Hospitals as innovators in the health-care system: A literature review and research agenda

被引:89
作者
Thune, Taran [1 ]
Mina, Andrea [2 ]
机构
[1] Univ Oslo, TIK Ctr Technol Innovat & Culture, N-0316 Oslo, Norway
[2] Univ Cambridge, Cambridge Judge Business Sch, Cambridge CB2 1TN, England
关键词
Health-care technology; Health innovation system; Hospitals; Medical innovation; User innovator; MEDICAL KNOW-HOW; EVOLUTIONARY PERSPECTIVE; FOSTERING INNOVATION; DYNAMICS; EMERGENCE; KNOWLEDGE; ORGANIZATIONS; TRAJECTORIES; TRANSLATION; PERFORMANCE;
D O I
10.1016/j.respol.2016.03.010
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
This paper aims to improve the understanding of the role of hospitals in the generation of innovations. It presents a systematic and critical review of the interdisciplinary literature that addresses the links between the activities of hospitals and medical innovation. It identifies three major research streams: studies of the contribution of medical research and clinical staff to innovation, analyses of novel practices developed and diffused in hospitals, and evolutionary studies of technical change in the context of human health care. This is a highly heterogeneous body of literature, in which comprehensive theoretical frameworks are rare, and empirical studies have tended to focus on a narrow range of hospitals' innovation activities. The paper introduces and discusses a framework integrating different perspectives that can be used to analyze the functions performed by hospitals at the intersection with different partners in the health innovation system and at different stages of innovation trajectories. On the basis of current gaps in the literature, a research agenda is discussed for a relational and co-evolutionary approach to the study of hospitals as innovators. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:57 / 69
页数:13
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