Institutional work and the diffusion of patient-centred innovation in hospitals

Institutional work and the diffusion of patient-centred innovation in hospitals
Document type
Conference Paper
Author(s)
Windrum, Paul; Schartinger, Doris; Waring, Justin
Publisher
British Academy of Management
Date of publication
9 September 2014
Series
British Academy of Management Conference Proceedings 2014
Subject(s)
Trends: economic, social and technology trends affecting business
Collection
Business and management
Material type
Reports

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[Authors' original abstract]

This paper examines the inter-related categories of institutional work conducted by an institutional entrepreneur engaged in the diffusion and embedding of patient-centred Type 1 diabetes education in Austrian hospitals. Diffusion is an ongoing process involving the creation and maintenance of supporting institutions and organizations alongside the adoption of new patient services; where ‘small wins’ are accrued that attract new supporters and resources (finance, power, and prestige) and, just as importantly, retain existing supporters over time.

Our research reveals the breadth and depth of the institutional work required to create institutions powerful enough to diffuse and embed patient-centred diabetes care in Austria. Our analysis supports the Hargrave and van de Ven critique that the creation of new institutions requires the integration of institutional maintenance work with overtly creative institutional activity.

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