Dieter Brauer, Novartis's head of stakeholder relations, fears that the controversy may spill into drugs.
Note, however, that this reflects real life, where interventions aiming to educate key stakeholders as to fear appeal ineffectiveness are also not guaranteed of recipients' undivided attention.
This is definitely a valid fear as stakeholders from no one medical school would like to be singled out without an opportunity to address these concerns initially.
We suggest a similar procedure for McNulty-Zelen designs, as this may go some way to allay the fears of stakeholders about the possible risk to the GPs relationship with a service commissioner [ 19].
The main underlying reason was the fear that external stakeholders may misinterpret the scores on individual PQI because they may fail to acknowledge the possible legitimate reasons for not prescribing the recommended treatment to certain patients.
The management and utilization of healthcare and health research data comprise socio-technical solutions (Geels, 2005) that may easily become enmeshed in controversy as they encounter the norms, values, expectations and fears of diverse stakeholders.
One of the possible explanations of the CHMT's fear of broadening stakeholder participation could be due to resistance to change and the perceptions of CHMT members about the compatibility of the intervention with existing values and past experiences.
Most advantages of SR are beneficial for stakeholders other than the radiologists, who fear they will only see the downside.
For the Global Fund, in particular, the research was perceived as premature, enabling country stakeholders to articulate criticisms, which it feared would have a deleterious affect on the need to raise significantly greater funds globally.
However, different understandings about the 'right impacts' can appear as tensions in stakeholder relations, limiting the innovators' willingness to expose stakeholders to each other and to the innovation, in fear of risking the R&D project and outcome.
