Controversies in Healthcare Innovation : Service, Technology and Organization.

By: Hoholm, ThomasContributor(s): La Rocca, Antonella | Aanestad, MargunnMaterial type: TextTextSeries: eBooks on DemandPublisher: London : Palgrave Macmillan UK, 2018Copyright date: ©2018Description: 1 online resource (381 pages)Content type: text Media type: computer Carrier type: online resourceISBN: 9781137557803Subject(s): Medical technology | Medical care-Technological innovations | MEDICAL / Osteopathy.-bisacsh | MEDICAL / Holistic Medicine.-bisacsh | MEDICAL / Family & General Practice.-bisacsh | MEDICAL / Essays.-bisacsh | HEALTH & FITNESS / Holism.-bisacsh | HEALTH & FITNESS / Reference.-bisacsh | MEDICAL / Alternative Medicine.-bisacsh | MEDICAL / Atlases.-bisacshGenre/Form: Electronic books.Additional physical formats: Print version:: Controversies in Healthcare Innovation : Service, Technology and OrganizationDDC classification: 610.28 LOC classification: HF4999.2-6182Online resources: Click here to view this ebook.
Contents:
Intro -- Controversies in Healthcare Innovation -- Contents -- List of Figures -- List of Tables -- 1 Introduction: Controversies in Healthcare Innovation - Service, Technology and Organization -- 1.1 Aim and Positioning of the Volume -- 1.2 Controversies as Fuel for Innovation -- 1.3 Overview of the Volume -- References -- Part I Translation of Innovation: Challenges and Opportunities -- 2 A New Space for Patients - How Space Enters Innovation Translation Processes -- 2.1 Introduction -- 2.2 Theoretical Framework -- 2.2.1 Translating Innovation in Practice - The Role of Material Mediation -- 2.2.2 The Role of Organizational Space in Translating Innovations -- 2.3 The Context of Study and Methodological Framework -- 2.3.1 Context of the Study -- 2.3.2 Methodology - Exploring How the Innovation of "Patient-Centredness moves from Theory to Practice" -- 2.4 Findings -- 2.4.1 The (Multiple) Ideas and Concerns Informing the Introduction of Patient-Centred Care -- 2.4.2 Conceiving Space for Patient-Centred Care -- 2.4.3 Practising and Making Sense of Patient-Centredness in, around and through the New Hospital Space -- 2.4.3.1 Reanimating the Lived and Practised Spaces of the Past -- 2.4.3.2 New Spaces for Reflecting on Clinical Practice -- 2.5 Discussion -- 2.5.1 Controversies Act throughout the Innovation Translation Process to bring Novel Solutions into Use -- 2.5.2 The Translation of an Innovation is Constantly Shaped by an Intricate Dance between Space (Perceived/Practised and Lived) and Time -- 2.6 Conclusion -- References -- 3 One Table - Several Practices: Material Controversies in the Hybrid Operating Room -- 3.1 Introduction -- 3.2 Translating Innovation -- 3.3 Method -- 3.4 Setting Up the Hybrid Operating Room -- 3.4.1 The Table: A Matter of Concern -- 3.4.2 Making the Table 'A Table-in-Use'.
3.5 Discussion: From a Matter of Fact to a Matter of Concern -- 3.6 Concluding Remarks -- References -- 4 Contradictions as Opportunities for Innovation in the Case of TAVI -- 4.1 Introduction -- 4.2 Cultural Historical Activity Theory (CHAT) -- 4.2.1 Mediation -- 4.2.2 Activity System and Its Object -- 4.2.3 Contradiction as Potentially Generative -- 4.3 Methodology -- 4.4 The Role of Contradictions in the Introduction of TAVI -- 4.4.1 "Putting the Cat Among the Pigeons": Can a Cardiologist Do the Job of Surgeons? -- 4.4.2 Expanding the Object of Work: Which Patients can be Treated with TAVI? -- 4.4.3 A Contested Division of Labour: Who Should Do the Procedure? -- 4.5 Discussion -- 4.6 Conclusion -- References -- Part II Technology Enabled Healthcare Innovations -- 5 Dealing with Tensions in Technology Enabled Healthcare Innovation: Two Cases from the Norwegian Healthcare Sector -- 5.1 Introduction -- 5.2 Innovation and Information Infrastructures -- 5.3 Methodology -- 5.4 Case Description -- 5.4.1 MyRec -- 5.4.2 HealthNorway -- 5.5 Analysis -- 5.5.1 Handling the Tension Between Generic and Specific Solutions -- 5.5.2 Handling the Tension Between Open and Closed Solutions -- 5.5.3 Handling the Tension Between Long-term and Short-term Solutions -- 5.6 Discussion -- 5.7 Conclusion -- References -- 6 An Organization-as-Platform and a Strategy-as-Practice for an Electronically Supported Booking Service in Healthcare -- 6.1 Introduction -- 6.2 Literature Review -- 6.3 The Case Study: The CUP Management Team and Its Sub-Teams -- 6.3.1 The Evolution of an Electronic-Supported Booking Service: 1988-2014 -- 6.3.2 The Establishment of an Electronically Supported Booking Service: 1988-1993 -- 6.3.3 Designing the Organizational Model -- 6.3.4 Organizing the Transformation -- 6.4 Discussion -- 6.5 Conclusions -- References.
