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The growing success of open innovation practices in many firms raises the question of whether such principles can be transferred for reinventing public sector…
The growing success of open innovation practices in many firms raises the question of whether such principles can be transferred for reinventing public sector organisations. A paradigm based on principles of integrated collaboration, co-created shared value, cultivated innovation ecosystems, unleashed exponential technologies and extraordinarily rapid adoption is the so-called Open Innovation 2.0. The development of this approach reflects the perception that the innovation process has evolved. This study aims to explore new ways to study healthcare networks as key tool for innovation creation and spreading, by deploying the emergent paradigm of Open Innovation 2.0.
The study investigates the impact of clusters, or localised networks, involving industrial, academic and institutional players, in the (bio)pharmaceutical setting; the aim is to enrich the line of inquiry into cluster-based innovation by applying a social network analysis (SNA) methodology, with the aim to provide new perspectives for recognising how the set of interactions and relationships in the (bio)pharmaceutical context can lead to higher levels of knowledge transfer, organisational learning and innovation spreading.
Starting from the top ten (bio)pharmaceutical companies, and the top ten contract research organisations (CROs), the study helps understand that: the combination of the single big pharma company and the CROs to which great part of the work is externalised, can be compared to a community of transaction that deals with the supply and demand of a specific kind of goods and services; clusters can comprise either a single one or more communities of transaction; virtual CROs act as a community whose all components participate to the creation of value (co-creation), thus comparable to a certain extent to a community of fantasy.
Based on the novelty of the OI2/SNA combination approach to deal with the “complex” (bio)pharmaceutical industry, the outcomes of the present study mean to highlight: a comprehensive perspective for understanding the dynamics of modularity and their implications for innovation networks; the presence of innovation networks as main mean to promote and support paths of knowledge creation and transfer.
Maria Brenner, Miriam O’Shea, Anne Clancy, Stine Lundstroem Kamionka, Philip Larkin, Sapfo Lignou, Daniela Luzi, Elena Montañana Olaso, Manna Alma, Fabrizio Pecoraro, Rose Satherley, Oscar Tamburis, Keishia Taylor, Austin Warters, Ingrid Wolfe, Jay Berry, Colman Noctor and Carol Hilliard
Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great…
Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great challenges on health and social care delivery in the community: they require dynamic and responsive health and social care over a long period of time; they require organisational and delivery coordination functions; and health issues such as minor illnesses, normally presented to primary care, must be addressed in the context of the complex health issues. Their clinical presentation may challenge local care management. The project explored the interface between primary care and specialised health services and found that it is not easily navigated by children with CCNs and their families across the European Union and the European Economic Area countries. We described the referral-discharge interface, the management of a child with CCNs at the acute–community interface, social care, nursing preparedness for practice and the experiences of the child and family in all Models of Child Health Appraised countries. We investigated data integration and the presence of validated standards of care, including governance and co-creation of care. A separate enquiry was conducted into how care is accessed for children with enduring mental health disorders. This included the level of parental involvement and the presence of multidisciplinary teams in their care. For all children with CCNs, we found wide variation in access to, and governance of, care. Effective communication between the child, family and health services remains challenging, often with fragmentation of care delivery across the health and social care sector and limited service availability.
Evaluating primary care for children has not before been undertaken on a national level, and only infrequently on an international level, an adult-focused perspective is…
Evaluating primary care for children has not before been undertaken on a national level, and only infrequently on an international level, an adult-focused perspective is the norm. The Models of Child Health Appraised (MOCHA) project explored the evaluation of quality of primary care for children in a nationally comparable way, which recognises the influence of all components of child well-being and well-becoming. Using adult-focused metrics fails to account for children’s physical and psycho-social development at different ages, differences in health and non-health determinants, patterns of disease and risk factors and the stages of the life course. To do this, we attempted to identify comparable measures of child health in the European Union and European Economic Area countries, we aimed to perform a structural equation modelling technique to identify causal effects of certain policies or procedures in children’s primary care and we aimed to identify and interrogate large datasets for key tracer conditions. We found that the creation of comparative data for children and child health services remains a low priority in Europe, and the largely unmet need for indicators covering all the healthcare dimensions hampers development of evidence-based policy. In terms of the MOCHA project objective of appraising models of child primary health care, the results of this specific work show that the means of appraisal of system and service quality are not yet agreed or mature, as well as having inadequate data to fuel them.
