Advanced Search
MyIDEAS: Login to save this article or follow this journal

A neo-Schumpeterian model of health services innovation

Contents:

Author Info

  • Windrum, Paul
  • Garci­a-Goñi, Manuel

Abstract

The paper presents and empirically applies a neo-Schumpeterian model of innovation capable of studying interactions between service providers, patients and policy makers, and how these complex interactions determine the timing, direction, and success of innovations in the public sector. The model is tested using a case study that traces the introduction and development of ambulatory surgery in a Spanish hospital. The multi-agent model applies the ideas of Schumpeter to services, encompassing Schumpeter's five types of innovation, and re-introducing the policy-maker as a key agent in the innovation process. The model has a number of advantages over previous, reduced form models. First, it can analyse the interactions between the economic, social and political spheres that make up the complex selection environment of innovations. Second, it captures the recursive impact of radical innovations on agents' competences and preferences, and their relative power. This brings politics, power, and rhetorical persuasion to the fore. Third, it provides an improved set of definitions for radical and incremental innovation. These are not only important for understanding the sources and drivers of innovation, but also for the accurate measurement of innovation.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://www.sciencedirect.com/science/article/B6V77-4S1BWX6-1/1/3174ab18253adf58951709dd64398a14
Download Restriction: Full text for ScienceDirect subscribers only

As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

Bibliographic Info

Article provided by Elsevier in its journal Research Policy.

Volume (Year): 37 (2008)
Issue (Month): 4 (May)
Pages: 649-672

as in new window
Handle: RePEc:eee:respol:v:37:y:2008:i:4:p:649-672

Contact details of provider:
Web page: http://www.elsevier.com/locate/respol

Related research

Keywords:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Fuchs, Victor R, 1996. "Economics, Values, and Health Care Reform," American Economic Review, American Economic Association, American Economic Association, vol. 86(1), pages 1-24, March.
  2. Victor R. Fuchs, 1965. "INTRODUCTION to "The Growing Importance of the Service Industries"," NBER Chapters, in: The Growing Importance of the Service Industries, pages 1-4 National Bureau of Economic Research, Inc.
  3. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
  4. Victor R. Fuchs, 1965. "The Growing Importance of the Service Industries," NBER Books, National Bureau of Economic Research, Inc, number fuch65-1, October.
  5. Saviotti, P. P. & Metcalfe, J. S., 1984. "A theoretical approach to the construction of technological output indicators," Research Policy, Elsevier, Elsevier, vol. 13(3), pages 141-151, June.
  6. Dosi, Giovanni, 1993. "Technological paradigms and technological trajectories : A suggested interpretation of the determinants and directions of technical change," Research Policy, Elsevier, Elsevier, vol. 22(2), pages 102-103, April.
  7. Barras, Richard, 1990. "Interactive innovation in financial and business services: The vanguard of the service revolution," Research Policy, Elsevier, Elsevier, vol. 19(3), pages 215-237, June.
  8. Hugh Gravelle & Peter Smith & Ana Xavier, 2003. "Performance signals in the public sector: the case of health care," Oxford Economic Papers, Oxford University Press, vol. 55(1), pages 81-103, January.
  9. Frank Windmeijer & Hugh Gravelle & Pierre Hoonhout, 2005. "Waiting lists, waiting times and admissions: an empirical analysis at hospital and general practice level," Health Economics, John Wiley & Sons, Ltd., vol. 14(9), pages 971-985.
  10. McGuire, Thomas G., 2000. "Physician agency," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 9, pages 461-536 Elsevier.
  11. Weisbrod, Burton A, 1991. "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment," Journal of Economic Literature, American Economic Association, vol. 29(2), pages 523-52, June.
  12. Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, University of Chicago Press, vol. 74, pages 132.
  13. Windrum,Paul & Birchenhall,Chris, 2004. "Structural change in the presence of network externalities: a co-evolutionary model of technological successions," Research Memorandum, Maastricht University, Maastricht Economic Research Institute on Innovation and Technology (MERIT) 012, Maastricht University, Maastricht Economic Research Institute on Innovation and Technology (MERIT).
  14. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, vol. 71(1), pages 141-164, January.
  15. Clark, Kim B., 1985. "The interaction of design hierarchies and market concepts in technological evolution," Research Policy, Elsevier, Elsevier, vol. 14(5), pages 235-251, October.
  16. Harberger, Arnold C, 1998. "A Vision of the Growth Process," American Economic Review, American Economic Association, American Economic Association, vol. 88(1), pages 1-32, March.
  17. K. K. Lancaster, 2010. "A New Approach to Consumer Theory," Levine's Working Paper Archive 1385, David K. Levine.
  18. Barras, Richard, 1986. "Towards a theory of innovation in services," Research Policy, Elsevier, Elsevier, vol. 15(4), pages 161-173, August.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. Josivania Silva Farias & Tomás de Aquino Guimaraes & Eduardo Raupp de Vargas, 2012. "Innovation in Brazilian and Spanish hospitals: the managers perception upon electronic patient record," Brazilian Business Review, Fucape Business School, vol. 9(3), pages 23-44, July.
  2. Faïz Gallouj & Faridah Djellal, 2012. "Two decades of research on innovation in services: which place for public services?," Post-Print halshs-00960624, HAL.
  3. Paul Windrum & Cecilia Diaz & Despoina Filiou, 2009. "Exploring the relationship between technical and service characteristics," Journal of Evolutionary Economics, Springer, Springer, vol. 19(4), pages 567-588, August.
  4. Faïz Gallouj & Maria Savona, 2009. "Innovation in services: a review of the debate and a research agenda," Journal of Evolutionary Economics, Springer, Springer, vol. 19(2), pages 149-172, April.
  5. Kessel, Maura & Hannemann-Weber, Henrike & Kratzer, Jan, 2012. "Innovative work behavior in healthcare: The benefit of operational guidelines in the treatment of rare diseases," Health Policy, Elsevier, vol. 105(2), pages 146-153.
  6. Chae, Bongsug (Kevin), 2012. "An evolutionary framework for service innovation: Insights of complexity theory for service science," International Journal of Production Economics, Elsevier, Elsevier, vol. 135(2), pages 813-822.
  7. Salge, Torsten Oliver, 2012. "The temporal trajectories of innovative search: Insights from public hospital services," Research Policy, Elsevier, Elsevier, vol. 41(4), pages 720-733.

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:eee:respol:v:37:y:2008:i:4:p:649-672. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.