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Innovation in Brazilian and Spanish hospitals: the managers perception upon electronic patient record

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Author Info

  • Josivania Silva Farias

    (University of Brasília – UnB)

  • Tomás de Aquino Guimaraes

    (University of Brasília – UnB)

  • Eduardo Raupp de Vargas

    (University of Brasília - UnB)

Registered author(s):

    Abstract

    This research describes the adoption of Electronic Patient Record in Brazilian and Spanish hospitals, focusing on the role of such technology upon hospital management and on controversies linked to the process of building and introducing this tool. The theoretical background discusses innovation from a Schumpeterian perspective; services on a socio-technical approach, and the notion of Techno-Economic Network. The research was undertaken in two hospitals in Brazil and one in Spain. Twenty managers, being 15 in Brazil and five in Spain were interviewed on the period from April 2009 to March 2010, based on a structured interview schedule. Content inductive analysis with categorization a posteriori was the main technique of data analysis. The main results show this kind of Record as a multifaceted innovation that appears both on the macro-, meso- and micro- levels. The Record is, also, an innovation in service and management that re-signifies the product of hospital service, behaving as an actor-network that mediates management, under control mechanisms.

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    File URL: http://www.bbronline.com.br/public/edicoes/9_3/artigos/hdtzdyhvaa1382012141703.pdf
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    Bibliographic Info

    Article provided by Fucape Business School in its journal Brazilian Business Review.

    Volume (Year): 9 (2012)
    Issue (Month): 3 (July)
    Pages: 23-44

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    Handle: RePEc:bbz:fcpbbr:v:9:y:2012:i:3:p:23-44

    Contact details of provider:
    Postal: Fucape Business School Brazilian Business Review Av. Fernando Ferrari, 1358, Boa Vista CEP 29075-505 Vitória-ES
    Phone: +55 27 4009-4423
    Fax: +55 27 4009-4422
    Web page: http://www.bbronline.com.br/
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    Related research

    Keywords: Electronic patient record; innovation; hospital management; actor-network theory; techno-economic network;

    References

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    1. Windrum, Paul & Garci­a-Goñi, Manuel, 2008. "A neo-Schumpeterian model of health services innovation," Research Policy, Elsevier, vol. 37(4), pages 649-672, May.
    2. Faridah Djellal & Faïz Gallouj, 2007. "Innovation in hospitals: a survey of the literature," The European Journal of Health Economics, Springer, vol. 8(3), pages 181-193, September.
    3. Dosi, Giovanni, 1988. "Sources, Procedures, and Microeconomic Effects of Innovation," Journal of Economic Literature, American Economic Association, vol. 26(3), pages 1120-71, September.
    4. Gallouj, Faiz & Weinstein, Olivier, 1997. "Innovation in services," Research Policy, Elsevier, vol. 26(4-5), pages 537-556, December.
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