La cuarta misión de los hospitales y el papel de los investigadores como promotores de la innovación en el sector sanitario público

  1. Rey Rocha, Jesús
  2. López Navarro, Irene
Revista:
Revista española de documentación científica

ISSN: 0210-0614 1988-4621

Año de publicación: 2014

Volumen: 37

Número: 1

Tipo: Artículo

Otras publicaciones en: Revista española de documentación científica

Resumen

This article explores the role of researchers as innovation drivers in the public healthcare sector. The Triple Helix model is proposed for the analysis of the role of public hospitals in innovation processes. We discuss the role of public hospitals in innovation and in economic and social development, and identify this role as a �fourth mission� of hospitals in addition to their widely recognized threefold function of healthcare provision, education and research. We discuss the evolution of hospital administration from healthcare towards the �entrepreneurial hospital� model. More specifically, we investigate the extent to which the incorporation of full-time researchers can help to foster innovation at research and healthcare centres affiliated with the Spanish National Health System. Data were obtained through a survey of researchers, research group leaders and heads of departments and centres where these researchers worked, as well as through content analysis of researchers� annual reports.

Referencias bibliográficas

  • Arnold, E.; Kuhlman, S. (2001). RCN in the Norwegian Research and Innovation System. Brighton: Technopolis.
  • Atun, R. (2012). Health systems, systems thinking and innovation. Health Policy and Planning, 27, iv4–iv8. http://dx.doi.org/10.1093/heapol/czs088 PMid:23014152
  • Bigorra, J. (2010) Rol clave de los hospitales en el nuevo modelo de innovación biomédica y tecnológica. Biocat. BioRegió de Catalunya. Noticias. http://www.biocat.cat/es/noticias/rol-clave-de-los-hospitales-en-el-nuevo-modelo-de-innovacion-biomedica-y-tecnologica [Accessed 14 January 2013].
  • Bhupatiraju, S.; Nomaler, Ö.; Triulzi, G.; Verspagen, B. (2012). Knowledge flows – Analyzing the core literature of innovation, entrepreneurship and science and technology studies. Research Policy, 41, 1205-1218. http://dx.doi.org/10.1016/j.respol.2012.03.011
  • Bloch, C. (2007). Assessing recent developments in innovation measurement: the third edition of the Oslo Manual. Science and Public Policy, vol. 34(1), 23-34.
  • Bornstein, S. R.; Licinio, J. (2011). Improving the efficacy of translational medicine by optimally integrating health care academia and industry. Nature Medicine, 17, 1567–1569. http://dx.doi.org/10.1038/nm.2583 PMid:22146467
  • Brach, C.; Lenfestey, N.; Roussel, A.; Amoozegar, J.; Sorensen, A. (2008). Will it work here? A decisionmaker's guide to adopting innovations. Rockville, MD; Agency for Healthcare Research and Quality (AHRQ); U.S. Department of Health and Human Services. AHRQ publication No. 08-0051.
  • Carlsson, B.; Jacobsson, S.; Holmén, M.; Rickne, A. (2002). Innovation systems: analytical and methodological issues. Research Policy, vol. 31 (2), 233–245. http://dx.doi.org/10.1016/S0048-7333(01)00138-X
  • Carpenter, M.P.; Cooper, M.; Narin, F. (1980). Linkage between basic research literature and patents. Research Management, vol. 23 (2), 30-35.
  • Cohen, W.M.; Levinthal, D.A. (1990). Absorptive capacity: A new perspective on learning and innovation. Administrative Science Quarterly, vol. 35 (1), 128-152. http://dx.doi.org/10.2307/2393553
  • Commission of the European Communities (2003). Innovation policy: updating the Union's approach in the context of the Lisbon strategy. COM (2003), 112-139.
