Mapping innovation dynamics in hospitals
Research PolicyPublished 30 June 2005
Faridah Djellal, Faı̈z Gallouj
Citations215
SJR quartileQ1
SJR score3.44
SNIP3.20
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
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 and puts forward a relatively simple framework for analysing hospital output.
Abstract
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 incorporated into a complex system of other constituent services that make use of different types of technologies. This analytical framework is used to reveal the multiple sources of innovation and the main organising principles driving innovation within hospitals.
Keywords
Health Professions
Administrative Science QuarterlyArchitectural Innovation: The Reconfiguration of Existing Product Technologies and the Failure of Established Firms
8,324 Citations1990Rebecca Henderson, Kim B. Clark
States of Knowledge: The Co-production of Science and the Social Order
2,966 Citations2004Sheila Jasanoff
Princeton University Press eBooksTheory of Cost and Production Functions
2,812 Citations2015Ronald William Shepherd
The Journal of Economic PerspectivesMedical Care Costs: How Much Welfare Loss?
1,214 Citations1992Joseph P. Newhouse
This article focuses mainly on costs, arguing that the issue has been somewhat misconceived: while the level of medical care spending in the U.S. is a cause for concern, the welfare losses associated with rises in that level of spending may not be as large as the public rhetoric can make them seem.
Annals of Internal MedicineScreening for Cervical Cancer
841 Citations1990David M. Eddy
Cervical cancer screening should reduce the incidence and mortality of invasive cervical cancer by about 90% and increase a 20-year-old woman's life expectancy by about 96 days.
American Economic ReviewTOWARD A THEORY OF NON-PROFIT INSTITUTIONS: AN ECONOMIC MODEL OF A HOSPITAL
771 Citations1969Joseph P. Newhouse
Journal of Engineering and Technology ManagementOrganizational context, climate and innovativeness: adoption of imaging technology
265 Citations2002Paul C. Nystrom, K. Ramamurthy +1 more
Results show that organizational size and slack are positively related with innovativeness, and the model developed and tested in this project explains over 50% of the total variance in innovateativeness.
Research PolicyInnovation in the Service Economy: The New Wealth of Nations
264 Citations2003María Savona
Economic ideas leading to the 21st centuryEconomics, Values, and Health Care Reform
254 Citations1998Victor R. Fuchs
Quality Management in Health CareAn Introduction to Critical Paths
249 Citations2005Richard J. Coffey, Janet S. Richards +4 more
Review of Income and WealthTHE CHARACTERIZATION OF GOODS AND SERVICES: AN ALTERNATIVE APPROACH
219 Citations2000Jean Gadrey
PubMedNotes of a biology-watcher. The lives of a cell.
202 Citations1971Lewis Thomas
It is illusion to think that there is anything fragile about the life of the earth; surely this is the .
Quality Management in Health CareAn introduction to critical paths
142 Citations1992Richard J. Coffey, Janet S. Richards +4 more
Journal of Health Politics Policy and LawFinding the Levers, Finding the Courage: Lessons from Cost Containment in North America
137 Citations1986Robert G. Evans
The pressures of cost escalation over the past twenty years, and the attempts at containment in the U.S. and Canada, have added substantially to the authors' knowledge of how the health care system works, but the results of these attempts have also significantly shifted the broader set of assumptions in the community about appropriate priorities and policies in health care.
WORLD SCIENTIFIC eBooksEconomics, Values, and Health Care Reform
130 Citations2011Victor R. Fuchs
Interest in health economics has soared over the past three decades, stimulated by intellectual innovations, greater availability of data, and, most importantly, a surge in health care spending from 6 to 14 percent of GDP.
The Joint Commission Journal on Quality ImprovementCritical Path Method: An Important Tool for Coordinating Clinical Care
119 Citations1993Peg A. Hofmann
The primary lesson learned at MCGH is that the CPM is most effective in an environment of communication and commitment, which allows clinic and nonclinic staff to talk about how their work influences each other's.
ScienceThe Health Sector's Share of the Gross National Product
111 Citations1990Victor R. Fuchs
Between 1947 and 1987 expenditures for health care in the United States grew 2.5 percent per annum faster than expenditures for other goods and services, and the health sector's share of the gross national product rose from well under 5 percent in the late 1940s to more than 11 percent inThe late 1980s.
International Journal of Medical InformaticsThe behavioral side of information technology
105 Citations1999David R. Dixon
The information technology adoption model is described, and provides a framework for implementors of information technologies that provides a structure to categorize areas that may benefit from the development of implementation strategies and theDevelopment of evaluation techniques.
International Journal of Technology Assessment in Health CareEvaluating the Impact of Health Care Information Systems
95 Citations1997James G. Anderson, Carolyn E. Aydin
The need for evaluation of health care information systems, a set of evaluation questions based on assumptions about the impact of technology on organizations, and recommendations for reducing barriers to the implementation of health Care information systems are discussed.
International Journal of Service Industry ManagementThe Organisation of Innovation in Services
89 Citations1999Jonathan E Alltimes
HAL (Le Centre pour la Communication Scientifique Directe)Economie de l'innovation dans les services
71 Citations1994Faı̈z Gallouj
Health Care Management ReviewOpening the Black Box
70 Citations2004Darrell Burke, Nir Menachemi
This research uses a stakeholder perspective to develop a theoretically specified measure of IT capability, IT munificence, which is proposed using tenets from diffusion of innovation theory and strategic contingency theory and tested using a sample of acute care hospitals located in the United States.
International Journal of Technology Assessment in Health CareInnovation and Diffusion of Health-Related Technologies: A Conceptual Framework
69 Citations1989Renaldo N. Battista
The phenomenon of technological innovation is examined; the factors determining the diffusion of high, medium, and low technologies are discussed; and strategies for controlling the diffusion are suggested.