Part III Policy Interventions in Innovating Healthcare -- 7 Reconfiguring the Relation Between Primary and Secondary Healthcare Through Policy Instruments -- 7.1 Introduction -- 7.2 Public Policy as Governing by Instruments -- 7.3 Coordinating Primary and Secondary Care in Norway -- 7.4 Methodology -- 7.5 Case Analysis -- 7.5.1 Reconfiguring Communication -- 7.5.2 On the Divide Between Primary and Secondary Care -- 7.5.3 The Effects of Economic Incentives -- 7.6 Discussion -- 7.7 Conclusions -- References -- 8 A Controversy of Interpretation: Emergent Agencies in Repurposing Aker Local Hospital -- 8.1 Introduction -- 8.2 From Open to Closed: Interpreting Controversial Artefacts -- 8.2.1 SCOT: Controversies of 'Interpretive Flexibility' -- 8.2.2 ANT and SCOT: An Unlikely Approach? -- 8.3 Methodology -- 8.4 Findings -- 8.4.1 From Aker Hospital to Aker Health Arena -- 8.4.2 The Closure of Aker Local Hospital -- 8.4.3 Together We Achieve Something More: Repurposing Aker -- 8.4.4 Co-locating the Right Actors: Fitting in or Moving out -- 8.4.5 Building a Collaborative Arena -- 8.4.6 Getting OUS On Board -- 8.4.7 Aker Hospital's Resurrection -- 8.5 The Contradictions of Aker -- 8.5.1 Mapping Interpretations of Aker -- 8.5.2 Aker as a Placeholder - Physical Agency -- 8.5.3 Aker as a Local Hospital - Historical Agency -- 8.5.4 Aker as AHA - Regulative Agency -- 8.6 Conclusion -- References -- 9 More with Less: Sensemaking of Controversies in Youth Care Reforms -- 9.1 Introduction -- 9.2 Sensemaking of Controversies and Innovation Dynamics -- 9.2.1 Controversies -- 9.2.2 Sensemaking of Controversies -- 9.2.3 Consequences of Controversies for Innovation Dynamics -- 9.3 Methodology -- 9.3.1 Setting and Data Collection -- 9.3.2 Analytical Approach -- 9.4 Transition in and the Transformation of Youth Care -- 9.4.1 The Study Context.
9.4.2 Fourteen Municipalities Cooperating to Implement Youth Care Reforms -- 9.4.3 Conferences and Meetings -- 9.4.4 District Teams -- 9.4.5 EU Tender -- 9.5 Analysis of Sensemaking of Controversies in the Innovation of Youth Care in a Region of 14 Municipalities -- 9.5.1 Hierarchical Control versus Cooperation -- 9.5.1.1 The Socio-Cognitive Construction of this Controversy -- 9.5.1.2 The Enactment of this Controversy -- 9.5.1.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.2 General Purchasing Model Used versus Specific Youth Care Needed -- 9.5.2.1 The Socio-Cognitive Construction of this Controversy -- 9.5.2.2 The Enactment of this Controversy -- 9.5.2.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.3 Reliance on the Market Mechanism versus Integral Provision of Care -- 9.5.3.1 The Socio-Cognitive Construction of this Controversy -- 9.5.3.2 The Enactment of this Controversy -- 9.5.3.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.4 Cost Reduction versus Innovation -- 9.5.4.1 The Socio-Cognitive Construction of this Controversy -- 9.5.4.2 The Enactment of this Controversy -- 9.5.4.3 Consequences of Sensemaking of Controversies for Innovation Synamics -- 9.6 Discussion -- 9.6.1 Why Do Actors Resist Controversies? -- 9.6.2 When Are Actors Engaging in Controversies? -- 9.7 Conclusion -- References -- Part IV Healthcare Innovations Beyond the Local Context -- 10 Networked Innovation in Healthcare: Literature Review and Research Agenda on the Interplay of Inner and Outer Contexts of Innovation -- 10.1  Introduction -- 10.2  Conceptual Framework: Networked Innovation Process -- 10.3  Methods -- 10.4 Findings -- 10.4.1  Intra-Organizational Context of Innovation -- 10.4.1.1 The Local Translation of Innovation -- 10.4.1.2 Managing the Innovation Process.
