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1000 Titel
  • Mechanistische Narrative als Mittel der Dissemination: das Beispiel koronarer Technologien
1000 Titelzusatz
  • Narratives help disseminate medical technologies: the case of coronary interventions
1000 Autor/in
  1. Donner-Banzhoff, Norbert |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-04-07
1000 Erschienen in
1000 Quellenangabe
  • 63(5):521-526
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00103-020-03130-x |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Medical technologies are often disseminated and used although evidence demonstrating their effectiveness and safety is missing. Percutaneous intervention (PCI) in stable coronary artery disease (CAD) is an example. This raises the question of how these technologies get disseminated and on which basis they are accepted by clinicians, patients, and the wider public.Studies investigating the communication between clinicians and patients show that simple narratives play a decisive role here. In this paper I discuss how narratives contribute to the dissemination of medical technologies. Communication within the profession, which includes medical education, also relies on narratives to a large degree. They have the following characteristics in common: 1) extreme simplification, 2) reduction to biological processes, 3) deterministic logic, and 4) strong moral message. These narratives are always biased; narratives dealing with interventions paint an overoptimistic picture of their effectiveness and safety. Although they represent 'modern' technologies, their logic and purpose are akin to archaic myths.Presumably education and persuasion cannot eschew narratives completely. But health professionals, patients and the public should be aware of the inevitable bias that comes with narratives and their potential for manipulation.
1000 Sacherschließung
lokal Narration [MeSH]
lokal Leitthema
lokal Humans [MeSH]
lokal Mythology
lokal Narrativ
lokal Persuasive Communication [MeSH]
lokal Diffusion von Innovationen
lokal Perkutane koronare Intervention
lokal Mythology [MeSH]
lokal Angioplasty, Balloon, Coronary [MeSH]
lokal Percutaneous Coronary Intervention [MeSH]
lokal Education, Medical [MeSH]
lokal Technology Assessment, Biomedical [MeSH]
lokal Diffusion of innovation
lokal Germany [MeSH]
lokal Mythos
lokal Angioplasty, Balloon, Coronary
lokal Narration
lokal Technology assessment, Biomedical
lokal Coronary Artery Disease/surgery [MeSH]
lokal Health Technology Assessment
lokal Diffusion of Innovation [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/RG9ubmVyLUJhbnpob2ZmLCBOb3JiZXJ0
1000 Hinweis
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1000 Erstellt am 2023-04-25T18:26:28.573+0200
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1000 Zuletzt bearbeitet Thu Oct 19 11:06:29 CEST 2023
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