Natalia Yuri Eiro
Doctorate – Healthcare technology acquisition: environmental, organizational and individual aspects of the innovation process
Advisor: Prof. Dr. Abraham Si Oih Yu
Comission: Profs. Drs. Hillegonda Maria Dutilh Novaes, Marcelo Caldeira Pedroso and Fernando Lopes Alberto
Class: 215, FEA-5
Innovation and the use of technologies have occupied space in health discussions, being approached with a variety of approaches, considering their different application possibilities, from information technology to those applied in the diagnosis and treatment process. In this diversity of technology, this study focuses on the processes involved in the acquisition of health innovation, considering that the right decision for health technology requires a multidisciplinary process within the institution itself and among the entire health network (public and private). to assess the social, economic, organizational and ethical prisms. In this context, this study aims to understand the acquisition of health technology in different institutions, integrating the organizational factors (internal and external) and individual factors that influence this decision making. The methodology was performed in two steps. The first step, a multiple case method was used to build a theory about the decision to acquire new health technology. Several units of analysis were incorporated (decision making, innovation adoption, individual and organizational influences), with data collected from interviews. For the second stage of data collection, four health institutions with decision-making processes for adopting innovations were selected. Several data sources were used: interviews with senior leadership, interviews with the team involved in the process and archival material including internet and others which were made available by the interviewees. This data triangulation allowed a holistic look at the data and a better understanding of innovation adoption processes. The survey had a total of 16 participants, all of these direct participants make decisions in adopting and offering new health technology. The research was classified as qualitative, exploratory and descriptive approach. At the end of the study, the results showed that the organizational and individual aspects have greater interference in the processes. Patient involvement in decision-making by health technologies can be improved. The process of acquiring a new health technology is based on a limited rationale and affected by several behavioral determinants.
*Abstract provided by the author