  • Commission of the European Communities (2006). Putting knowledge into practice: A broad-based innovation strategy for the EU. COM (2006), 502-520.
  • Cutler, D.M.; McClellan, M. (2001). Is technological change in medicine worth it? Health Affairs (Millwood), 20, 11-29. http://dx.doi.org/10.1377/hlthaff.20.5.11
  • De Pablo, F.; Arenas, J. (2008). Introducción al Plan Nacional de Investigación, Desarrollo e Innovación 2008-2011: la acción estratégica en salud. Medicina Clínica (Barcelona), vol. 130 (6), 223-227. http://dx.doi.org/10.1157/13116173
  • De Pouvourville, G. (2001). Innovation as a major research issue in health economics. European Journal of Health Economics, vol. 2 (4), 139-141. http://dx.doi.org/10.1007/PL00012224
  • Djellal, F.; Gallouj, F. (2005). Mapping innovation dynamics in hospitals. Research Policy, 34, 817-835. http://dx.doi.org/10.1016/j.respol.2005.04.007
  • Djellal, F.; Gallouj, F. (2007). Innovation in hospitals: a survey of the literature. European Journal of Health Economics, 8, 181-193. http://dx.doi.org/10.1007/s10198-006-0016-3 PMid:17186204
  • Doloreux, D.; Parto, S. (2005). Regional innovation systems: Current discourse and unresolved issues. Technology in Society, 27, 133-153. http://dx.doi.org/10.1016/j.techsoc.2005.01.002
  • Echeverría, J. (2008). Transferencia de conocimiento entre comunidades científicas. ARBOR. Ciencia, Pensamiento y Cultura, vol. 184 (731), 539-548.
  • Echeverría, J.; Merino, L. (2011). Cambio de paradigma en los estudios de innovación: el giro social de las políticas europeas de innovación. ARBOR. Ciencia, Pensamiento y Cultura, vol. 187 (752), 1031-1043.
  • Edquist, Ch. (1997). Systems of innovation: technology, institutions and organizations. London, UK; Pinter.
  • Edler, J.; Kuhlmann, S.; Behrens, M. (2003). Changing governance of research and technology policy the European research area. Cheltenham (UK); Edward Elgar.
  • Etzkowitz, H. (2003). Innovation in Innovation: The Triple Helix of University-Industry-Government Relations. Social Science Information, 42, 293-337. http://dx.doi.org/10.1177/05390184030423002
  • Etzkowitz, H.; Leydesdorff, L. (2000). The dynamics of innovation: from National Systems and ''Mode 2'' to a Triple Helix of university–industry–government relations. Research Policy, 29, 109-123. http://dx.doi.org/10.1016/S0048-7333(99)00055-4
  • Fagerberg, J.; Verspagen, B. (2009). Innovation studies-The emerging structure of a new scientific field. Research Policy, 38, 218-233. http://dx.doi.org/10.1016/j.respol.2008.12.006
  • Fagerberg, J.; Fosaas, M.; Sapprasert, K. (2012). Innovation: Exploring the knowledge base. Research Policy, 41, 1132-1153. http://dx.doi.org/10.1016/j.respol.2012.03.008
  • FECYT (Fundación Espa-ola para la Ciencia y la Tecnología, Spanish Foundation for Science and Technology) (2005a). Investigación biomédica en Espa-a: una prioridad nacional'. In: Informes sobre investigación biomédica, pp. 11-27. Madrid, Spain; FECYT.
  • FECYT (Fundación Espa-ola para la Ciencia y la Tecnología, Spanish Foundation for Science and Technology) (2005b). Informes sobre investigación biomédica. Madrid, Spain; FECYT.
  • Fernández-Esquinas, M. (2012). Hacia un programa de investigación en sociología de la innovación. ARBOR. Ciencia, Pensamiento y Cultura, vol. 188 (753), 5-18.
  • Fisher, M. M. (2001). Innovation, knowledge creation and systems of innovation. The Annals of Regional Science, vol. 35 (2), 199-216. http://dx.doi.org/10.1007/s001680000034 http://dx.doi.org/10.1007/s001680000034
