Suther S G, Goodson P
Department of Health & Kinesiology, Texas A&M University, College Station, TX 77843-4243, USA.
Clin Genet. 2004 May;65(5):368-77. doi: 10.1111/j.0009-9163.2004.00253.x.
Primary care providers (PCPs) are believed to be the professionals who, in the near future, will be responsible for incorporating genomic medicine (GM) into primary care. Given the dearth of empirical data describing PCPs' beliefs about GM and the relationship between beliefs and the incorporation of GM into practice, this study assessed whether (and to what extent) PCPs' perceptions of GM as an innovation influence their likelihood of adopting this innovation into primary care. The study utilized diffusion of innovations theory as a framework. A state-wide representative sample of PCPs practicing in Texas responded to a mailed survey. The survey measured PCPs' perceptions of five characteristics of GM as an innovation. Findings suggest that among the five characteristics examined GM's relative advantage, compatibility with current practice, its complexity, and observability were the strongest predictors of likelihood to adopt GM tasks into primary care practice.
基层医疗服务提供者(PCP)被认为是在不久的将来将负责将基因组医学(GM)纳入基层医疗的专业人员。鉴于缺乏描述PCP对GM的看法以及这些看法与将GM纳入实践之间关系的实证数据,本研究评估了PCP将GM视为一项创新的看法是否(以及在多大程度上)影响他们将这项创新纳入基层医疗的可能性。该研究以创新扩散理论为框架。德克萨斯州全州范围内具有代表性的PCP样本对邮寄的调查问卷做出了回应。该调查问卷测量了PCP对GM作为一项创新的五个特征的看法。研究结果表明,在所考察的五个特征中,GM的相对优势、与当前实践的兼容性、其复杂性和可观察性是将GM任务纳入基层医疗实践可能性的最强预测因素。