Title: Implementation Methodology of Evidence-Based Medicine based on technological diffusion approach: a case of system establishment within the hospital industry

Authors: Bor-Wen Cheng, Wen-Hong Chiu, Maw-Liann Shyu, Chih-Ming Luo

Addresses: Department of Industrial Engineering and Management, Center for Health Service Management, National Yunlin University of Science and Technology, 123 University Road, Section 3, Douliou, Yunlin 64002, Taiwan. ' College of Management (PhD Program), National Yunlin University of Science and Technology, Department of Business Administration, Asia University, No. 500, Lioufeng Rd., Wufong, Taichung County, 41354, Taiwan. ' Department of Business Administration, Chaoyang University of Technology, 168 Jifong East Road, Wufong, Taichung, 41349, Taiwan. ' Department of Technology Management, Hsing Kuo University of Management, No. 600, Sec. 3, Taijing Blvd., Annan District, Tainan, 709, Taiwan

Abstract: The potential of Evidence-Based Medicine (EBM) is to support medical research, improve medical quality and promote competitive advantage in the hospital industry. Due to a growing body of medical knowledge, the implementation of EBM is mainly focused on the implementation of knowledge management systems. Thus, a technological diffusion approach is a promising solution to implementation of EBM systems. The proposed implementation framework consists of the following six stages: initiation, adoption, adaptation, acceptance, routinisation and infusion. In this empirical study, we share our experience in assisting a district teaching hospital in central Taiwan to implement an EBM system based on the proposed framework.

Keywords: evidence-based medicine; EBM; implementation methodology; technological diffusion approach; knowledge management; hospital industry; patient-centric healthcare; Taiwan.

DOI: 10.1504/IJTM.2009.024113

International Journal of Technology Management, 2009 Vol.47 No.1/2/3, pp.37 - 56

Available online: 26 Mar 2009 *

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