Coordination mechanisms for implementing complex innovations in the Health Care Sector

Maria Cucciniello*, Claudia Guerrazzi, Greta Nasi, Edoardo Ongaro

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Coordination is a central element in the public sector, especially for introducing complex innovations. In health care, this issue takes on great importance since many stakeholders are involved, pursuing multiple interests, and influencing the outputs and outcomes of the health care system. This paper discusses the introduction of a specific health care innovation (i.e. electronic patient records) in two Italian regions, and it aims to contribute to the debate on coordination in health care, depicting the coordination mechanisms that took place in two different contexts in order to introduce the same kind of innovation, and highlighting any potential enabling conditions.

Original languageEnglish
Pages (from-to)1040-1060
Number of pages21
JournalPublic Management Review
Issue number7
Early online date13 May 2015
Publication statusPublished - 9 Aug 2015

Keywords / Materials (for Non-textual outputs)

  • coordination mechanisms
  • innovation
  • health care
  • metaanalysis


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