Exploring modulating effects within evidence-based medicine realization based on service innovation model

Evidence-based medicine (EBM) highlights the integration of the best research evidences, clinical expertise and patient values into the practice of patient care. Thus EBM realization is receiving substantial attention. However, there were rare studies exploring the modulating effects within EBM realization. This study is to discover the deeper meanings of users´ experiences towards interacting with an EBM system. The participant observation and in-depth interview are mainly used as methods of data collection. The interview transcripts are analyzed based on the techniques of grounded theory. Based on service innovation model we induce 14 modulators from the users´ viewpoints. Furthermore, we develop eight propositions that can provide management guidelines in EBM realization for hospital managers.