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The clash of managerial and professional logics in public procurement: Implications for innovation in the health-care sector
Authors:Ylva Askfors  Helena Fornstedt
Institution:1. School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Sweden;2. Department of Industrial Engineering and Management, Uppsala University, Sweden
Abstract:This article addresses the enactment of public procurement and its influence on adoption and diffusion of innovation, using a case study of public procurement of a low-tech medical device innovation in Swedish healthcare. Based on interviews and documentation, the article illustrates the various perspectives of the different professions involved in the complex task of setting the requirement specification for the tender. The technology identities of the medical device (innovation) are constructed and negotiated by the actors: procurement administrators, health-care professionals and suppliers within the adoption space. Examining the enactment of the procurement process as part of the adoption space is a way to deepen our understanding of the social component within public procurement.
Keywords:EBM  evidence based medicine  HTA  health technology assessment  PCP  pre-commercial procurement  Innovation  Adoption  Diffusion  Adoption space  Technology identity  Medical device  Healthcare  Public procurement
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