Innovation in the Health System

Abstract

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.