Collaborative policy innovation despite competition: A study of diffusion of health innovations across Dutch hospitals.

This study examines how policy innovations are disseminated through collaboration in a public context shaped by competition. It builds on the literature of collaborative policy innovation and describes public innovation both as a policy approach – the joint development of new and enriched policy sol...

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Publicado en:Innovation Journal Vol. 28; no. 3; pp. 2 - 23
Autor principal: Frankowski, Andrea
Formato: Artículo
Publicado: Innovation Journal 2023
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Collaborative policy innovation despite competition: A study of diffusion of health innovations across Dutch hospitals.
      aug:
        au: Frankowski, Andrea
        affil:
          PhD candidate at the Department of Public Law and Governance of Tilburg University.
          Senior researcher and programme manager at the Netherlands School of Public Administration (school of government of the Netherlands).
      su:
        Diffusion of innovations
        Hospitals
        Collective action
        Hospital care
        Public sector
      sug:
        subj:
          Diffusion of innovations
          Hospitals
          Collective action
          Hospital care
          Public sector
          General Medical and Surgical Hospitals
          General (except paediatric) hospitals
      keyword:
        collaboration
        collaborative policy innovation
        competition
        diffusion
        public innovation
        collaboration
        collaborative policy innovation
        competition
        diffusion
        public innovation
      ab: This study examines how policy innovations are disseminated through collaboration in a public context shaped by competition. It builds on the literature of collaborative policy innovation and describes public innovation both as a policy approach – the joint development of new and enriched policy solutions by networks of actors – and as an intended outcome. The study focuses on healthcare innovations in relation to the underexposed topic of diffusion: the final phase of the innovation process in which innovations are shared and spread. While earlier stages of the policy innovation process, e.g. invention and implementation, receive more attention, diffusion seems particularly hard to achieve in a competitive public context, since it requires a transformation of competing interests into collective action in a stage where it seems more beneficial to withhold competitors from access to innovations. However, an indepth case study in Dutch hospital care reveals that organizational benefits, reputational gains and legitimacy pressures enable diffusion – both in exclusive networks of hospitals (regimes) and sector-wide (beyond regimes). This paper shows how competition strengthens, rather than weakens, collaboration for policy innovation and has implications for both research and practice, in particular in relation to scaling, transfer or translation of public sector innovations. The study contributes to a better understanding of conditions under which collaborative policy innovation thrives in public sectors that are (partially) composed of competitive market mechanisms, by specifying policy innovation requirements that align the two seemingly contradictory perspectives of collaboration and competition.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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