'Medicine's next goldmine?' The implications of new genetic health technologies for the health service

被引:9
作者
Calnan M. [1 ]
Wainwright D. [1 ]
Glasner P. [2 ]
Newbury-Ecob R. [3 ]
Ferlie E. [4 ]
机构
[1] MRC HSRC, Department of Social Medicine, University of Bristol, Bristol BS8 2PR, Whiteladies Road
[2] Cardiff School of Social Sciences, Cardiff University, Cardiff CF10 3WT, King Edward VII Avenue
[3] The United Bristol Healthcare NHS, Trust Clinical Genetics Service, Bristol Royal Hospital for Sick Children
[4] School of Management, Royal Holloway University of London, Egham
关键词
Evidence-based; Genetic health care technologies; Health services; Implementation;
D O I
10.1007/s11019-005-7496-2
中图分类号
学科分类号
摘要
There is considerable uncertainty about the implications of the new genetics for health services. These are the enthusiasts who argue that molecular genetics will transform health care and others argue that the scope for genetic interventions is limited. The aim of this paper is to examine some of the questions, tensions and difficulties which face health care providers particularly in developed countries as they try to come to terms with the dilemmas raised by new genetic health care technologies (NGHTs). It identifies questions for research which may help the development of robust and flexible strategies for implementation. © Springer 2006.
引用
收藏
页码:33 / 41
页数:8
相关论文
共 51 条
[11]  
A First Class Service: Quality in the New, (1998)
[12]  
The Genetics Knowledge Parks Network - An Overview, (2002)
[13]  
Our Inheritance, Our Future Realising the Potential of Genetics in the NHS, (2003)
[14]  
Research in Genetics Based Health Services Invitation to Tender, (2005)
[15]  
Dopson S., Fitzgerald L., Ferlie E., Gabbay J., Locock L., No Magic Targets! Changing Clinical Practice to Become More Evidence Based, Health Care Management Review, 27, 3, pp. 35-47, (2002)
[16]  
Dunkerley D., Glasner P., Empowering the Public: Citizen's Juries and the New Genetic Technologies, Critical Health Policy, 8, 3, pp. 181-192, (1998)
[17]  
Edmondson A., Bohmer R., Pisano G., Disrupted Routines: Team Learning and New Technology Implementation in Hospitals, Administrative Sciences Quarterly, 46, pp. 685-716, (2001)
[18]  
Ferlie E., Shortell S., Improving the Quality of Health Care in the UK and US: A Framework for Change, Millbank Quarterly, 79, pp. 281-315, (2001)
[19]  
Ferlie E., Fitzgerald L., Wood M., Getting Evidence into Clinical Practice: An Organisational Behaviour Perspective, Journal of Health Services Research and Policy, 5, 2, pp. 96-102, (2000)
[20]  
Gelijns A., Rosenberg N., The Dynamics of Technological Change in Medicine, Health Affairs Summer, 13, 3, pp. 28-46, (1994)