Friedman L H, Goes J B
Department of Public Health, Oregon State University, Corvallis, USA.
J Healthc Manag. 2000 Sep-Oct;45(5):317-30; discussion 330-1.
Healthcare decision makers and researchers have long been interested in the factors behind medical technology acquisition. The rate of environmental change in recent years has dramatically affected technology acquisition decision making in acute care hospitals. This study examines the relative role of decision-maker influence and environmental factors on the timing of MRI acquisition in hospitals operating in three western states with different levels of environmental uncertainty. The results suggest that the relative influence of decision makers and environmental factors on innovation acquisition timing varies depending on environmental turbulence, and that hospitals acquire new technology as one way of controlling the turbulence in their environments.
医疗保健决策者和研究人员长期以来一直对医疗技术采购背后的因素感兴趣。近年来环境变化的速度极大地影响了急症医院的技术采购决策。本研究考察了决策者影响力和环境因素在环境不确定性程度不同的三个西部州运营的医院中对磁共振成像（MRI）采购时机的相对作用。结果表明，决策者和环境因素对创新采购时机的相对影响因环境动荡程度而异，并且医院将获取新技术作为控制其环境中动荡的一种方式。
