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case 1 - introducing something new
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Case 1 course 6 learning year 2 GW (BMEZ)Name: Esmée Cox
Student number: i6160834
Date: 11 June 2019
Learning goals:
1. What is an innovation (healthcare)?
Greenhalgh, T., Robert, G., Bate, P., Macfarlane, F., Kyriakidou, O. (2005) Diffusion of
innovations in health service organisations. A systematic literature review. Blackwell
Publishing, Oxford.
Chapter 1 – p. 26 t/m 28
Rogers much-quoted definition of innovation is:
“an innovation is an idea, practice, or object that is perceived as new by an individual or
other unit of adoption. It matters little, so far as human behavior is concerned, whether or
not an idea is objectively new as measured by the lapse of time since its first use or
discovery.”
this definition is helpful when considering individual behavior but is less useful at an
organizational level
Four core characteristics of innovations:
1) Innovation represents newness;
2) It is not the same thing as invention;
o Difference: invention is about the discovery of new ideas or approaches and
innovation is about the application of new ideas or approaches
3) It is both a process and an outcome; and
4) It involves discontinuous change.
New definition: (Greenhalgh)
“an innovation in health service delivery and organization is a set of behaviors, routines and
ways of working, along with any associated administrative technologies and systems, which
are:
1) Perceived as new by a proportion of key stakeholders;
2) Linked to the provision or support of health care;
3) Discontinuous with previous practice;
4) Directed at improving health outcomes, administrative efficiency, cost-effectiveness,
or user experience; and
5) Implemented by means of planned and coordinated action by individuals, teams or
organisations.
Such innovations may or may not be associated with a new health technology.
Health care innovation (= a medical technology, structure, administrative system, or service
that is relatively new to the overall industry and newly adopted by hospitals in a particular
market area) – Goes and Park
Service innovations (= innovations that incorporate changes in the technology, design, or
delivery of a particular service or bundle of services) – Goes and Park
Pagina 1 van 13
, Social policy innovations – Osborne (…)
- Developmental (= existing services to a particular user group are improved or
enhanced)
- Expansionary (= existing services are offered to new user groups)
- Evolutionary (= new services are provided to existing users)
- Total (= new services to new users)
Chapter 4 Innovations
4.1 background literature on attributes of innovations
Attributes of innovations
Pagina 2 van 13
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