Innovation in Public Sector Services
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Innovation in Public Sector Services

Entrepreneurship, Creativity and Management

Edited by Paul Windrum and Per Koch

This groundbreaking book provides new key insights and opens up an important research agenda. The book develops a new taxonomy of the different types of innovation found in public sector services, and investigates the key features and drivers of public sector entrepreneurship. The book contains new statistical studies and a set of six international case studies in health and social services.
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Chapter 5: The Adoption and Diffusion of Technological and Organizational Innovations in a Spanish Hospital

Manuel García-Goñi


5. The adoption and diffusion of technological and organizational innovations in a Spanish hospital Manuel García-Goñi 5.1 INTRODUCTION The innovation process has been studied using a variety of different approaches in the past. What is more, there is a strong debate on whether fundamental differences exist between innovation in (private sector) services and manufacturing. The focus of this chapter is the process of innovation observed within a public organization in the health sector, specifically, the publicly owned La Princesa Hospital in Madrid. The chapter analyses the process of adoption and diffusion within the context of a public health system, paying particular attention to the origin of the innovation, the agents involved in diffusion and the different stages of the diffusion process. The analysis considers the adoption and diffusion of two recent innovations at La Princesa Hospital. One is digital radiology, a technologically intense innovation. The other is ambulatory surgery, an organizationally intense innovation. These case studies are used to critically evaluate key theories and hypotheses about innovation. In particular, the question of whether the innovation process in public services is different to that found in private sector services and manufacturing is addressed. Two types of innovation processes are prevalent in health service provision: technological innovations and organizational innovations. This chapter presents a detailed case study for each of these types of innovation and identifies the similarities and differences of their diffusion. The two case studies...

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