Contenu du sommaire : Innovation Variety in the Healthcare Sector

Where little is known about how users passively resist innovation prior to evaluation, this paper explores both past and current trends through a systematic review of 45 studies (1989 – 2017) related to the consumer decision journey. The literature on adoption largely assumes that consumers are open to change, presuming that all consumers will experience a new offering prior to reaching an adoption decision. However, the review confirms the existence of passive innovation resistance; the selected papers also identified two main drivers (resistance to change and status quo satisfaction). However, some recent studies have challenged these drivers for not evolving along with the consumer decision journey. Our contribution highlights the multidimensional nature of experience in today's digital world through the re-examination of antecedents and correlates. In doing so, the study strengthens our understanding of the phenomenon, ensuring that managers become more aware of the differences when making strategic decisions on innovation.JEL Codes: I1, O14, P46, O33

Innovation is an important topic in healthcare studies with a large focus on technologies, practices and organisational arrangements. However, the increase in chronic diseases such as diabetes requires new forms of collaboration and organisation that challenge the traditional boundaries of care. Based on a qualitative study of individuals with diabetes, we describe the experiences of patients with their disease, and also the impacts on relationships with their families and friends, other health professionals, as well as with other patients. We show that including patients' experiences in a better way stretches the traditional boundaries of healthcare pathways, which requires openness and flexibility. Results are described and then discussed.JEL Codes: O350

The aim of this paper is to present initial findings from an exploratory case study analyzing the process of emergence and diffusion of a new homecare service in France. In healthcare delivery, innovations aiming to tackle structural aspects of the system can take the form of social innovation. Social innovation is generally defined as a process, rather than an outcome, creating strategies that reconfigure social relations to meet a social goal. Buurtzorg Nederland is an example of such innovation. Launched twelve years ago in the Netherlands by a small team of four, this innovative homecare organization now includes over 10,000 self-managed nurses providing efficient value- and team-based care to patients in their homes, empowering both staff and patients. Today Buurtzorg Nederland has grown and been transposed to other countries, but few studies describe the process of adoption. This paper explores how Buurtzorg has been adapted in France since 2017.JEL Codes: O35, I18, I1, O0

The Io
T is pervading our daily personal and professional lives. This article attempts to fill a gap in the field of IoT by investigating the use of wearable devices as a source of innovation in corporate HR policies. Are employees likely to adopt wearable devices to practice self-tracking of their Health or Wellbeing in the workplace? To conduct this research, a survey was administered on LinkedIn, built on the Technology Acceptance Model, the Self-Tracking and Trusting Beliefs variables. Results suggest that several factors may influence the decision of self-trackers to use this new technology in their working environment, highlighting the key role of Self-Entertainment and Self-Design on users' motivations. We argue that a better understanding of employees' motivations contributes to improving the adoption rate of these technologies. We suggest that by introducing IoT in the workplace as part of their HR strategy, companies may derive a competitive advantage from their workforce.
JEL Codes: I310, M120, O350

The effects of lean manufacturing on worker health remain poorly understood. Although recent studies show a moderating role of human resource management (HRM) practices on this relationship, they focus only on some specific HRM practices and do not grasp their effects on the different phases of the lean adoption process. By considering lean manufacturing as a managerial innovation, the objective of this paper is to explore the relationship between lean, HRM practices, and worker health according to the firm's lean maturity (i.e. intensity of usage and stage of adoption). The results, based on three case studies of French industrial firms, show that the effects of lean practices on worker health should be assessed in light of the combination of lean and HRM practices that differ along the lean process.JEL Codes: M10, M11

This paper presents how a museum can create, implement and disseminate a series of organizational innovations. We attempt to describe these phenomena in terms of the social structure. We believe that coherence with the social structure is one of the keys to implementing and disseminating organizational innovation. We emphasize the role of relations and transformational leadership. Our case study is the Montreal Museum of Fine Arts. This museum has proposed a rapprochement with the health sector to the point of offering dedicated spaces for people who are suffering from various pathologies. The results show a connection between wellbeing promoted by the museum and health carried out by health professionals.JEL Codes: I12, L23, O30

Putting societal issues on the agenda of public action calls for advanced forms of collaboration between sectors and levels of governance. However, action systems have multiple silos, both horizontal and vertical, that impede collaboration. Therefore, clarifying the challenges of intersectoral and multi-level governance becomes highly relevant. Based on the three-I approach, a study of early childhood programs in Montreal highlights these issues. The study identifies various sectoral mechanisms and rules at the provincial level that hinder innovation in regional and local intersectoral action systems. Compartmentalized accountability by program appears to be the most constraining rule in favour of the status quo. The study illustrates how the local level can be both the place for reproducing sectorization and the ideal place for intersectoral coordination.
JEL Codes: I18

When various professionals engage in collaborative work, they face the major challenge of striking a delicate balance between consensus and controversy. This article investigates the process of developing constructive debate within a space in the healthcare sector. It does so through a longitudinal case study of a space that gathers together different professionals who propose innovative practices to meet the unusual needs of mental health clients. Using the angle of boundary work, we identified three successive configurations during implementation of the space and three forms of boundary work practices engaged in by managers to develop constructive debates. Our contribution to the literature is twofold: 1) we show the supportive effect of creating new boundaries for constructive debate; and 2) we enrich the literature of ecology of spaces by suggesting that interactions between spaces are not restricted to external spaces, but also include embedded spaces.
JEL Codes: I10, M19, M59

We investigate the emergence and structuration of the research on prion. Resorting to bibliometric data and tools from social network analysis, we look at the progressive appearance of a dense social network of researchers working on prion. We suggest that the relevant unit of analysis of medical knowledge creation is the community. We then detail how isolated communities emerge and connect to one another to produce a connected network. We then investigate the link creation dynamics to understand the collaboration patterns that the emergence of the observed macro-structures explains at a micro-level, showing that these micro-dynamics evolve over time as the field matures.
JEL Codes: O31, O33, D8

This paper aims to remind the contribution of professor Nick von Tunzelamnn (SPRU, University of Sussex, UK) recently died. We give information on the man and his work. Finally we emphasize two aspects of his intellectual legacy: the implications of time-saving innovations and the economic importance of innovations in Low-Tech industries.
JEL Codes: O14, O33