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International Journal for Quality in Health Care Advance Access published online on September 2, 2006
International Journal for Quality in Health Care, doi:10.1093/intqhc/mzl034
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© The Author 2006. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved
Accepted July 21, 2006

Article

A multi-dimensional model of clinical utility

Andrew Smart 1 *

1 Bath Spa University, Sociology, Bath, UK

* To whom correspondence should be addressed.
Andrew Smart, E-mail: a.smart{at}bathspa.ac.uk


  Abstract

Clinical utility is an increasingly used concept in health care, but one that lacks an agreed formal definition or conceptualization. In this article, I show that the term is commonly used as a synonym for studies of clinical effectiveness and/or economic evaluations and argue that further factors relating to everyday working practice should be included under its auspices. I go on to develop a multi-dimensional model that outlines four factors in practitioners’ judgements about clinical utility: appropriateness, accessibility, practicability, and acceptability.

Keywords: clinical adoption, clinical utility, innovation, work practice.
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