  • Font, D.; Gomis, R.; Trilla, A.; Bigorra, J.; Piqué, J.M.; Rodés, J. (2008). Organización y modelo de funcionamiento de las estructuras de investigación biomédica. Situación y retos de futuro. Medicina Clínica (Barcelona), vol. 130 (13), 510-516. http://dx.doi.org/10.1157/13119493
  • Freeman, C. (1987). Technology policy and economic performance. Lessons from Japan. London, UK: Pinter.
  • Friedman, J. (2002). Will innovation flourish in the future?. The Industrial Physicist, December 2002/January 2003, 22-25.
  • Fung, M.; Simpsom, S.; Parker, C. (2011). Identification of innovation in public health. Journal of Public Health, vol. 33 (1), 123-130.
  • Gibbons, M.; Scott, P.; Nowotny, H.; Limoges, C.; Trow, M.; Schwartzman, S. (1994). The New Production of Knowledge: The Dynamics of Science and Research in Contemporary Societies. London, UK; Sage.
  • Godin, B. (2006). The linear model of innovation: the historical construction of an analytic framework. Science, Technology & Human Values, vol. 31 (6), 639-667. http://dx.doi.org/10.1177/0162243906291865
  • Gomis, R. (2009). Centros de investigación y hospitales. SEBBM, Revista de la Sociedad Espa-ola de Bioquímica y Biología Molecular, 159, 8-10.
  • Hansen, P.A.; Serin, G. (1997). Will low technology products disappear? The hidden innovation processes in low technology industries. Technological Forecasting and Social Change, vol. 55 (2), 179-191. http://dx.doi.org/10.1016/S0040-1625(97)89490-5
  • Hochgernet, J.; Franz, H.W.; Howaldt, J; Schindler-Daniels, A. (2011). Vienna Declaration: The most needed social innovations and related research topics. http://www.socialinnovation2011.eu/vienna-declaration-2011 [Accessed 14 January 2013]
  • Hughes, A.; Moore, K.; Kataria, N. (2011). Innovation in Public Sector Organisations. A pilot survey for measuring innovation across the public sector. London, UK; NESTA. March 2011.
  • Koch, P.; Cunningham, P.; Schwabsky, N.; Hauknes, J. (2006). Innovation in the Public Sector. Publin Report No. D24. Summary and policy recommendations. Second revised edition. Oslo, Norway; NIFU STEP Studies in Innovation, Research and Education.
  • López Cerezo, J.A. (2004). Los entornos de la innovación. Revista CTS, vol. 2 (1), 189-193.
  • Lundvall, B. (1988). Innovation as an interactive process: from user-producer interaction to the national system of innovation'. In: Dosi, G.; Freeman, C.; Nelson, R.; Silverberg, G.; Soete, L. (eds.) Technical Change and Economic Theory. London, UK; Pinter, 349-369.
  • Lundvall, B. (1992). Introduction. In: Lundvall, B. (ed.) National systems of innovation: Towards a theory of innovation and interactive learning. London, UK; Pinter.
  • Malerba, F. (2002). Sectoral systems of innovation and production. Research Policy, vol. 31 (2), 247-264. http://dx.doi.org/10.1016/S0048-7333(01)00139-1
  • Malmberg, A.; Maskell, P. (2002). The elusive concept of localization economies: towards a knowledge-based theory of spatial clustering. Environment and Planning A, vol. 34 (3), 429-449. http://dx.doi.org/10.1068/a3457
  • Martin, B.R. (2012). The evolution of science policy and innovation studies. Research Policy, 41, 1219-1239. http://dx.doi.org/10.1016/j.respol.2012.03.012
  • Meneu, R.; Ortún Rubio, V.; Rodríguez Artalejo, F. (2005). Innovaciones en Gestión Clínica y Sanitaria. Barcelona, Spain; Masson.
  • Metcalfe, S. (1995). The economic foundations of technology policy: equilibrium and evolutionary perspectives. In: Stoneman, P. (ed.) Handbook of the Economics of Innovations and Technological Change. Oxford, UK; Blackwell.
