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Mapping innovation dynamics in hospitals

  • Djellal, Faridah
  • Gallouj, FaIz

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.

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Article provided by Elsevier in its journal Research Policy.

Volume (Year): 34 (2005)
Issue (Month): 6 (August)
Pages: 817-835

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Handle: RePEc:eee:respol:v:34:y:2005:i:6:p:817-835
Contact details of provider: Web page: http://www.elsevier.com/locate/respol

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  1. Gallouj, Faiz & Weinstein, Olivier, 1997. "Innovation in services," Research Policy, Elsevier, vol. 26(4-5), pages 537-556, December.
  2. Faridah Djellal, 2002. "Le secteur du nettoyage face aux nouvelles technologies," Post-Print halshs-00006722, HAL.
  3. Gadrey, Jean, 2000. "The Characterization of Goods and Services: An Alternative Approach," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 46(3), pages 369-87, September.
  4. Newhouse, Joseph P, 1970. "Toward a Theory of Nonprofit Institutions: An Economic Model of a Hospital," American Economic Review, American Economic Association, vol. 60(1), pages 64-74, March.
  5. Perry, Seymour, 1988. "Technology assessment in health care: the U.S. perspective," Health Policy, Elsevier, vol. 9(3), pages 317-324, June.
  6. Faïz Gallouj, 1997. "Towards a neo-Schumpeterian theory of innovation in services?," Science and Public Policy, Oxford University Press, vol. 24(6), pages 405-420, December.
  7. Faïz Gallouj, 1999. "Les trajectoires de l’innovation dans les services : vers un enrichissement des taxonomies évolutionnistes," Post-Print halshs-01114090, HAL.
  8. Fuchs, Victor R, 1996. "Economics, Values, and Health Care Reform," American Economic Review, American Economic Association, vol. 86(1), pages 1-24, March.
  9. Sophie Béjean & Maryse Gadreau, 1997. "Concept de réseau et analyse des mutations récentes du système de santé," Revue d'Économie Industrielle, Programme National Persée, vol. 81(1), pages 77-97.
  10. Faïz Gallouj, 2002. "Innovation in the Service Economy: the New Wealth of Nations," Post-Print hal-01111977, HAL.
  11. Ahern, Melissa, 1993. "The softness of medical production and implications for specifying hospital outputs," Journal of Economic Behavior & Organization, Elsevier, vol. 20(3), pages 281-294, April.
  12. Jerome-D'Emilia, Bonnie & Begun, James W., 2005. "Diffusion of breast conserving surgery in medical communities," Social Science & Medicine, Elsevier, vol. 60(1), pages 143-151, January.
  13. Hill, T P, 1977. "On Goods and Services," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 23(4), pages 315-38, December.
  14. Faridah Djellal & Camal Gallouj & Faïz Gallouj & Karim Gallouj, 2004. "L’hôpital innovateur : de l'innovation médicale à l'innovation de service," Post-Print hal-01111760, HAL.
  15. Groenewegen, Peter P. & Hutten, Jack B. F., 1989. "Improving primary health care through technological innovation," Health Policy, Elsevier, vol. 13(3), pages 199-211, December.
  16. 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.
  17. Camal Gallouj & Faïz Gallouj, 1996. "L'innovation dans les services," Post-Print hal-01111983, HAL.
  18. Peter Hill, 1999. "Tangibles, intangibles and services: a new taxonomy for the classification of output," Canadian Journal of Economics, Canadian Economics Association, vol. 32(2), pages 426-446, April.
  19. Cyrille Piatecki & Philippe Ulmann, 1995. "La micro-économie de la santé : Bilan et perspectives," Revue d'Économie Financière, Programme National Persée, vol. 34(3), pages 47-69.
  20. Bentur, Netta, 2001. "Hospital at home: what is its place in the health system?," Health Policy, Elsevier, vol. 55(1), pages 71-79, January.
  21. 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.
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