Entrepreneurship, Creativity and Management
Edited by Paul Windrum and Per Koch
Chapter 7: Innovation Dynamics in Hospitals: Applied Case Studies in French Hospitals
Faridah Djellal and Faïz Gallouj 7.1 INTRODUCTION The aim of this chapter is the development of a general integrative analytical framework that enables one to understand innovation in hospitals in all its diversity, that is, to understand the diversity of possible innovation loci. The chapter is an emprical application of the discussion contained in Chapter 4 of this book and previous conceptual research conducted by the authors in Djellal and Gallouj (2005). The chapter draws on research carried out for the French Ministries of Social Aﬀairs, Work and Solidarity and Health, the Family and the Handicapped. It is based, ﬁrst, on extended interviews conducted in several hospitals and their health authorities and, second, on a secondary analysis of empirical material found in the specialist literature. This chapter is divided into four sections. Section 7.2 brieﬂy outlines the analytical framework, put forward in Djellal and Gallouj (2005), for analysing hospital output and hospital innovation. The framework views the hospital as a ‘package’, or architectural service, which combines a wide range of constituent services. This general morphology of the hospital provides a basis for the construction of a typology of the organizing principles driving innovation in hospitals. In Section 7.3 the typology is illustrated using a number of concrete examples and case studies on French hospitals. Section 7.4 concludes by showing that our framework is heuristic which not only makes it possible to widen the ﬁeld of hospital innovation, but also the ﬁeld of its possible actors. The ﬁeld,...
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