Advanced Search
MyIDEAS: Login

Shifting logics of legitimation in the diffusion of complex innovations

Contents:

Author Info

  • Stéphane Guérard
  • Ann Langley
Registered author(s):

    Abstract

    Legitimation and competition are two major forces moulding organizational field and the diffusion of innovations. While discursive legitimation provides "rational justifications" for innovations, competition may incite organizations to acquire effective innovations preemptively. This paper draws on a case study of the legitimation and diffusion of a sophisticated medical technology to suggest that, in highly regulated environments, these two forces may interact, and that opposing legitimation strategies may be associated with competition. We argue that while convergent discursive legitimation strategies tend to speed up the diffusion process, divergent discursive legitimation strategies may have the opposite effect. The case suggests that the dominant logics of legitimation may shift, oscillating between convergence and divergence as an innovation diffuses. We also show how the resulting delays in diffusion may be pre-empted by a phenomenon we call institutional delinquency, that is when the moral and cognitive-cultural legitimacies of the technology among professionals and managers becomes sufficient to counteract regulatory forces.

    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.chuv.ch/bdfm/cdsp/63008.pdf
    Download Restriction: no

    Bibliographic Info

    Paper provided by University of Lausanne, Institute of Health Economics and Management (IEMS) in its series Working Papers with number 0703.

    as in new window
    Length: 39 pages
    Date of creation: Sep 2007
    Date of revision:
    Handle: RePEc:hem:wpaper:0703

    Contact details of provider:
    Postal: Bâtiment Extranef, CH - 1015 Lausanne
    Phone: 021 692 33 20
    Fax: 021 692 36 55
    Email:
    Web page: http://www.hec.unil.ch/iems/
    More information through EDIRC

    Related research

    Keywords: technology; legitimation; institution; innovation; PET scanner; theorization; competition;

    Find related papers by JEL classification:

    This paper has been announced in the following NEP Reports:

    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. Dranove, David & Satterthwaite, Mark A., 2000. "The industrial organization of health care markets," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 20, pages 1093-1139 Elsevier.
    2. Geroski, P. A., 2000. "Models of technology diffusion," Research Policy, Elsevier, vol. 29(4-5), pages 603-625, April.
    3. Cohen, Wesley M. & Levin, Richard C., 1989. "Empirical studies of innovation and market structure," Handbook of Industrial Organization, in: R. Schmalensee & R. Willig (ed.), Handbook of Industrial Organization, edition 1, volume 2, chapter 18, pages 1059-1107 Elsevier.
    4. Gelijns, Annetine C. & Mark Fendrick, A., 1993. "The dynamics of innovation in minimally invasive therapy," Health Policy, Elsevier, vol. 23(1-2), pages 153-166, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    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:hem:wpaper:0703. 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: (Cécile Jaques).

    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.