Michael Rigby, Shalmali Deshpande, Daniela Luzi, Fabrizio Pecoraro, Oscar Tamburis, Ilaria Rocco, Barbara Corso, Nadia Minicuci, Harshana Liyanage, Uy Hoang, Filipa Ferreira, Simon de Lusignan, Ekelechi MacPepple and Heather Gage
In order to assess the state of health of Europe’s children, or to appraise the systems and models of healthcare delivery, data about children are essential, with as much…
In order to assess the state of health of Europe’s children, or to appraise the systems and models of healthcare delivery, data about children are essential, with as much precision and accuracy as possible by small group characteristic. Unfortunately, the experience of the Models of Child Health Appraised (MOCHA) project and its scientists shows that this ideal is seldom met, and thus the accuracy of appraisal or planning work is compromised. In the project, we explored the data collected on children by a number of databases used in Europe and globally, to find that although the four quinquennial age bands are common, it is impossible to represent children aged 0–17 years as a legally defined group in statistical analysis. Adolescents, in particular, are the most invisible age group despite this being a time of life when they are rapidly changing and facing increasing challenges. In terms of measurement and monitoring, there is little progress from work of nearly two decades ago that recommended an information system, and no focus on the creation of a policy and ethical framework to allow collaborative analysis of the rich anonymised databases that hold real-world people-based data. In respect of data systems and surveillance, nearly all systems in European society pay lip service to the importance of children, but do not accommodate them in a practical and statistical sense.
The aim of the present paper is to examine how the introduction of information and communication technologies (ICTs) can have positive implications in a territorial…
The aim of the present paper is to examine how the introduction of information and communication technologies (ICTs) can have positive implications in a territorial context, where healthcare organizations are characterized by limited organizational independence and lack of individual statutory autonomy, with limited level of integration between the involved parties (healthcare operators, managers, and patients) and an uneven management of data and of information‐sharing.
The approach taken was an investigation based on a combination of quantitative and qualitative methods for information‐gathering and data‐analysis in the context of diabetes care. A case study approach was adopted with the aim of enhancing general practitioners' (GPs') performance levels through an evaluation monitoring and by controlling care paths dynamics.
The realization of the target care path for chronic–degenerative pathologies in the Local Health Trust “Naples 4” in Campania Region (Italy) led to the identification of a suitable framework that modifies, through the implementation of ICT tools, the communications dynamics and the interaction/integration for those actors involved in a patient's care path.
Healthcare markets are currently experiencing an acceleration of technological developments; the study tries to show how the appropriate adoption of new technologies can lead to improvements for the quality of care, managing at the same time the consequent rising costs in the sector.
The purpose of this paper is to contribute to the entrepreneurship theory in family firms as it focuses on the relevance of an ambidextrous entrepreneurial strategy …
The purpose of this paper is to contribute to the entrepreneurship theory in family firms as it focuses on the relevance of an ambidextrous entrepreneurial strategy (Helfat and Peteraf, 2009), thanks to an effective combination between exploitation and exploration activities. The study refers to the food sector, characterized by established food traditions and changing consumption patterns.
After reviewing the topics, the authors referred to Goel and Jones (2016) for its representativeness for the research. The authors conducted an explanatory case study in which the authors identified the framework’s three sub-systems impacting the above family business systems. The case study is relevant because Eataly, a family-owned and -managed firm, is gaining recognition while applying a strong entrepreneurial strategy and it is unique in the world for the strength of its commercial strategy and dimensions.
Entrepreneurship strategies can be explained by combined organizational antecedent conditions, represented by three sub-systems: family, business and ownership. The sub-systems’ features and their interrelations play a relevant role in influencing entrepreneurial exploration and exploitation processes.
The study contributes to the actual entrepreneurship theory in family firms because it indicates the relevance of an ambidextrous entrepreneurial strategy, thanks to a combination of exploitation and exploration activities. In addition, it analyses the so-called antecedent conditions in organizations to achieve this favorable combination. Limitations involve the case study method and interview technique, both of which could be expanded.
Several practical implications follow for different stakeholder categories (food sector companies, investors and private/public entities) concerning the management of antecedent conditions, the consequences of entrepreneurial investment policy, and tourism and territorial development.
This research is novel because it combines an ambidextrous entrepreneurship approach (Goel and Jones, 2016) with the family firm’s sub-systems (Tagiuri and Davis, 1982), observing how these sub-systems are relevant to defining and managing effective entrepreneurship strategy in a family food firm. The value added is particularly relevant in the food sector, which is characterized by low research and development. In addition, it requires innovative approaches to stimulate customers’ perception of market demand, to satisfy their needs and to sustain family firms in a highly competitive environment.