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Health Services Design Based on Innovations in Two Hospitals in Mexico

  • Leonel Corona-Treviño
  • Constanza Márquez-Aguilar
  • Eva Tecuanhuey-Sandoval
Chapter

Abstract

Medical services are designed for the prevention, cure or stabilization of the patient in the perspective of improving the health of population which they serve and their quality of life. The improvement, efficiency and quality of these services are often sought through innovation in hospital management, whether in its strategic, key support, auxiliary or enabling processes. Hospitals have become providers of a complex nucleus of services in the health system that reach beyond their institutional borders, thus making it possible to incorporate different forms and actors in the innovation process. This approach serves to refer to and evaluate the main innovations that have been made over the past 5 years in two hospitals, one in Mexico City and another in the State of Mexico and provides answers to questions about: the kind of processes they were oriented towards; what role the owners or managers played; who operated them; their users, the technology or, knowledge, national policies or programs; and the context in which the interventions occur. As past studies show that hospitals in Mexico innovate due to external institutional initiatives, the relative importance of the innovations presented in this paper is classified into management, medical and medical products and services.

References

  1. Ahrweiler, P., & Keane, M. T. (2013). Innovation networks. Mind & Society, 12(1), 73–90.CrossRefGoogle Scholar
  2. Barnett, J., Vasileiou, K., Djemil, F., Brooks, L., & Young, T. (2011). Understanding innovators’ experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: A qualitative study. BioMed Central Health Services Research, 11(342), 1–12.Google Scholar
  3. Beckham, J. D. (2015). How to foster innovation in health care delivery. Hospitals & Health Networks. Retrieved April 3, 2018, from http://www.hhnmag.com/articles/6638-how-to-foster-innovation-in-health-care-delivery
  4. Bevan, H. (2013). Three steps to a new innovation strategy. Health Service Journal. Retrieved April 3, 2018, from https://www.hsj.co.uk/topics/technology-and-innovation/helen-bevan-three-steps-to-a-new-innovation-strategy/5064849.article
  5. Bradley, E. H., Curry, L. A., & Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42, 1758–1772.CrossRefGoogle Scholar
  6. Changkaew, L., Vadhanasindhu, P., Taweesangsakulthai, D., & Chandrachai, A. (2012). Three dimensions model: Stage for service innovation in hospital. Interdisciplinary Journal of Contemporary Research in Business, 4(2), 806–814.Google Scholar
  7. Clack, L. A. (2017). Strategies with service business model innovation. In M. A. Pfannstiel & C. Rasche (Eds.), Service business model innovation in healthcare and hospital management. Models, strategies, tools (pp. 23–27). Cham: Springer.Google Scholar
  8. Department of Endoscopic Surgery, N. I. (2012). Novel surgical concept in antireflux surgery: Long-term outcomes comparing 3 different laparoscopic approaches. Surgery, 151(1), 84–93.CrossRefGoogle Scholar
  9. Djellal, F., & Gallouj, F. (2005). Mapping innovation dynamics in hospitals. Research Policy, 34(6), 817–835.CrossRefGoogle Scholar
  10. Edwards, R., & Holland, J. (2013). What is qualitative interviewing? Research methods series. London: Bloomsbury Academic.Google Scholar
  11. Fitzpatrick, R., & Boulton, M. (1994). Qualitative methods for assessing health care. Quality in Health Care, 3, 107–113.  https://doi.org/10.1136/qshc.3.2.107 CrossRefGoogle Scholar
  12. Ford, G., Compton, M., Millett, G., & Tzortzis, A. (2017). The role of digital disruption in healthcare service innovation. In M. A. Pfannstiel & C. Rasche (Eds.), Service business model innovation in healthcare and hospital management, models, strategies, tools (pp. 57–70). Cham: Springer.CrossRefGoogle Scholar
  13. Herzlinger, R. E. (2006). Why innovation in healthcare is so hard. Harvard Business Review, 84(5), 58–66.Google Scholar
  14. Liedtke, D., Amgwerd, N., Wiesinger, O., Mauer, D., Westerhoff, C., & Pahls, S. (2017). The integrated-physician-model: Business model innovation in hospital management. In M. A. Pfannstiel & C. Rasche (Eds.), Service model innovation in healthcare and hospital management, models, strategies, tools (pp. 31–55). Cham: Springer.CrossRefGoogle Scholar
  15. Lewis, S. (2015). Qualitative inquiry and research design: Choosing among five approaches. Health Promotion Practice.  https://doi.org/10.1177/1524839915580941 CrossRefGoogle Scholar
  16. Miller, F. A., & Frencha, M. (2016). Organizing the entrepreneurial hospital: Hybridizing the logics of healthcare and innovation. Research Policy, 45(8), 1–11.CrossRefGoogle Scholar
  17. National Health Information System. (2018). Sistema Nacional de Información en Salud, 2018. Retrieved June 3, 2018, from http://ciep.mx/cobertura-universal-de-la-salud-en-mexico-requerimientos-de-infraestructura-y-equipamiento/
  18. Pan American Health Organization. (2010). Productive management methodology for health services: Introduction. Washington, DC: Pan American Health Organization.Google Scholar
  19. Pennic, J. (2015). Report: 5 ways to create a culture of innovation in healthcare. Hit Consultant. Available at: http://hitconsultant.net/2015/09/17/a-key-challenges-tohealthcare-innovation/
  20. Popular Insurance. (2017). Seguro popular. Retrieved June 3, 2018, from http://www.seguropopular.org/
  21. Porter, M. E. (2010). What is value in health care? The New England Journal of Medicine, 363, 2477–2481.CrossRefGoogle Scholar
  22. Rasche, C., Margaria, T., & Floyd, B. D. (2017). Service model innovation: Beyond expert organizations). In M. A. Pfannstiel & C. Rasche (Eds.), Service business model innovation in healthcare and hospital management. Models, strategies, tools (pp. 1–20). Cham: Springer.Google Scholar
  23. Sears, G. J., & Baba, V. V. (2011). Toward a multistage, multilevel theory of innovation. Canadian Journal of Administrative Sciences, 28(4), 357–372.CrossRefGoogle Scholar
  24. Solleiro Rebolledo, J. L. (September 2005). Competitiveness and innovation systems: The challenges for Mexico’s insertion in the global context. Technovation, 25(9), 1059–1070.CrossRefGoogle Scholar

