title: [Health care innovation from a territorial perspective: a call for a new approach].
abstract: Innovation plays an increasingly important role in health care, partly because it is responsible for a significant share of national investment in research and development, and partly because of its industrial and service provision base, which provides a conduit to future technology. The relationship between health care and development is also strengthened as a result of the leading role of health care in generating innovation. Nevertheless, Brazil's health care production base is persistently weak, hindering both universal provision of health care services and international competitiveness. This article, based on the theoretical framework of Political Economy and innovation systems, has sought to identify variables in subnational contexts that influence the dynamic of innovation generation in health care. To this end, the theoretical approach used lies on the assumption that innovation is a contextualized social process and that the production base in healthcare will remain weak if new variables involved in the dynamic of innovation are not taken into account.
authors.affiliation: Grupo de Pesquisa de Inovação em Saúde, Escola Nacional de Saúde Pública Sérgio Arouc, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. achelais@hotmail.com
authors.forename: Laís Silveira
authors.initials: LS
authors.lastname: Costa
authors.forename: Carlos Augusto Grabois
authors.initials: CA
authors.lastname: Gadelha
authors.forename: José
authors.initials: J
authors.lastname: Maldonado
mesh_terms: D020811:Biomedical Technology / Q000379:methods*; D001938:Brazil; D003695:Delivery of Health Care / Q000191:economics*; D004059:Diffusion of Innovation; D057217:Economic Development; D006291:Health Policy; D006801:Humans; D009313:National Health Programs; D011640:Public Policy / Q000191:economics*; D012959:Socioeconomic Factors; D013673:Technology Assessment, Biomedical