Problems and promises of innovation: why healthcare needs to rethink its love/hate relationship with the new
Open Access
- 30 March 2011
- journal article
- the social-determinants-of-action
- Published by BMJ in BMJ Quality & Safety
- Vol. 20 (Suppl 1), i47-i51
- https://doi.org/10.1136/bmjqs.2010.046227
Abstract
Innovation is often regarded as uniformly positive. This paper shows that the role of innovation in quality improvement is more complicated. The authors identify three known paradoxes of innovation in healthcare. First, some innovations diffuse rapidly, yet are of unproven value or limited value, or pose risks, while other innovations that could potentially deliver benefits to patients remain slow to achieve uptake. Second, participatory, cooperative approaches may be the best way of achieving sustainable, positive innovation, yet relying solely on such approaches may disrupt positive innovation. Third, improvement clearly depends upon change, but change always generates new challenges. Quality improvement systems may struggle to keep up with the pace of innovation, yet evaluation of innovation is often too narrowly focused for the system-wide effects of new practices or technologies to be understood. A new recognition of the problems of innovation is proposed and it is argued that new approaches to addressing them are needed.Keywords
This publication has 22 references indexed in Scilit:
- Managing Expert Knowledge: Organizational Challenges and Managerial Futures for the UK Medical ProfessionOrganization Studies, 2009
- Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHSJournal of Public Administration Research and Theory, 2008
- Diffusion of Innovations in Service Organizations: Systematic Review and RecommendationsThe Milbank Quarterly, 2004
- Resisting Evidence: The Study of Evidence-Based Medicine as a Contemporary Social MovementHealth: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 2003
- Managing Networks: Propositions on What Managers Do and Why They Do ItPublic Administration Review, 2002
- Seeing Organizational Learning: A `Cultural' ViewOrganization, 2000
- The Dynamics of Multi‐organizational Partnerships: an Analysis of Changing Modes of GovernancePublic Administration, 1998
- The New Governance: Governing without GovernmentPolitical Studies, 1996
- The Imperative Character of Medical Technology and the Meaning of “Anticipated Decision Regret”International Journal of Technology Assessment in Health Care, 1989
- The Courage to Fail: A Social View of Organ Transplants and Dialysis.Contemporary Sociology: A Journal of Reviews, 1975