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The Link between Health Governance Models and Global Health Innovation: An Exploration of OECD Nations

International Best Practices in Health Care Management

ISBN: 978-1-78441-279-1, eISBN: 978-1-78441-278-4

Publication date: 23 February 2015



While there is established research that explores individual innovations across countries or developments in a specific health area, there is less work that attempts to match national innovations to specific systems of health governance to uncover themes across nations.


We used a cross-comparison design that employed content analysis of health governance models and innovation patterns in eight OECD nations (Australia, Britain, Canada, France, Germany, the Netherlands, Switzerland, and the United States).


Country-level model of health governance may impact the focus of health innovation within the eight jurisdictions studied. Innovation across all governance models has targeted consumer engagement in health systems, the integration of health services across the continuum of care, access to care in the community, and financial models that drive competition.


Improving our understanding of the linkage between health governance and innovation in health systems may heighten awareness of potential enablers and barriers to innovation success.




For their research support and thoughtful contributions to the manuscript, we would like to acknowledge Dr. Steve Denniss, Flaviu Dobrescu, Robert Freele, Amin Jivraj, Jennifer Mannik, Paul Prowse, Kristen Rosehart, Anne Sabourin, and Joshua Vincent. We also acknowledge the financial support provided by the Anderson Capelli Fund of the University of the Witwatersrand, Johannesburg and the National Research Foundation of South Africa. This article builds on conference papers and public policy documents created by the International Centre for Health Innovation at the Ivey Business School at Western University; we are grateful to everyone who provided comments on those works.


Schnarr, K., Snowdon, A., Cramm, H., Cohen, J. and Alessi, C. (2015), "The Link between Health Governance Models and Global Health Innovation: An Exploration of OECD Nations", International Best Practices in Health Care Management (Advances in Health Care Management, Vol. 17), Emerald Group Publishing Limited, Bingley, pp. 39-69.



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