IDEAS home Printed from https://ideas.repec.org/a/eee/teinso/v34y2012i4p271-283.html
   My bibliography  Save this article

Driving forces of technological change in medicine: Radical innovations induced by side effects and their impact on society and healthcare

Author

Listed:
  • Coccia, Mario

Abstract

Technological change in medicine has complex interactions driven by demand- and supply side determinants. The epistemological position of this paper is that scientific research generates in medicine vital radical innovations (new drugs/therapies) that are associated, a posteriori, to moderate and/or severe side effects. These side effects spur feedback mechanisms, which support a co-evolution of innovation in parallel technological pathways: 1) incremental innovations with lower side effects and higher efficacy; 2) emergence of new radical innovations induced from severe side effects. Empiricist-positivist arguments support this stance and show the main role of society and healthcare in the patterns of technological innovation in medicine. Critical evidences are the foundation to state main inductive theoretical implications between observed facts.

Suggested Citation

  • Coccia, Mario, 2012. "Driving forces of technological change in medicine: Radical innovations induced by side effects and their impact on society and healthcare," Technology in Society, Elsevier, vol. 34(4), pages 271-283.
  • Handle: RePEc:eee:teinso:v:34:y:2012:i:4:p:271-283
    DOI: 10.1016/j.techsoc.2012.06.002
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0160791X12000413
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.techsoc.2012.06.002?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Liebert, Rachel & Gavey, Nicola, 2009. ""There are always two sides to these things": Managing the dilemma of serious adverse effects from SSRIs," Social Science & Medicine, Elsevier, vol. 68(10), pages 1882-1891, May.
    2. Mario Coccia, 2012. "Path-breaking innovations for lung cancer: a revolution in clinical practice," CERIS Working Paper 201201, CNR-IRCrES Research Institute on Sustainable Economic Growth - Torino (TO) ITALY - former Institute for Economic Research on Firms and Growth - Moncalieri (TO) ITALY.
    3. Morlacchi, Piera & Nelson, Richard R., 2011. "How medical practice evolves: Learning to treat failing hearts with an implantable device," Research Policy, Elsevier, vol. 40(4), pages 511-525, May.
    4. Sahal, Devendra, 1985. "Technological guideposts and innovation avenues," Research Policy, Elsevier, vol. 14(2), pages 61-82, April.
    5. Richard R. Nelson, 2008. "Factors affecting the power of technological paradigms," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 17(3), pages 485-497, June.
    6. Dosi, Giovanni, 1988. "Sources, Procedures, and Microeconomic Effects of Innovation," Journal of Economic Literature, American Economic Association, vol. 26(3), pages 1120-1171, September.
    7. Dosi, Giovanni, 1993. "Technological paradigms and technological trajectories : A suggested interpretation of the determinants and directions of technical change," Research Policy, Elsevier, vol. 22(2), pages 102-103, April.
    8. Giovanni Dosi, 2000. "Sources, Procedures, and Microeconomic Effects of Innovation," Chapters, in: Innovation, Organization and Economic Dynamics, chapter 2, pages 63-114, Edward Elgar Publishing.
    9. Kim,Linsu & Nelson,Richard R. (ed.), 2000. "Technology, Learning, and Innovation," Cambridge Books, Cambridge University Press, number 9780521770033.
    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


    Cited by:

    1. Coccia, Mario, 2019. "The theory of technological parasitism for the measurement of the evolution of technology and technological forecasting," Technological Forecasting and Social Change, Elsevier, vol. 141(C), pages 289-304.
    2. Mario Coccia, 2020. "Effects of the institutional change based on democratization on origin and diffusion of technological innovation," Papers 2001.08432, arXiv.org.
    3. Coccia, Mario & Wang, Lili, 2015. "Path-breaking directions of nanotechnology-based chemotherapy and molecular cancer therapy," Technological Forecasting and Social Change, Elsevier, vol. 94(C), pages 155-169.
    4. Coccia, Mario, 2020. "Deep learning technology for improving cancer care in society: New directions in cancer imaging driven by artificial intelligence," Technology in Society, Elsevier, vol. 60(C).
    5. Mario Coccia, 2017. "Disruptive technologies and competitive advantage of firms in dynamic markets," IRCrES Working Paper 201704, CNR-IRCrES Research Institute on Sustainable Economic Growth - Moncalieri (TO) ITALY - former Institute for Economic Research on Firms and Growth - Torino (TO) ITALY.
    6. Mario Coccia, 2018. "The laws of the evolution of research fields," Papers 1805.03492, arXiv.org.
    7. Coccia M., 2014. "Technology & environment : some possible damaging effects of technological change in advanced and opulent societies," MERIT Working Papers 2014-089, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    8. Mario Coccia & Matteo Bellitto, 2018. "Critical analysis of human progress: Its negative and positive sides in the late-capitalism," Papers 1804.09550, arXiv.org.
    9. Coccia, Mario, 2015. "The Nexus between technological performances of countries and incidence of cancers in society," Technology in Society, Elsevier, vol. 42(C), pages 61-70.
    10. Luppicini, Rocci & So, Arthur, 2016. "A technoethical review of commercial drone use in the context of governance, ethics, and privacy," Technology in Society, Elsevier, vol. 46(C), pages 109-119.
    11. Klarin, Anton, 2019. "Mapping product and service innovation: A bibliometric analysis and a typology," Technological Forecasting and Social Change, Elsevier, vol. 149(C).
    12. Mario Coccia, 2018. "National debts and government deficits within European Monetary Union: Statistical evidence of economic issues," Papers 1806.07830, arXiv.org.
    13. Coccia, Mario, 2016. "The relation between price setting in markets and asymmetries of systems of measurement of goods," The Journal of Economic Asymmetries, Elsevier, vol. 14(PB), pages 168-178.
    14. Coccia, Mario, 2014. "Driving forces of technological change: The relation between population growth and technological innovation," Technological Forecasting and Social Change, Elsevier, vol. 82(C), pages 52-65.
    15. Coccia, Mario, 2015. "General sources of general purpose technologies in complex societies: Theory of global leadership-driven innovation, warfare and human development," Technology in Society, Elsevier, vol. 42(C), pages 199-226.
    16. Mario Coccia, 2017. "Measurement of Economic Growth, Development and Under Development: New Model and Application," Papers 1704.05015, arXiv.org.
    17. Coccia, Mario, 2017. "Asymmetric paths of public debts and of general government deficits across countries within and outside the European monetary unification and economic policy of debt dissolution," The Journal of Economic Asymmetries, Elsevier, vol. 15(C), pages 17-31.
    18. Mario Coccia, 2018. "Socioeconomic driving forces of scientific research," Papers 1806.05028, arXiv.org.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Giovanni Dosi & Xiaodan Yu, 2018. "Capabilities Accumulation and Development: What History Tells the Theory," LEM Papers Series 2018/27, Laboratory of Economics and Management (LEM), Sant'Anna School of Advanced Studies, Pisa, Italy.
    2. Coccia, Mario & Wang, Lili, 2015. "Path-breaking directions of nanotechnology-based chemotherapy and molecular cancer therapy," Technological Forecasting and Social Change, Elsevier, vol. 94(C), pages 155-169.
    3. Carolina Castaldi & Roberto Fontana & Alessandro Nuvolari, 2009. "‘Chariots of fire’: the evolution of tank technology, 1915–1945," Journal of Evolutionary Economics, Springer, vol. 19(4), pages 545-566, August.
    4. Taalbi, Josef, 2017. "What drives innovation? Evidence from economic history," Research Policy, Elsevier, vol. 46(8), pages 1437-1453.
