Abstract
The chapter introduces the theoretical foundations of the book, drawing on literature from medical sociology, STS, and innovation studies. It begins by describing the innovation-as-an-emergent process conceptualisation of innovation, contrasting this with the linear model, and it provides an overview of social science literature on the problem of technology adoption within healthcare settings. In the process of bringing these two areas together, the chapter introduces and describes the notion of proto-platforms, drawing on Keating and Cambrosio’s notion of biomedical platforms. This book can thus be seen as a study of a patient-centred proto-platform, constituted by various socio-technical elements that reflect the ideals of patient-centred care, which has emerged to deliver DBS in a paediatric context.
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Notes
- 1.
Greenhalgh and colleagues (Greenhalgh et al. 2004) have provided a useful systematic review of these disciplines and their various perspectives on innovation.
- 2.
The TRL system has been used in various initiatives aimed at scrutinising and facilitating innovation within regenerative medicine in the UK (UK Research Councils 2012), and the UK Government’s ‘Catapult’ innovation-funding agencies target their support to projects at TRL 4–6.
- 3.
Although it is often the case that particular actors or groups of actors are strategically delineated as the main ‘inventor’ or ‘innovator’ – Latour has referred to this as the secondary mechanism of attribution (1987, 119).
- 4.
May has also produced a freely available, online NPT toolkit to assist health professionals, managers, and other stakeholder with the adoption process. See www.normalizationprocess.org/npt-toolkit/.
- 5.
A brief overview of methodology and data collection methods is described in ‘Notes’ on page 215.
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Gardner, J. (2017). Understanding Innovation and the Problem of Technology Adoption. In: Rethinking the Clinical Gaze. Health, Technology and Society. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-53270-7_2
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