title: [The innovative dynamics for the restructuring of the health services].
abstract: Challenges posed by demographic and epidemiological changes and by the need to reduce costs have required the restructuring of the health services. Health innovations play a major role in this process, as technologies are fundamental both to expand the access and to adapt the system to the population's needs. However, the generation of health innovation is not based solely on sanitary demands and conditioning factors; on the contrary, it often reflects a trajectory of development and the interests of restricted groups in society. These issues need to be taken into consideration both in the analysis of the complexity of the health dimensions and in the investigation of the potential and challenges for the establishment of a virtuous innovative dynamics for the restructuring of the health services.
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Laís Silveira
authors.initials: LS
authors.lastname: Costa
authors.forename: Carlos Augusto Grabois
authors.initials: CA
authors.lastname: Gadelha
authors.forename: Taís Raiher
authors.initials: TR
authors.lastname: Borges
authors.forename: Paula
authors.initials: P
authors.lastname: Burd
authors.forename: José
authors.initials: J
authors.lastname: Maldonado
authors.forename: Marco
authors.initials: M
authors.lastname: Vargas
mesh_terms: D020811:Biomedical Technology / Q000458:organization & administration*; D001938:Brazil; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004059:Diffusion of Innovation; D057217:Economic Development; D018166:Health Care Reform / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D009313:National Health Programs; D009936:Organizational Innovation; D011640:Public Policy; D013222:State Medicine