Entrepreneurship, Creativity and Management
Edited by Paul Windrum and Per Koch
Chapter 5: The Adoption and Diffusion of Technological and Organizational Innovations in a Spanish Hospital
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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