Based on a longitudinal case study approach, this paper shows that the legitimation processes of technology diffusion in regulated environments is subjected to distinct power struggles manifested in different framing contests when several competing technological frames are crafted, are...

Background: Previous studies in the literature have shown significant variations in colonoscopy performance, even when medical factors are taken into account. This study aimed to examine the role of non-medical factors (i.e. embodied in health care system design) as possible contributors to...