10.4.2  Inter-Organizational Contexts of Innovation -- 10.4.3  The Interplay of Inner and Outer Contexts of Innovation -- 10.5  Discussion -- 10.6  Suggestions for a Research Agenda on Networked Innovation in Healthcare -- References -- 11 The Role of Controversy in Medical Technology Adoption -- 11.1 Introduction -- 11.2 The Literature on Innovation Processes -- 11.2.1 Innovation Adoption, Implementation and Assimilation -- 11.2.2 The Role of Supplier-User Interactions in Innovation Processes -- 11.3 Methodology -- 11.4 The Case of TAVI -- 11.4.1 Regulatory Systems and Medical Technology Markets -- 11.4.2 TAVI Internationally -- 11.4.2.1 Early History -- 11.4.2.2 Fitting the Concept into the Market -- 11.4.2.3 TAVI Penetration into the Market -- 11.4.3 TAVI at Århus University Hospital, Denmark -- 11.4.3.1 TAVI Gathers Momentum -- 11.5 Analysis -- 11.5.1 From Adoption to Assimilation -- 11.5.2 Controversies Between Professional Groups of Users -- 11.5.3 Controversies Between Local and Global Agendas -- 11.5.4 Supplier-User Interaction and Interdependency -- 11.6 Concluding Remarks -- References -- 12 Increase Development and Decrease Use! Innovation Controversies Caused by Antimicrobial Resistance -- 12.1  Introduction -- 12.2 Confronting the Threat of Antimicrobial Resistance and its Associated Problems -- 12.3 A Note on Theory and Methodology -- 12.4 Methodology -- 12.5 Discussion: Challenges and Suggestions -- 12.5.1  Challenges Related to the Development and Production Settings of Antibiotics -- 12.5.2  Suggestion to Cope with the Challenges in the Development and Producing Settings -- 12.5.3  Challenges Related to the Use Setting of Antibiotics -- 12.5.4  Suggestions to Address the Challenges in Antibiotic Use -- 12.6 Conclusions -- 12.6.1  The Need to Delink Innovation From Sales -- 12.6.2  The Need for a Radically Changed Policy.
12.6.3  Some Main Controversies Outlined.
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Intro -- Controversies in Healthcare Innovation -- Contents -- List of Figures -- List of Tables -- 1 Introduction: Controversies in Healthcare Innovation - Service, Technology and Organization -- 1.1 Aim and Positioning of the Volume -- 1.2 Controversies as Fuel for Innovation -- 1.3 Overview of the Volume -- References -- Part I Translation of Innovation: Challenges and Opportunities -- 2 A New Space for Patients - How Space Enters Innovation Translation Processes -- 2.1 Introduction -- 2.2 Theoretical Framework -- 2.2.1 Translating Innovation in Practice - The Role of Material Mediation -- 2.2.2 The Role of Organizational Space in Translating Innovations -- 2.3 The Context of Study and Methodological Framework -- 2.3.1 Context of the Study -- 2.3.2 Methodology - Exploring How the Innovation of "Patient-Centredness moves from Theory to Practice" -- 2.4 Findings -- 2.4.1 The (Multiple) Ideas and Concerns Informing the Introduction of Patient-Centred Care -- 2.4.2 Conceiving Space for Patient-Centred Care -- 2.4.3 Practising and Making Sense of Patient-Centredness in, around and through the New Hospital Space -- 2.4.3.1 Reanimating the Lived and Practised Spaces of the Past -- 2.4.3.2 New Spaces for Reflecting on Clinical Practice -- 2.5 Discussion -- 2.5.1 Controversies Act throughout the Innovation Translation Process to bring Novel Solutions into Use -- 2.5.2 The Translation of an Innovation is Constantly Shaped by an Intricate Dance between Space (Perceived/Practised and Lived) and Time -- 2.6 Conclusion -- References -- 3 One Table - Several Practices: Material Controversies in the Hybrid Operating Room -- 3.1 Introduction -- 3.2 Translating Innovation -- 3.3 Method -- 3.4 Setting Up the Hybrid Operating Room -- 3.4.1 The Table: A Matter of Concern -- 3.4.2 Making the Table 'A Table-in-Use'.

