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Drivers and Barriers of Innovation Dynamics in Healthcare - Towards a framework for analyzing innovation in Tuberculosis control in India

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  • Engel, Nora

    (UNU-MERIT)

Abstract

Tuberculosis remains the biggest infectious killer in India and worldwide, and it has recently regained substantial international attention with its come-back in drug resistant forms. The environment, the disease and the societal response to it are changing and with it challenges and opportunities to control the disease. Innovation in a variety of areas such as improved diagnostic tests, drugs, delivery mechanisms, service processes, institutions and treatment regimes is needed in order to be able to respond to the changing public health challenge. This paper reviews theoretical approaches to innovation of direct relevance to the case and examines what theoretical framework is useful to look at the problem of innovation in public health in India. Such an analysis can reveal drivers and barriers of change within the context of the Indian health system in a comprehensive, problem-oriented way and is thus able to add to existing research done on TB. However, given that TB control is a public health challenge, concerned with problems of delivery and implementation, the concept of innovation has to go beyond technological innovation and the private sector. Therefore it is argued that the case can simultaneously contribute to innovation theory in order to better understand what change processes and innovation for concrete public health challenges in a country such as India mean. After a short description of recent changes in TB control based on fieldwork in India the paper proceeds with an examination of existing frameworks on healthcare innovation upon their usefulness for such a case. The paper concludes with a proposal for a theoretical framework and areas for further empirical fieldwork.

Suggested Citation

  • Engel, Nora, 2008. "Drivers and Barriers of Innovation Dynamics in Healthcare - Towards a framework for analyzing innovation in Tuberculosis control in India," MERIT Working Papers 2008-077, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    • Handle: RePEc:unm:unumer:2008077
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    References listed on IDEAS

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    1. Bloom, Gerald & Standing, Hilary, 2008. "Future health systems: Why future? Why now?," Social Science & Medicine, Elsevier, vol. 66(10), pages 2067-2075, May.
    2. Jacobsson, Staffan & Johnson, Anna, 2000. "The diffusion of renewable energy technology: an analytical framework and key issues for research," Energy Policy, Elsevier, vol. 28(9), pages 625-640, July.
    3. Das Gupta, Monica, 2005. "Public health in India : an overview," Policy Research Working Paper Series 3787, The World Bank.
    4. Geels, Frank W., 2002. "Technological transitions as evolutionary reconfiguration processes: a multi-level perspective and a case-study," Research Policy, Elsevier, vol. 31(8-9), pages 1257-1274, December.
    5. Metcalfe, Stan & Ramlogan, Ronnie, 2008. "Innovation systems and the competitive process in developing economies," The Quarterly Review of Economics and Finance, Elsevier, vol. 48(2), pages 433-446, May.
    6. Lynn Mytelka, 2006. "Pathways and Policies to (Bio) Pharmaceutical Innovation Systems in Developing Countries," Industry and Innovation, Taylor & Francis Journals, vol. 13(4), pages 415-435.
    7. Merilee S. Grindle, 1999. "In Quest of the Political: The Political Economy of Development Policy Making," CID Working Papers 17A, Center for International Development at Harvard University.
    8. Farmer, Paul, 1997. "Social scientists and the new tuberculosis," Social Science & Medicine, Elsevier, vol. 44(3), pages 347-358, February.
    9. Merilee S. Grindle, 1999. "In Quest of the Political: The Political Economy of Development Policy Making," CID Working Papers 17, Center for International Development at Harvard University.
    10. Ogden, Jessica & Walt, Gill & Lush, Louisiana, 2003. "The politics of 'branding' in policy transfer: the case of DOTS for tuberculosis control," Social Science & Medicine, Elsevier, vol. 57(1), pages 179-188, July.
    11. Engel, Nora, 2008. "Flexibility and innovation in response to emerging infectious diseases: Reactions to multi-drug resistant Tuberculosis in India," MERIT Working Papers 2008-076, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
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    More about this item

    Keywords

    Innovation; Healthcare; Tuberculosis; Disease control; India;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O31 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Innovation and Invention: Processes and Incentives
    • O38 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Government Policy

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