Evidence use as sociomaterial practice? A qualitative study of decision-making on introducing service innovations in health care
本研究通过分析英国NHS中三项服务创新的决策过程，识别出连接、排序和抵抗三种社会物质机制，揭示了证据与情境如何相互塑造，对理解不同专业群体在创新决策中的影响力有参考价值。
A policy aspiration is that evidence should inform decision-making on introducing health service innovations. Internationally, innovation adoption has historically been slow and patchy. Three innovations in the English and Scottish National Health Service were analysed qualitatively: stroke service reconfiguration; revised national guidance on cancer referral; and ‘virtual’ glaucoma outpatient clinics. The authors identify three sociomaterial mechanisms through which evidence and context shape each other in decision-making: connecting, ordering, resisting. Shared preferences for research evidence enabled the medical profession to exert influence on decision-making, while other professions used alternative evidence. Implications for promoting inclusive public management around service innovations are discussed.