3.5 Discussion: From a Matter of Fact to a Matter of Concern -- 3.6 Concluding Remarks -- References -- 4 Contradictions as Opportunities for Innovation in the Case of TAVI -- 4.1 Introduction -- 4.2 Cultural Historical Activity Theory (CHAT) -- 4.2.1 Mediation -- 4.2.2 Activity System and Its Object -- 4.2.3 Contradiction as Potentially Generative -- 4.3 Methodology -- 4.4 The Role of Contradictions in the Introduction of TAVI -- 4.4.1 "Putting the Cat Among the Pigeons": Can a Cardiologist Do the Job of Surgeons? -- 4.4.2 Expanding the Object of Work: Which Patients can be Treated with TAVI? -- 4.4.3 A Contested Division of Labour: Who Should Do the Procedure? -- 4.5 Discussion -- 4.6 Conclusion -- References -- Part II Technology Enabled Healthcare Innovations -- 5 Dealing with Tensions in Technology Enabled Healthcare Innovation: Two Cases from the Norwegian Healthcare Sector -- 5.1 Introduction -- 5.2 Innovation and Information Infrastructures -- 5.3 Methodology -- 5.4 Case Description -- 5.4.1 MyRec -- 5.4.2 HealthNorway -- 5.5 Analysis -- 5.5.1 Handling the Tension Between Generic and Specific Solutions -- 5.5.2 Handling the Tension Between Open and Closed Solutions -- 5.5.3 Handling the Tension Between Long-term and Short-term Solutions -- 5.6 Discussion -- 5.7 Conclusion -- References -- 6 An Organization-as-Platform and a Strategy-as-Practice for an Electronically Supported Booking Service in Healthcare -- 6.1 Introduction -- 6.2 Literature Review -- 6.3 The Case Study: The CUP Management Team and Its Sub-Teams -- 6.3.1 The Evolution of an Electronic-Supported Booking Service: 1988-2014 -- 6.3.2 The Establishment of an Electronically Supported Booking Service: 1988-1993 -- 6.3.3 Designing the Organizational Model -- 6.3.4 Organizing the Transformation -- 6.4 Discussion -- 6.5 Conclusions -- References.

Part III Policy Interventions in Innovating Healthcare -- 7 Reconfiguring the Relation Between Primary and Secondary Healthcare Through Policy Instruments -- 7.1 Introduction -- 7.2 Public Policy as Governing by Instruments -- 7.3 Coordinating Primary and Secondary Care in Norway -- 7.4 Methodology -- 7.5 Case Analysis -- 7.5.1 Reconfiguring Communication -- 7.5.2 On the Divide Between Primary and Secondary Care -- 7.5.3 The Effects of Economic Incentives -- 7.6 Discussion -- 7.7 Conclusions -- References -- 8 A Controversy of Interpretation: Emergent Agencies in Repurposing Aker Local Hospital -- 8.1 Introduction -- 8.2 From Open to Closed: Interpreting Controversial Artefacts -- 8.2.1 SCOT: Controversies of 'Interpretive Flexibility' -- 8.2.2 ANT and SCOT: An Unlikely Approach? -- 8.3 Methodology -- 8.4 Findings -- 8.4.1 From Aker Hospital to Aker Health Arena -- 8.4.2 The Closure of Aker Local Hospital -- 8.4.3 Together We Achieve Something More: Repurposing Aker -- 8.4.4 Co-locating the Right Actors: Fitting in or Moving out -- 8.4.5 Building a Collaborative Arena -- 8.4.6 Getting OUS On Board -- 8.4.7 Aker Hospital's Resurrection -- 8.5 The Contradictions of Aker -- 8.5.1 Mapping Interpretations of Aker -- 8.5.2 Aker as a Placeholder - Physical Agency -- 8.5.3 Aker as a Local Hospital - Historical Agency -- 8.5.4 Aker as AHA - Regulative Agency -- 8.6 Conclusion -- References -- 9 More with Less: Sensemaking of Controversies in Youth Care Reforms -- 9.1 Introduction -- 9.2 Sensemaking of Controversies and Innovation Dynamics -- 9.2.1 Controversies -- 9.2.2 Sensemaking of Controversies -- 9.2.3 Consequences of Controversies for Innovation Dynamics -- 9.3 Methodology -- 9.3.1 Setting and Data Collection -- 9.3.2 Analytical Approach -- 9.4 Transition in and the Transformation of Youth Care -- 9.4.1 The Study Context.