    5. Giovanni Dosi & Richard Nelson, 2013. "The Evolution of Technologies: An Assessment of the State-of-the-Art," Eurasian Business Review, Springer;Eurasia Business and Economics Society, vol. 3(1), pages 3-46, June.
    6. Alfonso Ávila-Robinson & Kumiko Miyazaki, 2013. "Evolutionary paths of change of emerging nanotechnological innovation systems: the case of ZnO nanostructures," Scientometrics, Springer;Akadémiai Kiadó, vol. 95(3), pages 829-849, June.
    7. Faridah Djellal & Faïz Gallouj, 2014. "The laws of imitation and invention: Gabriel Tarde and the evolutionary economics of innovation," Working Papers halshs-00960607, HAL.
    8. Smith, Adrian & Voß, Jan-Peter & Grin, John, 2010. "Innovation studies and sustainability transitions: The allure of the multi-level perspective and its challenges," Research Policy, Elsevier, vol. 39(4), pages 435-448, May.
    9. Carolina Castaldi & Mario Cimoli & Nelson Correa & Giovanni Dosi, 2004. "Technological Learning, Policy Regimes and Growth in a `Globalized' Economy: General Patterns and the Latin American Experience," LEM Papers Series 2004/01, Laboratory of Economics and Management (LEM), Sant'Anna School of Advanced Studies, Pisa, Italy.
    10. Dosi, Giovanni & Nelson, Richard R., 2010. "Technical Change and Industrial Dynamics as Evolutionary Processes," Handbook of the Economics of Innovation, in: Bronwyn H. Hall & Nathan Rosenberg (ed.), Handbook of the Economics of Innovation, edition 1, volume 1, chapter 0, pages 51-127, Elsevier.
    11. Stolpe, Michael, 1995. "Technology and the dynamics of specialization in open economies," Open Access Publications from Kiel Institute for the World Economy 738, Kiel Institute for the World Economy (IfW Kiel).
    12. Coccia, Mario, 2015. "General sources of general purpose technologies in complex societies: Theory of global leadership-driven innovation, warfare and human development," Technology in Society, Elsevier, vol. 42(C), pages 199-226.
    13. Ester Ferrari & Luigi Bollani & Mario Coccia & Eugenio Cavallo, 2013. "Technological Innovations in Agricultural Tractors: Adopters’ behaviour towards new technological trajectories and future directions," CERIS Working Paper 201305, CNR-IRCrES Research Institute on Sustainable Economic Growth - Torino (TO) ITALY - former Institute for Economic Research on Firms and Growth - Moncalieri (TO) ITALY.
    14. Castellacci, Fulvio, 2006. "Innovation, diffusion and catching up in the fifth long wave," MPRA Paper 27521, University Library of Munich, Germany.
    15. Quintana-Garci­a, Cristina & Benavides-Velasco, Carlos A., 2008. "Innovative competence, exploration and exploitation: The influence of technological diversification," Research Policy, Elsevier, vol. 37(3), pages 492-507, April.
    16. Olsen, Odd Einar & Engen, Ole Andreas, 2007. "Technological change as a trade-off between social construction and technological paradigms," Technology in Society, Elsevier, vol. 29(4), pages 456-468.
    17. Francesco Bogliacino & Mario Pianta, 2016. "The Pavitt Taxonomy, revisited: patterns of innovation in manufacturing and services," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 33(2), pages 153-180, August.
    18. Luigi Orsenigo & Fabio Pammolli & Massimo Riccaboni & Andrea Bonaccorsi & Giuseppe Turchetti, 1997. "The Evolution of Knowledge and the Dynamics of an Industry Network," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 1(2), pages 147-175, June.
    19. Lai, Kuei-Kuei & Chen, Yu-Long & Kumar, Vimal & Daim, Tugrul & Verma, Pratima & Kao, Fang-Chen & Liu, Ruirong, 2023. "Mapping technological trajectories and exploring knowledge sources: A case study of E-payment technologies," Technological Forecasting and Social Change, Elsevier, vol. 186(PB).
    20. Zheng, Bobo & Xu, Jiuping & Ni, Ting & Li, Meihui, 2015. "Geothermal energy utilization trends from a technological paradigm perspective," Renewable Energy, Elsevier, vol. 77(C), pages 430-441.

    More about this item

    Keywords

    Radical innovation; Incremental innovation; Breast cancer; Oral contraceptive pill; Side effects; Adverse effects; Medicine; Healthcare; Technological change; Drug discovery;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:teinso:v:34:y:2012:i:4:p:271-283. See general information about how to correct material in RePEc.

    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 CitEc recognized a bibliographic reference but did not link an item in RePEc 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: https://www.journals.elsevier.com/technology-in-society .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.