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Surviving the attraction-selection framework: quantifying background factors affecting decision-making regarding innovation adoption in physician medical practices
Dissertation   Open access

Surviving the attraction-selection framework: quantifying background factors affecting decision-making regarding innovation adoption in physician medical practices

Joseph Bart Venâncio Arrington
Doctor of Business Administration (D.B.A.), Drexel University
Sep 2023
DOI:
https://doi.org/10.17918/00001832
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Abstract

Health services administration Attraction-selection framework Decision-making Oppressive bias Physician autonomy Theory of planned behavior Business Administration Psychology
This behavioral analysis investigates physician background factors affecting innovation adoption. This is a topic of importance as innovations can improve patient-health outcomes. Current literature suggests a 17-year lag between innovation conception to mainstream practice adoption. This study attempts to quantify factors in physicians' backgrounds to highlight their effect on innovation adoption. To investigate this, Current Procedural Terminology (CPT) codes that track physicians' procedures were tracked for one year and correlated to what medical degree physicians attained, the type of specialty they trained in, and their gender. Chi-square tests and logistic regressions were used on the binary variables to assess significance. Statistical analysis suggests physicians are more likely to perform innovative procedures in their medical practices if they are female (regardless of specialty), graduated from a US-based medical school, and were trained in a residency program that focuses on more technical patient treatments. Future research can ascertain through qualitative analysis the exact mechanisms behind this phenomenon and can be used for a decision matrix for health management systems to predict which physicians would benefit from interventions, helping them increase their tendency to adopt innovations so patients can receive the most up-to-date care.

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