  • Mulgan, G. (2007). Social innovation. What is it, why it matters and how it can be accelerated. London, UK; The Young Foundation. Basingstoke Press.
  • Narin, F.; Olivastro, D. (1992). Status report: linkage between technology and science. Research Policy, vol. 21 (3), 237-249. http://dx.doi.org/10.1016/0048-7333(92)90018-Y
  • NESTA, National Endowment for Science, Technology and the Arts (2007). Hidden innovation. How innovation happens in six 'low innovation' sectors. London, UK; NESTA.
  • Organisation for Economic Co-operation and Development (OECD) and Statistical Office of the European Communities (Eurostat). (1997). The measurement of scientific and technological activities. Proposed guidelines for collecting and interpreting technological innovation data. Oslo Manual. Second edition. Paris, France; OECD.
  • Organisation for Economic Co-operation and Development (OECD) and Statistical Office of the European Communities (Eurostat). (2005). The measurement of scientific and technological activities. Guidelines for Collecting and Interpreting Innovation. Oslo Manual. Third Edition. Paris, France; OECD.
  • Oteo Ochoa, L.A.; Repullo Labrador, J.R. (2005). Innovación: contexto global y sanitario. Revista de Administración Sanitaria, vol.3 (2), 333-346.
  • Petty, J.; Heimer, C.A. (2011). Extending the rails: How research reshapes clinics. Social Studies of Science, vol. 41 (3), 337-360. http://dx.doi.org/10.1177/0306312710396402
  • Pons Ràfols, J.M.V. (2010). Innovación en el sector salud. Medicina Clínica (Barcelona), vol. 135 (15), 697-9. http://dx.doi.org/10.1016/j.medcli.2009.10.039 PMid:20036400
  • Potts, J.; Kastelle, T. (2010). Public sector innovation research: What's next?. Innovation: Management, policy & practice, vol. 12 (2), 122-137.
  • Rey-Rocha, J.; Garzón-García, B.; Martín-Sempere, M.J. (2006). Scientists' performance and consolidation of research teams in Biology and Biomedicine at the Spanish Council for Scientific Research. Scientometrics, vol. 69 (2), 183-212. http://dx.doi.org/10.1007/s11192-006-0149-2
  • Rey-Rocha, J.; Garzón-García, B.; Martín-Sempere, M. J. (2012). Incorporación de investigadores a los hospitales y centros de investigación del Sistema Nacional de Salud. Seguimiento y evaluación del Programa Miguel Servet de contratos postdoctorales. Medicina Clínica (Barcelona), vol. 138 (1), 25-30. http://dx.doi.org/10.1016/j.medcli.2010.11.003 PMid:21296364
  • Rey-Rocha, J.; Martín-Sempere, M.J. (2012). Generating favourable contexts for translational research through the incorporation of basic researchers into hospitals: The FIS/Miguel Servet Research Contract Programme. Science and Public Policy, vol. 39 (6), 787-801. http://dx.doi.org/10.1093/scipol/scs053
  • Rodés, J.; Mayor, F. (2003). La investigación biomédica básica y clínica en Espa-a'. In: Gutiérrez Fuentes, J. A.; Puerta López-Cózar, J. L. (eds.) Reflexiones sobre la Ciencia en Espa-a. El caso particular de la biomedicina, pp. 225–44. Barcelona, Spain; Fundación Lilly and Medicina stm editors.
  • Sharif, N. (2006). Emergence and development of the National Innovation Systems concept. Research Policy, 35, 745-766. http://dx.doi.org/10.1016/j.respol.2006.04.001
  • Weiss, A.P. (2007). Measuring the impact of medical research: moving from outputs to outcomes. American Journal of Psychiatry, 164, 206-214. http://dx.doi.org/10.1176/appi.ajp.164.2.206 PMid:17267781
  • Zawdie, G. (2010). Introduction: the Triple Helix and the Third Mission – Schumpeter revisited. Industry & Higher Education, vol. 24 (3), 151-155. http://dx.doi.org/10.5367/000000010791657437