J Health Serv Res Policy 2008;13:251-254
doi:10.1258/jhsrp.2008.007173
© 2008 Royal Society of Medicine Press
What leads to better health care innovation? Arguments for an integrated policy-oriented research agenda
Pascale Lehoux ,
Bryn Williams-Jones 1,
Fiona Miller 2,
David Urbach 2 3,
Stephanie Tailliez
Department of Health Administration, GRIS, University of Montreal, Montreal;
1 Department of Social and Preventive Medicine, University of Montreal, Montreal;
2 Department of Health Policy, Management and Evaluation;
3 Department of Surgery, University of Toronto, Toronto, Canada
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Figure 1 The feedback needed between upstream and downstream innovation processes
*Note: From a health care system perspective, a desirable innovation is a technology that: (1) is equally or more effective and costs less than its current alternative; (2) can be used safely and effectively by less skilled and less costly personnel; (3) can be used safely and effectively in any kind of setting and in all geographical areas; (4) solves a health problem permanently or produces diagnostic certainty; (5) does not trigger side effects or reduce a patient's mobility or autonomy; and (6) does not raise ethical dilemmas or give rise to equivocal social transformations1
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Figure 2 The quandary of issues linked to the downstream adoption or non-adoption of health innovations
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