dynamics in hospital

innovation dynamics in hospital

This article draws on a notion of the hospital as a complex service provider and healthcare system hub in order to examine the question of innovation in hospitals. It puts forward a relatively simple framework for analysing hospital output, in which the medical function is incorporaogies. This analytical framework is used to re

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The economic lieconomy.

There is a sense in which hospitals are not included in this diagnosis. In particular, the association of the words innovation and hospital does not seem incongruous. Within the service sector as a whole, hospital services, and indeed medical servi-push’ approach.

The aim of this paation in hospitals in all its diversity.

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In view of its principal objective, which is to develop as comprehensive a framework as possible for identifying innovation, our article necessarily adopts a broad and open definition of innovation. This decision is reflected both in the nature of the innovations taken into account (organisational, technological, product and service innovations, etc.) and in the degree of novelty those innovations display (radical innovations are included, of course, but so are minor or incremnerated internally and those originating externally, that is those adopted from outside sources.

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The paper is divided into three sections. The first section is given over to a rapid survey of the literature on innnalysing the provision of hospital services, which is conceived as the provision of a complex service in which the medical function as such is integrated into a complex system of other constituent services. The quality and dynamic (in the sense of aptitude for innovation) of these services has significant effects on the efficiency of medical services proper. The general ‘morphology’ of hospital services outlined in Section 2 provides a basis for the construction, in Section 3, of a typology of the organising principles driving innovation in hospitals. This ton innovation in hospitals

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The literature on innovation in hospitals can be divided into four groups of uneven size, with each group adopting a different approach to the question.

The first group, in which hospitals are broadly likened to firms, favours an approach in which hospite economics of services (Hill, 1977, Hill, 1999; Gadrey, 1996, Gadrey, 2000) and of the economte terms.

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In the framework put forward here, the ‘product’ (service) is considered in a less abstract manner than in the

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A framework for analysing innovation in hospitals

The general rdiate products as well as products developed on the boundary between the hospital and its environment, that is in collaboration with external actors. It has the capacity to provide us with a general framework for analysing innovation in hospitals.

Use of this framework will reveal

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Conclusion

Our framole of the area mapped out in our analytical framework but 

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Acknowledgements

We gratefully acknowledge the support of the Department of Research, Evaluation and Statistics (DREES) of the French ministries of Social Affairs, Work and Solidarity and of Health, the F