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Predicting knowledge acquisition in two clinician groups: Rethinking the standard paradigm

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Knowledge in Society

Abstract

The focus of this study was an innovative antibiotic preventive regimen recommended by experts and regularly updated. Data about knowledge of this regimen and potential predictors of knowledge levels were obtained from representative samples of New York State urban and rural general dental practitioners. Using multivariate analyses, four research objectives were achieved: measurement of clinicians' level, of knowledge in both groups; identification of personal and professional work and communication factors influencing clinicians' knowledge level; assessment of the effect of each of these factors on knowledge; and differentiation between sets of predictors for each group. Explanatory factors in this study appeared to be specific, situational, and/or ecologic. The role of distinct configurations of communication networks in the knowledge acquisition process is noted.

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References

  • American Heart Association Committee. (1965). Prevention of bacterial endocarditis.Circulation, 31, 953–954.

    Google Scholar 

  • American Heart Association Committee. (1972). Prevention of bacterial endocarditis.Circulation, 46, 3–6.

    Google Scholar 

  • American Heart Association Committee. (1977). Prevention of bacterial endocarditis.Circulation, 56, 139A-143A.

    Google Scholar 

  • American Heart Association Committee. (1984). Prevention of bacterial endocarditis.Circulation, 70, 1123A-1127A.

    Google Scholar 

  • Anderson, J.G., & Jay, S.J. (1985). computers and clinical judgment: The role of physician networks.Social Science in Medicine, 20, 969–979.

    Article  Google Scholar 

  • Bauer, R.A., & Wortzel, L.H. (1966). Doctor's choice: The physician and his sources of information about drugs.Journal of Marketing Research, 3, 40–47.

    Article  Google Scholar 

  • Becker, M.H. (1970). Sociometric location and innovativeness: Reformulation and extension of the diffusion model.American Sociological Review, 35, 267–282.

    Article  Google Scholar 

  • Becker, M.H. et al. (1971). Characteristics and attitudes of physicians associated with the prescribing of chloramphenicol.HSMHA Health Report, 86, 993–1003.

    Google Scholar 

  • Becker, M.H. et al. (1972a). Correlates of physicians' prescribing behavior.Inquiry, 9, 30–42.

    Google Scholar 

  • Becker, M.H. et al. (1972b). Differential education concerning therapeutics and resultant physician prescribing patterns.Journal of Medical Education, 47, 118–127.

    Google Scholar 

  • Chambers, D.W. (1977). What are dentists and patients getting from continuing educational requirements?General Dentistry, 25, 40–43.

    Google Scholar 

  • Christensen, D.B., & Bush, P.J. (1981). Drug prescribing: Patterns, problems and proposals.Social Science in Medicine, 15A, 343–355.

    Google Scholar 

  • Christensen, D.B., Bush, P.J., & Wertheimer, A.I. (1979). Sources of information and influence on new drug prescribing among physicians in an HMO.Social Science in Medicine, 13A, 313–322.

    Google Scholar 

  • Coleman, J.S., Katz, E., & Menzel, H. (1966).Medical innovation New York: Bobbs-Merrill.

    Google Scholar 

  • Counte, M.A., & Kimberly, J.R. (1974). Organizational innovation in a professionally dominated system: Responses of physicians to a new program in medical education.Journal of Health and Social Behavior, 15, 188–198.

    Article  Google Scholar 

  • Fineberg, H.V., Gavel, R.A., & Sosman, M.B. (1978). Acquisition and application of new medical knowledge by anesthesiologists: Three recent examples.Anesthesiology, 48, 430–436.

    Article  Google Scholar 

  • Freidson., E. (1973).Profession of medicine. New York: Dodd, Mead.

    Google Scholar 

  • Freiman, M.P. (1985). The rate of adoption of new procedures among physicians: The impact of specialty and practice characteristics.Medical Care, 23, 939–945.

    Article  Google Scholar 

  • Greenberg, B., Breedlove, R., Berger, W. (1977). MEDLINE demand profiles: An analysis of requests for clinical and research information.Bulletin of the Medical Library Association, 65, 22–30.

    Google Scholar 

  • Handelman, S.L., Blandford, D.H., & Balzer, J. (1983). Impact of general practice residency training on dentists and dental practice.Journal of Dental Education, 47, 615–622.

