Entrepreneurship, Creativity and Management
Edited by Paul Windrum and Per Koch
Chapter 6: Health Innovation Processes at the Public–Private Interface
Andrea Mina and Ronnie Ramlogan 6.1 INTRODUCTION Interaction between private and public organizations is a fundamental source of innovation, and a crucial framing condition for reaping the beneﬁts of new technologies through their diﬀusion in regulated domains. Focusing on the health sector, this chapter investigates the emergence of one of the most important medical innovations of the last few decades – coronary angioplasty – and uncovers the dynamics of its emergence at the interface between hospitals, ﬁrms and regulatory agencies. Coronary angioplasty has become the main surgical treatment for heart disease, the primary cause of death in advanced economies. We undertake a multi-method study (interviews, inspection of secondary sources and a network analysis of bibliometric data) of the origin, development patterns, opportunities and constraints of the new procedure. The chapter investigates the entrepreneurial eﬀorts of the pioneers and the seminal interaction between the science base, technological knowhow and clinical practice in order to gain a deeper understanding of the relationship between the characteristics of complex new treatments and the rationales, modes and diﬀusion patterns in the context of public service provision. Our core focus is the mechanisms through which medical knowledge emerges, grows and transforms itself at the interface between biomedical research, the manufacturing of drugs and devices, and the delivery of clinical services. Innovation in the health sector is a process that is distributed across time, space and epistemic and organizational domains. It involves the development of correlated understandings about the nature of medical problems, and the...
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