Managing Innovation In Healthcare available in Hardcover, Paperback, eBook
- ISBN-10:
- 1786341522
- ISBN-13:
- 9781786341525
- Pub. Date:
- 01/24/2017
- Publisher:
- World Scientific Publishing Europe Ltd
- ISBN-10:
- 1786341522
- ISBN-13:
- 9781786341525
- Pub. Date:
- 01/24/2017
- Publisher:
- World Scientific Publishing Europe Ltd
Buy New
$48.00Buy Used
$41.67-
-
SHIP THIS ITEM
Temporarily Out of Stock Online
Please check back later for updated availability.
-
Overview
Regina HerzlingerHarvard Business SchoolAcross the world, the demands placed on health systems are growing rapidly. Developed countries face the challenge of providing services to an ageing population with changing health needs, while countries with developing health systems must find ways of ensuring their populations are provided with access to healthcare. Innovative thinking is essential to meet these twin challenges, but innovation is both a cause and cure of many struggles in healthcare — we need it, but it is hard to manage and the introduction of new technology can lead to higher costs.Using real-life examples and case studies from around the world, this book introduces the latest thinking on understanding and managing healthcare innovation more effectively. It does this from the perspective of governments responsible for shaping health policy, healthcare organisations providing services and juggling competing demands, and from the perspective of the industries that supply the new drugs, devices and other technologies.Managing Innovation in Healthcare is the perfect accompaniment for MSc, PhD and MBA students on health policy, management and public health courses, as well as managers, consultants and policy makers involved in healthcare services in both the public and private sector.
Product Details
ISBN-13: | 9781786341525 |
---|---|
Publisher: | World Scientific Publishing Europe Ltd |
Publication date: | 01/24/2017 |
Edition description: | New Edition |
Pages: | 444 |
Product dimensions: | 6.50(w) x 9.70(h) x 0.80(d) |
Table of Contents
Preface and acknowledgements v
About the author ix
List of case studies xvii
List of tables xix
List of figures xxi
List of boxes xxiii
Chapter 1 Why do we need to understand healthcare innovation? 1
Three innovation challenges for 21st century healthcare 3
Resources, costs, and demand - the challenges for advanced health systems 4
Healthcare technology innovation is big business - but it needs to evolve 6
Delivering universal high quality healthcare in lower-income countries 9
How this book is organised 13
Selected further reading 18
Chapter 2 Technology and innovation management: the nuts and bolts 19
What is 'technology'? 21
Hard and soft technologies 22
Technology determinism 24
Why we need to be more precise in our definitions of 'innovation' 25
Scope: how new is new? 28
Form: product, process or service? 31
Types of innovation - radical, incremental and others 33
Confusing 'radical', 'discontinuous' and 'disruptive' innovation 34
The origins of innovation - lead users and open innovation 36
Technology, innovation and performance improvement 40
Innovation as a process: invention, commercialisation, diffusion 42
New product development 44
Experimentation, 'fast fail', 'safe fail' 48
Innovation adoption and diffusion 50
Language matters - some definitions 50
Factors influencing adoption and diffusion 52
Moving from a view of adoption that is focused on individual users 59
Applying lessons on technology and innovation management to healthcare 64
Chapter summary 65
Questions for discussion 66
Selected further reading 67
Chapter 3 Innovation in healthcare - a special case? 69
What is healthcare technology and healthcare innovation? 72
What do healthcare innovations typically look like? 75
Risk and regulation 81
Innovation economics - another reason why healthcare is different? 83
Implications for policy makers and payers 87
The productivity problem in healthcare 90
Why healthcare is different - the innovation adoption process 93
'Process' studies of healthcare innovation 95
Chapter summary 97
Questions for discussion 98
Selected further reading 99
Chapter 4 Innovation processes part 1 - developing and commercialising healthcare technologies 101
New product development - the drug industries 105
The rise in use of 'generics' 111
An increasingly tight regulatory and payer environment 112
The drug industry's response to the productivity crisis 114
The emerging role of medical biotechnology 118
Developing new medical devices 122
Industry structure and innovation trends 122
The medical devices innovation pathway 128
The role of users in developing healthcare innovations - lead user, user-led and open innovation 131
Open innovation in the medical devices sector 134
Open innovation in the pharmaceutical industry 136
Government support for creating healthcare technology innovation - the case of the UK's NHS 141
An anti-innovation culture? 142
Bridging the funding gaps 144
Towards an open and user-led innovation model within the NHS 153
Chapter summary 155
Questions for discussion 156
Selected further reading 157
Chapter 5 Innovation processes part 2 - implementing and sustaining innovation in healthcare organisations 159
What research on adoption from outside healthcare tells us - a recap 161
Innovation adoption and diffusion in healthcare 167
The innovation itself - its characteristics and 'inner context' 171
The 'outer context' for the innovation 173
Complexity, stakeholders, engagement 174
Organisational characteristics and innovation adoption 177
Evidence and innovation - too much, too little, too late? 179
Implementation and 'normalisation' are not the same as adoption 183
Scaling-up 194
Innovation adoption from the perspective of health technology suppliers 197
Supporting adoption and spread 200
Knowledge management, knowledge mobilisation or knowledge translation? 202
Incentivising innovation through financial measures - reimbursing the cost of innovation, paying for performance 208
Pay for performance and outcomes based payments 211
Pay for performance in access to drugs 216
Incentivising innovation through public-private partnership (PPP) models 219
Chapter summary 222
Questions for discussion 223
Selected further reading 224
Chapter 6 Disruptive and frugal innovation in healthcare, we think we need it - but what is it? 227
Disruptive innovation defined 229
Disruptive innovation and healthcare 235
Solutions to the cost crisis in advanced health systems 237
What do disruptive innovations in advanced health systems look like? 243
Point of care testing and imaging - a technological driver of disruptive innovation? 246
Technological drivers of disruptive innovation - does the concept hold for the drug industry? 252
Disruption and healthcare infrastructure 255
Access to healthcare in lower income countries - disruptive or frugal innovation? 267
New business models are just as important as technology 274
Frugal innovation - or disruptive innovation? 280
Transferability of frugal innovations to developed health systems - what are the limits? 285
Regulation and health technology assessment 287
Chapter summary 289
Questions for discussion 290
Selected further reading 291
Chapter 7 Healthcare innovation in a complex system 293
What is a complex system and what does this mean for healthcare? 295
Level, scale, boundaries and time 298
Applying complexity theory to healthcare 302
Managing healthcare innovation in a world of complexity 306
Complexity and whole system change in healthcare 310
Policy innovation - pilots, pilots and more pilots … and modelling 310
Simulation and modelling 326
Tackling health service challenges through 'whole system change' 327
Systems thinking for global health 337
Chapter summary 342
Questions for discussion 343
Selected further reading 343
Chapter 8 Conclusions 345
The big challenges revisited 348
The solutions 350
So what is the role of technology and innovation? 352
What is on the horizon? 355
It is not just about medical devices and drugs 358
Managing healthcare innovation - closing thoughts 360
References 361
Index 395