Applied EconomicsA multiple-output multiple-input model of the hospital industry in North Carolina
64 Citations1983Robert F. Conrad, Robert P. Strauss
Australian Health ReviewInformation technology adoption in health care: when organisations and technology collide
61 Citations2000Ian England, Donald Stewart +1 more
This paper investigates why health care has been one of the slowest sectors to adopt and implement information technology, reviewing innovation diffusion theory and its application to both health organisations and information technology.
HAL (Le Centre pour la Communication Scientifique Directe)L'innovation dans les services
45 Citations1996Camal Gallouj, Faı̈z Gallouj
Politiques et management publicLe service n'est pas un produit : quelques implications pour l'analyse économique et pour la gestion
45 Citations1991Jean Gadrey
Health PolicyHospital at home: what is its place in the health system?
44 Citations2001Netta Bentur
The reasons for the expansion of medical home care are not solely economic and seem to be related to a number of other factors: the increase in the number of elderly and chronically ill people, the lack of availability and accessibility of acute and sub-acute inpatient services, technological innovation, improvements in the standard of living and the preference of some patients to be treated at home.
Journal of Public HealthEvaluating computerized health information systems: hardware, software and human ware: experiences from the Northern Province, South Africa
34 Citations1999Kobus Herbst, Peter Littlejohns +3 more
This is the first attempt to carry out an RCT evaluation of a multi-site implementation of an HIS in the world and should help to stimulate an evaluation culture in the health and welfare services in the Northern Province as well as building the capacity to undertake such evaluations in the future.
Revue d économie industrielleConcept de réseau et analyse des mutations récentes du système de santé
27 Citations1997Sophie Béjean, Maryse Gadreau
Health Services Management ResearchImpact of IT on Health Care Professionals: Changes in Work and the Productivity Paradox
27 Citations1998Michèle Hébert
The study results suggest that, for specific tasks, IT increased efficiency and productivity—a single employee was able to complete more tasks, however, this produced other consequences not predicted.
Social Science & MedicineDiffusion of breast conserving surgery in medical communities
25 Citations2004Bonnie Jerome-D’Emilia, James W. Begun
An analysis of the variation in the use of breast conserving surgery in the United States was performed using data from the years 1988 and 1994, and stratifying hospitals on the basis of teaching status, finding that BCS was highest in academic teaching hospitals and lowest in community hospitals.
International Journal of Medical InformaticsHealth informatics as a tool to improve quality in non-acute care — new opportunities and a matching need for a new evaluation paradigm
17 Citations1999Michael L. Rigby
Sciences sociales et santéInformatisation des unités de soins et travail de formalisation de l'activité infirmière
15 Citations1995Françoise Acker
International Journal of Medical InformaticsThe diffusion of an evidence-based disease guidance system for managing stroke
14 Citations1998Francis Lau, Andrew Penn +4 more
Findings suggest that models of technological diffusion can help to better understand the complexities of changing physician practice behaviors in a field setting through participatory research.
Sciences sociales et santéInteractions familiales et impact de la technologie dans la gestion d'une maladie chronique chez l'enfant
14 Citations1995Renée Waissman
Revue d économie industrielleRecherche et technologie - Les nouveaux paradigmes de l'apprentissage technologique
13 Citations1994Dominique Foray
Journal of Economic Behavior & OrganizationThe softness of medical production and implications for specifying hospital outputs
12 Citations1993Melissa Ahern
Empirical results of this study provide information regarding the extent and direction of bias resulting from estimating production functions using reported outputs under retrospective cost-reimbursement.
Professions, Information Technology and Management in Hospitals
12 Citations1996Mike Dent
The social "shaping" of healthcare computing computers, management strategies and the state computer specialists, "hybrids" and information management medical computing and professional autonomy nurses and computers is studied.
Health PolicyTechnology assessment in health care: the U.S. perspective
11 Citations1988Seymour Perry
A decade of activities in technology assessment in both the public and private sectors and it was intensified by efforts to contain expenditures, particularly the Prospective Payment System.
HAL (Le Centre pour la Communication Scientifique Directe)L'hôpital innovateur : de l'innovation médicale à l'innovation de service
8 Citations2004Faridah Djellal, Camal Gallouj +2 more
Sciences sociales et santéL'informatique dans la gestion quotidienne des unités de soins : la barrière de l'apprentissage
8 Citations2001Xavier Berbain, Étienne Minvielle
Vierteljahrshefte zur WirtschaftsforschungThe Rise of Information Technologies in “Non-Informational” Services
8 Citations2000Faridah Djellal
Health PolicyImproving primary health care through technological innovation
7 Citations1989Peter Groenewegen, Jack B.F. Hutten
An approach to the implementation of new technologies in primary health care is presented and a scheme has been developed that may be used to determine criteria of evaluation.
Formation emploiLe secteur du nettoyage face aux nouvelles technologies
6 Citations2002Faridah Djellal
Sciences sociales et santéL'art du compromis socio-technique dans l'innovation hospitalière : le cas des systèmes de communication et d'archivage d'images médicales (PACS)
6 Citations1992Dominique Boullier, Jacques D. de Certaines
Healthcare QuarterlyHospitals Offer Unconventional Services in Hopes of Attracting Future Patients
5 Citations2003Laralyn Sasaki
Faced with shrinking patient rolls and reduced federal support, hospitals across the country are offering a wide variety of new and--for them--unconventional services to bolster their finances.
Persée (Ministère de lEnseignement supérieur et de la Recherche)L’informatisation des hôpitaux et ses enjeux
2 Citations1996Hemidy, Laurent