{"title":"第8章指导制度变迁:美国医疗保健中观结构的代际建构与新逻辑的出现","authors":"Gina Dokko, Amit Nigam, Daisy Chung","doi":"10.1108/S0733-558X20190000058010","DOIUrl":null,"url":null,"abstract":"Author(s): Dokko, G; Nigam, A; Chung, D | Abstract: © 2019 by Emerald Publishing Limited All rights of reproduction in any form reserved. The emergence of an evidence-based medicine logic represents a major change in the large and complex field of American healthcare. In this analytical case study, the authors show that the intellectual school of evidence-based medicine became an important meso-structure that facilitated the growth of the new logic in American healthcare. The new intellectual school was a community of scholars who generated shared rules and resources through intergenerational mentoring. The school engaged in advocacy to advance new intellectual paradigms for conceptualizing healthcare quality that, when connected with material practices in the field of American healthcare, came to form a new institutional logic.","PeriodicalId":419818,"journal":{"name":"Agents, Actors, Actorhood: Institutional Perspectives on the Nature of Agency, Action, and Authority","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Chapter 8 Mentoring Institutional Change: Intergenerational Construction of Meso-structure and the Emergence of New Logics in American Healthcare\",\"authors\":\"Gina Dokko, Amit Nigam, Daisy Chung\",\"doi\":\"10.1108/S0733-558X20190000058010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Author(s): Dokko, G; Nigam, A; Chung, D | Abstract: © 2019 by Emerald Publishing Limited All rights of reproduction in any form reserved. The emergence of an evidence-based medicine logic represents a major change in the large and complex field of American healthcare. In this analytical case study, the authors show that the intellectual school of evidence-based medicine became an important meso-structure that facilitated the growth of the new logic in American healthcare. The new intellectual school was a community of scholars who generated shared rules and resources through intergenerational mentoring. The school engaged in advocacy to advance new intellectual paradigms for conceptualizing healthcare quality that, when connected with material practices in the field of American healthcare, came to form a new institutional logic.\",\"PeriodicalId\":419818,\"journal\":{\"name\":\"Agents, Actors, Actorhood: Institutional Perspectives on the Nature of Agency, Action, and Authority\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-03-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Agents, Actors, Actorhood: Institutional Perspectives on the Nature of Agency, Action, and Authority\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1108/S0733-558X20190000058010\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Agents, Actors, Actorhood: Institutional Perspectives on the Nature of Agency, Action, and Authority","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1108/S0733-558X20190000058010","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3