    Google Scholar 

  • Hemminki, E. (1975). Review of literature on the factors affecting drug prescribing.Social Science in Medicine, 9, 111–115.

    Article  Google Scholar 

  • Kaluzny, A.D., Veney, J.E., & Gentry, J.T. (1974). Innovation of health services: A comparative study of hospitals and health departments.Milbank Memorial Fund Quarterly, 52, 51–82.

    Article  Google Scholar 

  • Kress, G.C. (1979). Continuing education: Does it affect the practice of dentistry?Journal of the American Dental Association, 99, 448–455.

    Google Scholar 

  • Manning, P.R., & Denson, T.A. (1979). How cardiologists learn about echocardiography.Annals of Internal Medicine, 91, 469–471.

    Google Scholar 

  • Manning, P.R., & Denson, T.A. (1980). How internists learn about cimetidine.Annals of Internal Medicine, 92, 690–692.

    Google Scholar 

  • Menzel., H. (1960). Innovation, integration, and marginality: A survey of physicians.American Sociological Review, 25, 704–713.

    Article  Google Scholar 

  • Menzel, H., & Katz, E. (1955–56). Social relations and innovation in the medical profession.: The epidemiology of a new drug.Pubic Opinion Quarterly, 19, 337–352.

    Article  Google Scholar 

  • Miller, R.R. (1973). Prescribing habits of physicians: A review of studies on prescribing of drugs. Parts IV–VI.Drug Intelligence and Clinical Pharmacology, 7, 557–564.

    Google Scholar 

  • Miller, R.R. (1974). Prescribing habits of physicians: A review of studies on prescribing of drugs. Parts VII–VIII.Drug Intelligence and Clinical Pharmacology, 8, 81–91.

    Google Scholar 

  • Osiobe, S.A. (1985). Use of information resources by health professionals: A review of the literature.Social Science in Medicine, 21, 965–973.

    Article  Google Scholar 

  • Rhee, S.O. (1976). Factors determining the quality of physician performance in patient care.Medical Care, 14, 733–750.

    Article  Google Scholar 

  • Rhee, S.O. (1977). Relative importance of physicians' personal and situational characteristics for the quality of patient care.Journal of Health and Social Behavior, 18, 10–15.

    Article  Google Scholar 

  • Rogers, E.M. (1983).Diffusion of innovations (3rd ed.). New York: Free Press.

    Google Scholar 

  • Rogers, E.M., & Kincaid, D.L. (1981).Communication networks: Toward a new paradigm for research. New York: Free Press.

    Google Scholar 

  • Sarll, D.W., & Holloway, P.J. (1982). Factors influencing innovation in general dental practice.British Dental Journal, 153, 264–266.

    Article  Google Scholar 

  • Stinson, E.R., & Mueller, D.A. (1980). Survey of health professionals' information habits and needs.Journal of the American Medical Association, 243, 140–143.

    Article  Google Scholar 

  • Strasser, T.C. (1978). The information needs of practicing physicians in northeastern New York state.Bulletin of the Medical Library Association, 66, 200–209.

    Google Scholar 

  • Williamson, P.M. (1975). The adoption of new drugs by doctors practicing in group and solo practice.Social Science in Medicine, 9, 233–236.

    Article  Google Scholar 

  • Worthen, D.B. (1973). Prescribing influences: An overview.British Journal of Medical Education, 7, 109–117.

    Google Scholar 

  • Zucker, S.B. (1979). The general practice residency: Its effect on specialization in dentistry.Journal of Dental Education 43, 544–546.

    Google Scholar 

Download references

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Donald Sadowsky is professor, Department of Dentistry, Albert Einstein College of Medicine. Research interests include the latter stages of professional socialization, measurement of clinician knowledge and knowledge-related behavior, and planned interventions to change that behavior.

Carol Kunzel is assistant professor of dentistry at Albert Einstein College of Medicine. Her academic degree is in sociology. She is currently studying clinician knowledge and its role in the prevention of bacterial endocarditis in a national sample of general practice dentists.

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Sadowsky, D., Kunzel, C. Predicting knowledge acquisition in two clinician groups: Rethinking the standard paradigm. Knowledge in Society 1, 58–68 (1988). https://doi.org/10.1007/BF02687213

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