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 6: Health Innovation Processes at the Public–Private Interface

Andrea Mina and Ronnie Ramlogan


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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