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How medical know-how progresses

Author

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  • Nelson, Richard R.
  • Buterbaugh, Kristin
  • Perl, Marcel
  • Gelijns, Annetine

Abstract

The conventional wisdom regarding the source of progress in medical practice highlights the role of basic scientific research into the nature of disease pathologies. This perspective neglects the important role of two other sources of progress in medicine. One is the advance of technologies that have enabled the development of new modalities of treatment and diagnosis. The other is learning in clinical practice. In many cases the advance of treatment has involved the interaction of all three of these pathways to progress.

Suggested Citation

  • Nelson, Richard R. & Buterbaugh, Kristin & Perl, Marcel & Gelijns, Annetine, 2011. "How medical know-how progresses," Research Policy, Elsevier, vol. 40(10), pages 1339-1344.
  • Handle: RePEc:eee:respol:v:40:y:2011:i:10:p:1339-1344
    DOI: 10.1016/j.respol.2011.06.014
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    References listed on IDEAS

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    1. Richard J. Murnane & Richard R. Nelson, 2007. "Improving the Performance of the Education Sector: The Valuable, Challenging, and Limited Role of Random Assignment Evaluations," Economics of Innovation and New Technology, Taylor & Francis Journals, vol. 16(5), pages 307-322.
    2. Mina, A. & Ramlogan, R. & Tampubolon, G. & Metcalfe, J.S., 2007. "Mapping evolutionary trajectories: Applications to the growth and transformation of medical knowledge," Research Policy, Elsevier, vol. 36(5), pages 789-806, June.
    3. Metcalfe, J.S. & James, Andrew & Mina, Andrea, 2005. "Emergent innovation systems and the delivery of clinical services: The case of intra-ocular lenses," Research Policy, Elsevier, vol. 34(9), pages 1283-1304, November.
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    Cited by:

    1. Ali, Ayfer & Gittelman, Michelle, 2016. "Research paradigms and useful inventions in medicine: Patents and licensing by teams of clinical and basic scientists in Academic Medical Centers," Research Policy, Elsevier, vol. 45(8), pages 1499-1511.
    2. repec:spr:scient:v:112:y:2017:i:3:d:10.1007_s11192-017-2436-5 is not listed on IDEAS
    3. Petersen, Alexander M. & Rotolo, Daniele & Leydesdorff, Loet, 2016. "A triple helix model of medical innovation: Supply, demand, and technological capabilities in terms of Medical Subject Headings," Research Policy, Elsevier, vol. 45(3), pages 666-681.
    4. repec:eee:tefoso:v:128:y:2018:i:c:p:133-143 is not listed on IDEAS
    5. Nelson, Richard R., 2016. "The sciences are different and the differences matter," Research Policy, Elsevier, vol. 45(9), pages 1692-1701.
    6. Yaqub, Ohid & Nightingale, Paul, 2012. "Vaccine innovation, translational research and the management of knowledge accumulation," Social Science & Medicine, Elsevier, vol. 75(12), pages 2143-2150.
    7. Taran Thune & Magnus Gulbrandsen, 2016. "Combining knowledge to generate new ideas. A study of disclosed ideas for life science inventions," Working Papers on Innovation Studies 20161209, Centre for Technology, Innovation and Culture, University of Oslo.
    8. Andrea Filippetti & Maria Savona, 2017. "University–industry linkages and academic engagements: individual behaviours and firms’ barriers. Introduction to the special section," The Journal of Technology Transfer, Springer, vol. 42(4), pages 719-729, August.
    9. Ronnie Ramlogan & Davide Consoli, 2014. "Dynamics of collaborative research medicine: the case of glaucoma," The Journal of Technology Transfer, Springer, vol. 39(4), pages 544-566, August.
    10. Jordan A. Comins & Loet Leydesdorff, 2017. "Citation algorithms for identifying research milestones driving biomedical innovation," Scientometrics, Springer;Akadémiai Kiadó, vol. 110(3), pages 1495-1504, March.
    11. repec:oup:indcch:v:27:y:2018:i:1:p:173-187. is not listed on IDEAS
    12. Lauto, Giancarlo & Valentin, Finn, 2016. "The knowledge production model of the New Sciences: The case of Translational Medicine," Technological Forecasting and Social Change, Elsevier, vol. 111(C), pages 12-21.
    13. repec:eee:respol:v:47:y:2018:i:1:p:98-107 is not listed on IDEAS
    14. Miller, Fiona A. & French, Martin, 2016. "Organizing the entrepreneurial hospital: Hybridizing the logics of healthcare and innovation," Research Policy, Elsevier, vol. 45(8), pages 1534-1544.
    15. Kukk, Piret & Moors, Ellen H.M. & Hekkert, Marko P., 2016. "Institutional power play in innovation systems: The case of Herceptin®," Research Policy, Elsevier, vol. 45(8), pages 1558-1569.
    16. Thune, Taran & Mina, Andrea, 2016. "Hospitals as innovators in the health-care system: A literature review and research agenda," Research Policy, Elsevier, vol. 45(8), pages 1545-1557.
    17. Yaqub, Ohid, 2017. "Testing regimes in clinical trials: Evidence from four polio vaccine trajectories," Research Policy, Elsevier, vol. 46(2), pages 475-484.

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    Keywords

    Innovation; Medicine;

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