An evolutionary perspective on health innovation systems |
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Authors: | Davide Consoli Andrea Mina |
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Institution: | (1) Manchester Institute of Innovation Research, Manchester Business School, University of Manchester, Harold Hankins Building, Booth Street West, M13 9QH Manchester, UK;(2) Centre for Business Research, University of Cambridge, Top Floor, Judge Business School Building, Trumpington Street, CB2 1AG Cambridge, UK |
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Abstract: | This paper elaborates on the general properties of medical innovation processes. It begins with a critical review of different
perspectives and methods of investigation used in various streams of research that have previously analysed technical change
in the health sector. After profiling and discussing their characteristics, the paper proposes an evolutionary approach to
change in medicine constructed around the notion of a ‘Health Innovation System’. Health innovation, it is argued, consists
of complex bundles of new medical technologies and clinical services emerging from a highly distributed competence base. Health
Innovation Systems are driven by the combination of (1) institutionally-bound interactions among agents (‘gateways’ of innovation)
and (2) history-dependent trajectories of change (‘pathways’ of innovation) whose developments emerge from and feed back into
the structure of the system through organised transfers of knowledge between research and clinical practice. After drawing
examples from recent empirical work on clinical research in specific disease areas, the paper concludes by identifying implications
for further research.
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Keywords: | Healthcare Innovation system Medical innovation Clinical services |
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