9.4.2 Fourteen Municipalities Cooperating to Implement Youth Care Reforms -- 9.4.3 Conferences and Meetings -- 9.4.4 District Teams -- 9.4.5 EU Tender -- 9.5 Analysis of Sensemaking of Controversies in the Innovation of Youth Care in a Region of 14 Municipalities -- 9.5.1 Hierarchical Control versus Cooperation -- 9.5.1.1 The Socio-Cognitive Construction of this Controversy -- 9.5.1.2 The Enactment of this Controversy -- 9.5.1.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.2 General Purchasing Model Used versus Specific Youth Care Needed -- 9.5.2.1 The Socio-Cognitive Construction of this Controversy -- 9.5.2.2 The Enactment of this Controversy -- 9.5.2.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.3 Reliance on the Market Mechanism versus Integral Provision of Care -- 9.5.3.1 The Socio-Cognitive Construction of this Controversy -- 9.5.3.2 The Enactment of this Controversy -- 9.5.3.3 The Consequences of Sensemaking of Controversies for Innovation Dynamics -- 9.5.4 Cost Reduction versus Innovation -- 9.5.4.1 The Socio-Cognitive Construction of this Controversy -- 9.5.4.2 The Enactment of this Controversy -- 9.5.4.3 Consequences of Sensemaking of Controversies for Innovation Synamics -- 9.6 Discussion -- 9.6.1 Why Do Actors Resist Controversies? -- 9.6.2 When Are Actors Engaging in Controversies? -- 9.7 Conclusion -- References -- Part IV Healthcare Innovations Beyond the Local Context -- 10 Networked Innovation in Healthcare: Literature Review and Research Agenda on the Interplay of Inner and Outer Contexts of Innovation -- 10.1  Introduction -- 10.2  Conceptual Framework: Networked Innovation Process -- 10.3  Methods -- 10.4 Findings -- 10.4.1  Intra-Organizational Context of Innovation -- 10.4.1.1 The Local Translation of Innovation -- 10.4.1.2 Managing the Innovation Process.

10.4.2  Inter-Organizational Contexts of Innovation -- 10.4.3  The Interplay of Inner and Outer Contexts of Innovation -- 10.5  Discussion -- 10.6  Suggestions for a Research Agenda on Networked Innovation in Healthcare -- References -- 11 The Role of Controversy in Medical Technology Adoption -- 11.1 Introduction -- 11.2 The Literature on Innovation Processes -- 11.2.1 Innovation Adoption, Implementation and Assimilation -- 11.2.2 The Role of Supplier-User Interactions in Innovation Processes -- 11.3 Methodology -- 11.4 The Case of TAVI -- 11.4.1 Regulatory Systems and Medical Technology Markets -- 11.4.2 TAVI Internationally -- 11.4.2.1 Early History -- 11.4.2.2 Fitting the Concept into the Market -- 11.4.2.3 TAVI Penetration into the Market -- 11.4.3 TAVI at Århus University Hospital, Denmark -- 11.4.3.1 TAVI Gathers Momentum -- 11.5 Analysis -- 11.5.1 From Adoption to Assimilation -- 11.5.2 Controversies Between Professional Groups of Users -- 11.5.3 Controversies Between Local and Global Agendas -- 11.5.4 Supplier-User Interaction and Interdependency -- 11.6 Concluding Remarks -- References -- 12 Increase Development and Decrease Use! Innovation Controversies Caused by Antimicrobial Resistance -- 12.1  Introduction -- 12.2 Confronting the Threat of Antimicrobial Resistance and its Associated Problems -- 12.3 A Note on Theory and Methodology -- 12.4 Methodology -- 12.5 Discussion: Challenges and Suggestions -- 12.5.1  Challenges Related to the Development and Production Settings of Antibiotics -- 12.5.2  Suggestion to Cope with the Challenges in the Development and Producing Settings -- 12.5.3  Challenges Related to the Use Setting of Antibiotics -- 12.5.4  Suggestions to Address the Challenges in Antibiotic Use -- 12.6 Conclusions -- 12.6.1  The Need to Delink Innovation From Sales -- 12.6.2  The Need for a Radically Changed Policy.

12.6.3  Some Main Controversies Outlined.

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