Innovation in Hospitals and the Service-Dominant Logic

• Raupp de Vargas, Eduardo ^[1] ; Figueiredo, Kleber Fossati ^[2] ; Araujo, Claudia Affonso Silva ^[2] ; Bohrer, Cariza Teixeira ^[3] ; Farias, Josivânia Silva ^[4]
  1. [1] Universidade de Brasília

     Universidade de Brasília

     Brasil

     
  2. [2] Universidade Federal do Rio de Janeiro

     Universidade Federal do Rio de Janeiro

     Brasil

     
  3. [3] Universidade Federal de Santa Maria

     Universidade Federal de Santa Maria

     Brasil

     
  4. [4] UnB

  Mostrar afiliaciones +
• Localización: Revista de Gestão em Sistemas de Saúde, ISSN-e 2316-3712, Vol. 3, Nº. 1, 2014 (Ejemplar dedicado a: Janeiro-Junho), págs. 14-26
• Idioma: inglés
• DOI: 10.5585/rgss.v3i1.75
• Enlaces
  • Texto completo (pdf)
• Resumen

  • The development of the research on innovation in services has resulted in three approaches: technologist, service-based, and integrative. Each has a specific focus on the role of technology and the endogenous or exogenous character of innovations in services. The path chosen by state of the art research in the area has been to consolidate an integrative perspective. New research has used a service-dominant logic which allows an integrated view of economic activities based on the logic of value linked to services. This approach has raised the possibility of expanding the integrative approach, focusing on how innovations change the value proposition of a particular service through a new technology, by innovation in methods or in the service relationship. The aim of the present article is to develop this perspective using empirical research into hospital services. These activities, due to their complexity and strong interaction with different economic and social actors, bring to the fore many of the fundamental theoretical questions surrounding the debate on innovation in services, and provide a new perspective on hospital management. Based on semi-structured interviews, case studies on innovations in hospitals in Brazil and France were conducted from 2006 to 2010. The innovations studied involve new types of relationship with users, adoption of new technologies and innovations stemming from research and development. These case studies identified types, actors, and outcomes of innovation in order to develop an approach based on a broader integrative perspective, involving the analysis of characteristics and the service-dominant logic.

• Referencias bibliográficas
  • Barras, R. (1986). Towards a theory of innovation in services. Research Policy, 15, 161-173.
  • Barras, R. (1990). Interactive innovation in financial and business services: the vanguard of the service revolution. Research Policy, 19,...
  • Bohmer, R. (2012). Arquitetura e planejamento na gestão da saúde. Porto Alegre: Bookman.
  • Bohrer, C. (2010). P&D e inovação em serviços: estudos de casos em hospitais universitários do Brasil e da França. Doctoral Dissertation....
  • Bohrer, C. & Vargas, E. R. (2009). Inovação nos serviços hospitalares: estudos de caso em hospitais universitários. In Proc. XXXIII Enanpad,...
  • Bressand, A. & Nicolaïdis, K. (1988). Les services au cœur de l’économie relationnelle. Revue d’Économie Industrielle, 43, 141-163.
  • Callon, M.; Méadel, C. & Rabeharisoa, V. (2002). The economy of qualities. Economy and Society, 31(2), 194-217.
  • Christensen, C. ; Grossman, J. & Hwang, J. (2009). Inovação na gestão da saúde : a receita para reduzir custos e aumentar qualidade. Porto...
  • De Bandt, J. & Gadrey, J. (dir) (1994). Relations de service, marchés de services. Paris: CNRS Editions.
  • Delaunay, J-C. (1999). Capital and other inputs in the production of services: what impact on service relationships? International Journal...
  • Djellal, F. ; Gallouj, C. ; Gallouj, F. & Gallouj, K. (2004). L’hôpital innovateur: de l’innovation médical à l’innovation de service....
  • Djellal, F. & Gallouj, F. (2007). Innovation in hospitals : a survey of the literature. European Journal of Health Economics, 8, 181-193.
  • Gadrey, J. (1994). Les relations de service dans le secteur marchand. In: Relations de service, marchés de services. Jacques De Bandt &...
  • Gadrey, J. (2001). Emprego, produtividade e avaliação do desempenho dos serviços. In Relação de Serviço: produção e avaliação, M. S. Salerno...
  • Gallouj, F. (1994). Innovation dans les services. Paris: L’Harmattan.
  • Gallouj, F. (1998). Innovating in reverse: services and the reverse product cycle. European Journal of Innovation Management, 1 (3), p.123-138.
  • Gallouj, F. (2002). Innovation in the service economy: the new wealth of nations. Cheltenham: Edward Elgar.
  • Gallouj, F. & Weinstein, O. (1997). Innovation in Services. Research Policy, 26, 537-556.
  • Gallouj, F. & Savona, M. (2009). Innovation in services: a review of the debate and a research agenda. Journal of Evolutionary Economics,...
  • Hauknes, J. (1998). Services in innovation – Innovation in services. Step report, n.13.
  • Henderson, R. & Clark, K. (1990). Architectural Innovation: the reconfiguration of existing product technologies and the failure of established...
  • Herzlinger, R. (2011). Valor para o paciente: o remédio para o sistema de saúde. Bookman: Porto Alegre.
  • Lancaster, K. (1966). A new approach to consumer theory. Journal of Political Economy, 74(2), 132–156.
  • Marx, K. (1989). O Capital: crítica da Economia Política. Livro 1, v.1. Rio de Janeiro: Bertrand Brasil.
  • Pavitt, K. (1984). Sectoral patterns of technical change: towards a taxonomy and theory. Research Policy, 13, 343-373.
  • Porter, M. & Teisberg, E. (2006). Redefing healh care: creating value-based competition on results. Boston: Harvard Business School Press.
  • Prahalad, C. K. & Ramaswamy, V (2004). O Futuro da Competição: como desenvolver diferenciais inovadores em parcerias com clientes. Rio...
  • Schumpeter, J. (1911/1985). A teoria do desenvolvimento econômico. São Paulo: Nova Cultural.
  • Sebastiani, R. & Paiola, M. (2010). Rethinking service innovation: four pathways to evolution. International Journal of Quality and Service...
  • Sundbo, J. & Gallouj, F. (2000). Innovation as a loosely coupled system in services. International Journal of Services Technology and...
  • Vargas, E. R. (2006). A dinâmica da inovação em serviços: o caso dos serviços hospitalares no Brasil e na França. Doctoral Dissertation. Federal...
  • Vargo, S. & Lusch, R. (2004). Evolving to a new dominant logic for marketing. The Journal of Marketing, 68 (1), 1-17.
  • Vargo, S. & Lusch, R. (2006). Service-dominant logic: what it is, what it is not, what it might be. In The Service-Dominant Logic of Marketing:...
  • Zarifian, P. (2001a). La valeur de service. In L’émergence d’un modèle de service. Jean Gadrey & Philippe Zarifian (eds). pp. 92-120,...
  • Zarifian, P. (2001b). Service et efficience: le rôle essentiel de la compétence. In: In L’émergence d’un modèle de service. Jean GADREY &Philippe...
  • Zarifian, P. (2002a). Valor, organização e competência na produção de serviço: esboço de um modelo de produção de serviço. In Relação de Serviço:...
  • Zarifian, P. (2002b). Mutação dos sistemas produtivos e competências profissionais: a produção industrial de serviço. In Relação de Serviço:...