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The missing link: toward an assessment of innovation capacity in health care organizations

Author

Listed:
  • Pieter J. Kievit

    (Westfries Medical Centre)

  • Jeanette Oomes

    (North West Medical Centre)

  • Marianne Schoorl

    (North West Medical Centre)

  • Piet Bartels

    (North West Medical Centre)

Abstract

The health care sector shows a disjunction between the well-understood necessity for change and the capacity to realize it. Conventional management strategies and traditional means of influencing professionals often fail to deliver projected outcomes. We address this issue from a different angle. An organization’s capacity for change is determined by the combination of power distribution, value system and change readiness, which should be analyzed not as formal qualities but as aspects of the organization as a social system, disclosing a reality beneath the surface of mission statements, quality policy and management models. We describe a method to analyse the identity of an organization as a social system with respect to its innovation potential. This identity shows in the rules of discourse determining what is valid communication and which are the sources of impact of arguments in a communicative interaction leading to decisions. We present two case studies in which groups of physicians argue in favor of respectively against the availability of physician-assisted death (PAD) for terminal patients.

Suggested Citation

  • Pieter J. Kievit & Jeanette Oomes & Marianne Schoorl & Piet Bartels, 2018. "The missing link: toward an assessment of innovation capacity in health care organizations," International Journal of Quality Innovation, Springer, vol. 4(1), pages 1-18, December.
    • Handle: RePEc:spr:ijoqin:v:4:y:2018:i:1:d:10.1186_s40887-018-0023-3
    DOI: 10.1186/s40887-018-0023-3
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    References listed on IDEAS

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    1. DonHee Lee & Kai K. Kim, 2017. "Assessing healthcare service quality: a comparative study of patient treatment types," International Journal of Quality Innovation, Springer, vol. 3(1), pages 1-15, December.
    2. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    3. Greenhalgh, Trisha & Stones, Rob & Swinglehurst, Deborah, 2014. "Choose and Book: A sociological analysis of ‘resistance’ to an expert system," Social Science & Medicine, Elsevier, vol. 104(C), pages 210-219.
    4. Aaker, David & Aaker, Jennifer, 2016. "What Are Your Signature Stories?," Research Papers 3391, Stanford University, Graduate School of Business.
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