Nov 20 2009
The need of systemic change in health care has been well recognized in most Western Countries. The key drivers of change relate to population ageing, technological development, changing expectations towards services and the political strive to put a damper on the growth of the GDP share of health expenditure. The publication sheds light on challenges in management of systemic innovation.
The publication is based on two case studies on development and spreading of system innovations. The multi level perspective of change has been used for the analysis. The development dynamics in the two cases reflect different innovation models.
The study reveals not only the key role played by local change agents but also significance of various hybrid actors and policy actors for innovation spreading. The study sheds light to the interconnectedness of development, utilization and spreading processes in system innovation. The conditions for utilization and spreading are laid already in the early stages of development.