Interviews

  1. De la Concha, B. F. (2017, October 25). Head of the Medical Unit for Technical Development: Laboratory for Medical Teaching and Training. Development of skills and technical invention in the MGG [Interview].Google Scholar
  2. Jiménez, E. I. (2018, January 10). Medical Director. The innovative evolution in the MGG [Interview].Google Scholar
  3. Maravilla, C. P. (2017, October 11). Deputy Director of Research. Application of specialized knowledge in the MGG [Interview].Google Scholar
  4. Moreno, P. M. (2017, October 23). General Coordinator of the Centre for Innovation in Applied Medicine, CIMA-MGG. Vocation of service, innovation capabilities, knowledge diffusion and creativity in the MGG [Interview].Google Scholar
  5. Prado, C. H. (2018, January 9). Director of Teaching and Research. Innovative origin of the MGG [Interview].Google Scholar
  6. Sierra M. O. (2018, January 9). General Director of the MGG Hospital. Technological adoption and innovative impulse in the MGG [Interview].Google Scholar
  7. Vidal, V. P. (2017, October 24). Researcher assigned to CIMA (MGG). Specialized knowledge and creativity in the MGG [Interview].Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Leonel Corona-Treviño
    • 1
  • Constanza Márquez-Aguilar
    • 2
  • Eva Tecuanhuey-Sandoval
    • 3
  1. 1.Facultad de Economía UNAM, CEPCyTMéxico CityMexico
  2. 2.Instituto de Salud del Estado de MéxicoTolucaMexico
  3. 3.Innovación y Gestión Tecnológica, Hospital General Dr Manuel Gea GonzálezCd de MéxicoMexico

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