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Diffusion of breast conserving surgery in medical communities

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  • Jerome-D'Emilia, Bonnie
  • Begun, James W.

Abstract

Excluding skin cancers, breast cancer is the most common form of cancer in women. Due to an increased focus on early detection, many more cases of breast cancer are now diagnosed at an early stage, which makes the use of breast conserving surgery (BCS) an efficacious and often more desirable treatment choice than mastectomy. An analysis of the variation in the use of BCS in the United States was performed using data from the years 1988 and 1994, and stratifying hospitals on the basis of teaching status. In both 1988 and 1994, BCS was highest in academic teaching hospitals and lowest in community hospitals. This finding is interpreted within the framework of classical diffusion theory. Social and cultural norms in local medical communities have a strong effect on the degree to which innovations diffuse rapidly or not. This analysis is useful in the understanding of geographic and hospital-based variations in treatment for early stage breast cancer and other illnesses that have long and strongly held traditions of treatment.

Suggested Citation

  • Jerome-D'Emilia, Bonnie & Begun, James W., 2005. "Diffusion of breast conserving surgery in medical communities," Social Science & Medicine, Elsevier, vol. 60(1), pages 143-151, January.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:1:p:143-151
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    References listed on IDEAS

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    1. Peay, Marilyn Y. & Peay, Edmund R., 1990. "Patterns of preference for information sources in the adoption of new drugs by specialists," Social Science & Medicine, Elsevier, vol. 31(4), pages 467-476, January.
    2. Morris, C.R. & Cohen, R. & Schlag, R. & Wright, W.E., 2000. "Increasing trends in the use of breast-conserving surgery in California," American Journal of Public Health, American Public Health Association, vol. 90(2), pages 281-284.
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    Cited by:

    1. Faridah Djellal & Faïz Gallouj, 2007. "Innovation in hospitals: a survey of the literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(3), pages 181-193, September.
    2. Gagliardi, Dimitri & Ramlogan, Ronnie & Navarra, Pierluigi & Dello Russo, Cinzia, 2018. "Diffusion of complementary evolving pharmaceutical innovations: The case of Abacavir and its pharmacogenetic companion diagnostic in Italy," Technological Forecasting and Social Change, Elsevier, vol. 134(C), pages 223-233.
    3. Djellal, Faridah & Gallouj, FaIz, 2005. "Mapping innovation dynamics in hospitals," Research Policy, Elsevier, vol. 34(6), pages 817-835, August.

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