swu-Jane.

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Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois./
作者:	Lin, Swu-Jane.
面頁冊數:	164 p.
附註:	Source: Dissertation Abstracts International, Volume: 61-11, Section: B, page: 5818.
Contained By:	Dissertation Abstracts International61-11B.
標題:	Business Administration, Marketing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9993848
ISBN:	9780493016863

Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois.
Lin, Swu-Jane.

Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois. - 164 p.

Source: Dissertation Abstracts International, Volume: 61-11, Section: B, page: 5818.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2000.

Individual and contextual variables that influenced the time-to-adoption of the fentanyl patch were examined. The relative importance of internal and external information in adopting the new drug was studied using the Bass model.

ISBN: 9780493016863Subjects--Topical Terms:

1017573
Business Administration, Marketing.

Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois.
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245 1 0 $a Diffusion of healthcare technology: Adoption of fentanyl patch by physicians in Illinois.
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500 $a Source: Dissertation Abstracts International, Volume: 61-11, Section: B, page: 5818.
500 $a Adviser: J. Warren Salmon.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2000.
520 $a Individual and contextual variables that influenced the time-to-adoption of the fentanyl patch were examined. The relative importance of internal and external information in adopting the new drug was studied using the Bass model.
520 $a The time-to-first-adoption of the fentanyl patch by 4,459 physicians in Illinois was extracted from a Schedule II controlled substances prescription data set. Physician specialty and contextual variables of manage care and proximity to a major teaching hospital were independent variables analyzed with event-to-history analysis and Cox regression methods, after controlling for density of practitioners, cancer incidence, and area socioeconomic and sociodemographic status.
520 $a The overall adoption rate of the fentanyl patch from the 1991 lunch to 1997 was 71.8%, and the median time-to-adoption was 1,061 days. Results from multivariate analysis indicated that specialty was the most important variable in determining the time-to-first-adoption of the new drug. Oncologists and geriatricians adopted the new drug earlier than physicians with other specialties. HMO enrollment and competition among HMOs in an MSA have a non-linear effect: a low enrollment (<10%) and medium competition (competition index < 0.8) appeared to facilitate the adoption of the new drug, whereas a higher enrollment or more intense competition adversely affected the adoption. The proportion of African American population in the zip code where a doctor practiced was the most important sociodemographic variable to affect the adoption: the higher the proportion, the later the doctors adopted the new drug. All the three groups of variables were significant at p < 0.05. Proximity to a major teaching hospital did not influence the time-to-adoption. Results from the Bass model suggested that external information sources, such as advertisement or manufacturer representative detailing, were more important than internal information sources, such as colleagues and professional conferences, in adopting the new drug.
520 $a Policy implications were suggested to monitor and facilitate the diffusion of beneficial technology.
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