Year: 2013
Type: article
Abstract: The evidence-based paradigm is increasingly permeating the spheres of policymaking and management in health care, as it has in most other public domains.An emerging stream of research has investigated how different institutional arrangements are more (or less) conducive to an effective evidence-based policy.We contribute to this stream through a multiple-case design on governing technological innovation.In particular, the study examines the dynamics through which policymakers have governed the adoption of the Da Vinci robot within the Italian health care system.The analysis leads to the elaboration of four archetypes for governing through evidence, the common mechanisms of which are systematized in an emerging theory.The framework developed here suggests that governing through evidence entails selecting or combining a variety of evidentiary bases, structuring a new relational arrangement among the actors involved, and standardizing decisional criteria and procedures.Combining these elements with the specific governing output sought by policymakers explains the different steering capabilities of institutional arrangements in practice. InTRoduCTIonThis article explores the role of evidence in governing the adoption of technological innovation in health care, a domain in which policymaking faces high levels of complexity and uncertainty.The fast pace of technological change in medicine poses a difficult dilemma for governments (Zweifel and Manning 2000).Medical technologies have tremendous potential to transform the delivery of health care services and improve health outcomes.Concurrently, an unusual consensus has emerged among economists and international organizations that regard technological progress as the main driver of health We thank
Institution: Bocconi University
Language: English
Field: Decision Sciences
Domain: Social Sciences
Open Access status: hybrid
Estimated APC paid: $4,029
OpenAlex ID: W2327745339