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- W1489450145 abstract "In this thesis we explore innovation in general practices in Ireland. Drawing on anencompassing equilibrium, disequilibrium and learning-by-using model of adoption,we examine the influences of general practitioner (GP) and practice characteristics,strategic behaviour, learning and knowledge spillovers, and cumulative learningfrom previous adoption decisions on the perceived benefits of adopting and usinginnovations in general practices. Ours is the first application of this theoreticalframework to timing of adoption, multiple technology adoption and intensity ofadoption decision-making in a health care setting. Our examination focuses on threeinnovations, prescription drugs, medical equipment and Information andCommunications Technology (ICT).Our analysis is based on two data sources, a secondary dataset which brings togetherGPs prescribing history over a 4½ year time period with information on thecharacteristics of the 625 GPs themselves, and a cross-sectional primary datasetwhich provides us with information for 601 general practices concerning practicestructure and use of medical equipment and ICT. Employing duration analysis,multivariate Probit and ordered Probit econometric techniques, we examine theadoption, use and intensity of use of prescription drugs, medical equipment and ICTrespectively.Irish GPs exhibit notable innovative behaviour with respect to prescribing innovationand practice development. Our research demonstrates that Irish GPs respond toinformational stimuli with respect to adoption and use of new prescription drugs,medical equipment and ICT. Furthermore, Irish GPs are incentivised by commercialand market considerations. In addition, we find the extent which a practice adoptstechnologies and learns from that experience influences both ensuing prescribing andinvestment decision-making. Our empirical findings support an economic approachto examining decision-making in a health care setting and the application of ourencompassing theoretical model to examinations of adoption and use of innovationsby health care professionals." @default.
- W1489450145 created "2016-06-24" @default.
- W1489450145 creator A5074396182 @default.
- W1489450145 date "2011-06-01" @default.
- W1489450145 modified "2023-09-26" @default.
- W1489450145 title "Adoption of innovations in Irish general practices : prescription drugs, medical equipment and ICT" @default.
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