Innovation in the Health System: Evidences from Brazilian Local Production and Innovation Systems

Innovation in the Health System: Evidences from Brazilian Local Production and Innovation Systems

Marcelo Pessoa de Matos (Federal University of Rio de Janeiro, Brazil), Maria Clara Couto Soares (Federal University of Rio de Janeiro, Brazil), José Eduardo Cassiolato (Federal University of Rio de Janeiro, Brazil) and Julia Queiroz (Fundo Brasileiro para a Biodiversidade, Brazil)
DOI: 10.4018/978-1-5225-1674-3.ch004


This chapter discusses the main findings of five empirical studies focusing on local health innovation systems in Brazil. It focuses on the articulation of service and manufacturing segments within the Health complex and the other organizations that constitute a Local Innovation and Production System (LIPS) and discusses the learning, capacity building and innovation processes and their effective and potential impact on the local territory. The findings suggest that the types and intensity of interactions are closely related to the characteristics of what can be called a local cognitive territory. The directions of capacity building and scientific and technological evolution are directly influenced by conflicts among individuals and groups. The influence of these power relations, which are often associated with diverging private and public (collective) interests, highlights the importance of the institutional and policy dimensions for mediation and for promoting an evolution of the system that favors social inclusion and efficiency.
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Health Innovation Systems

The Brazilian industrial policy directed to the health industry has been carried out in the last decade under the header of the Health Economic-Industrial Complex – HEIC. It encompasses both manufacturing industries (the chemical and biotechnology industry and the mechanics, electronics and materials industry) as well as service providers (hospitals, clinics, diagnostic and treatment) that are consumers of the products manufactured in the first group and at the same time articulate the consumption of these industrial products by the population. Figure 1 shows the structure of the HEIC and the three production subsystems that compose it.

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