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Tatiana Iakovleva and Lars Kolvereid

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Thomas Laudal and Tatiana Iakovleva

This chapter presents a preliminary review of the literature on institutional innovations linked to hospital patients, delineates the main concepts involved, and presents a research agenda. Patients’ knowledge of their health conditions has improved due to better education and information access. Trends towards peer-to-peer innovations and customer-driven innovations suggest there is a potential for patient-initiated innovations at a time where electronic health records (EHRs) are disseminated to patients. Based on the literature on how patients contribute to innovations and our interviews in a large Norwegian hospital region, we expect an increase in the number of patient-initiated innovations. Recommendations in the literature on ‘responsible innovations’ ensures that these innovations benefit patients and contribute to economic and/or non-economic performance indicators of hospitals. We identify three questions for future research: What kind of relationship is there between the release of EHRs and patient feedback? How do patient-initiated innovations influence hospital performance? And, what are the most important contextual factors?

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Raj Kumar Thapa and Tatiana Iakovleva

Based on an explorative case study of a privately owned Norwegian firm within the medical industry, this chapter addresses the question of how do business organizations pursue responsible innovation in business development and create positive social impact. Through analysis of purpose, process, and outcomes of the innovation process at the firm level from a responsibility point of view, we conclude that responsible perspectives and practices during the whole innovation process allow businesses to achieve a positive social impact and sustainable business growth. Based on these findings, we suggest a social impact assessment framework in the context of Responsible Research and Innovation (RRI).

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Tatiana Iakovleva, Elin Oftedal and Lene Foss

When studies identify different types of dynamic capabilities, scholars agree that the field lacks empirical evidence of new firms and the role of dynamic capabilities in their survival and development (Zahra et al., 2006). Responding to this call, we aim to answer the following research question: how do firms featuring emerging technology develop absorptive and adaptive capabilities in their commercialization process? A multiple case study of three new innovative firms operating in the drilling and exploration segment of the Norwegian petroleum industry suggests that for small innovative firms in early stages of the commercialization process, absorptive capacity may be especially crucial for the development of an innovative product, while adaptive capability seems necessary for a successful commercialization process and firm survival. Key words: absorptive capability, adaptive capability, commercialization, innovation, emerging firms, petroleum industry

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Tatiana Iakovleva, Elin M. Oftedal and John Bessant

This introductory chapter starts with a description of the challenges of the healthcare sector. It further presents the importance of responsible innovation in digital health as an enabler for multiple stakeholder involvement – users, clinicians, businesses and policymakers – to create a system delivering better care and lower costs. This chapter then presents the major outline of the book and short illustrations of how cases from multiple countries explores dimensions of RI with a focus on user inclusion and the ways in which it can lead to better design and enhanced diffusion.

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Tatiana Iakovleva, Elin M. Oftedal and John Bessant

This chapter explores the concept of responsible innovation, examines its limitations and links it to the discussion of firm innovation process. In this chapter we first provide an overview of the field, followed by the discussion of purpose, process and outcome of innovation. Innovation is described as a complex process in the context of uncertainty where design space occupies an important role. We argue that with the high levels of uncertainty involved in radical or disruptive innovations, there is a need to keep design space open, allowing anticipation and reflexivity to happen to achieve a responsible solution.

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Elin M. Oftedal, Tatiana Iakovleva and John Bessant

In this chapter we provide an overview of the different healthcare contexts across countries in which the rest of our chapter’s cases are situated. We elaborate on the relationship between different stakeholders in healthcare and debate the role of patients in the healthcare sector from an innovation point of view. The chapter concludes with proposing a method for categorizing patients’ innovation behaviour in light of ongoing digitization of healthcare and society in general.

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John Bessant, Tatiana Iakovleva and Elin M. Oftedal

This chapter summarizes the different aspects of responsible innovation that have been presented throughout the chapters. We remind about three key themes of this book – digital healthcare risks opening up a digital divide, concept of ‘design space’ and responsible innovation, and the role of the patient in the innovation process. We discuss these themes referring to chapters of this book, and conclude by pointing that RI matter and its employment in innovation processes might help economic actors to achieve a better fit with market. We debate some challenges of RI that are beyond the scope of single actors and should be addressed on policy level.

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Edited by Tatiana Iakovleva, Elin M. Oftedal and John Bessant

Powerful new approaches and advances in medical systems drive increasingly high expectations for healthcare providers internationally. The form of digital healthcare – a suite of new technologies offering significant benefits in cost and quality – allow institutions to keep pace with society’s needs. This book covers the need for responsible innovation in this area, exploring the issues of implementation as well as potential negative consequences to ensure digital healthcare delivers for the benefit of all stakeholders.