TY - JOUR
T1 - Resistance to Change
AU - Evans, Mark I.
AU - Britt, David W.
N1 - Publisher Copyright:
© 2022, Society for Reproductive Investigation.
PY - 2023/3
Y1 - 2023/3
N2 - Advances in medical technology do not follow a smooth process and are highly variable. Implementation can occasionally be rapid, but often faces varying degrees of resistance resulting at the very least in delayed implementation. Using qualitative comparative analysis, we have evaluated numerous technological advances from the perspective of how they were introduced, implemented, and opposed. Resistance varies from benign — often happening because of inertia or lack of resources to more active forms, including outright opposition using both appropriate and inappropriate methods to resist/delay changes in care. Today, even public health has become politicized, having nothing to do with the underlying science, but having catastrophic results. Two other corroding influences are marketing pressure from the private sector and vested interests in favor of one outcome or another. This also applies to governmental agencies. There are a number of ways in which papers have been buried including putting the thumb on the scale where reviewers can sabotage new ideas. Unless we learn to harness new technologies earlier in their life course and understand how to maneuver around the pillars of obstruction to their implementation, we will not be able to provide medical care at the forefront of technological capabilities.
AB - Advances in medical technology do not follow a smooth process and are highly variable. Implementation can occasionally be rapid, but often faces varying degrees of resistance resulting at the very least in delayed implementation. Using qualitative comparative analysis, we have evaluated numerous technological advances from the perspective of how they were introduced, implemented, and opposed. Resistance varies from benign — often happening because of inertia or lack of resources to more active forms, including outright opposition using both appropriate and inappropriate methods to resist/delay changes in care. Today, even public health has become politicized, having nothing to do with the underlying science, but having catastrophic results. Two other corroding influences are marketing pressure from the private sector and vested interests in favor of one outcome or another. This also applies to governmental agencies. There are a number of ways in which papers have been buried including putting the thumb on the scale where reviewers can sabotage new ideas. Unless we learn to harness new technologies earlier in their life course and understand how to maneuver around the pillars of obstruction to their implementation, we will not be able to provide medical care at the forefront of technological capabilities.
KW - Conflicts of interest
KW - Editorial process
KW - Peer review
KW - Resistance to change
KW - Technology advancement
UR - http://www.scopus.com/inward/record.url?scp=85133630696&partnerID=8YFLogxK
U2 - 10.1007/s43032-022-01015-9
DO - 10.1007/s43032-022-01015-9
M3 - Article
AN - SCOPUS:85133630696
SN - 1933-7191
VL - 30
SP - 835
EP - 853
JO - Reproductive Sciences
JF - Reproductive Sciences
IS - 3
ER -