Talking about practice: agency and its structural context in regional healthcare practice change

Stefan Philipp*, Anestis Amanatidis

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Ageing societies and rising instances of non-communicable diseases require changes in public healthcare service provision. Despite a plethora of propositions, most innovations never become practically applied. In understanding innovation as a place- and path-dependent change process which depends on actors’ agency to reconfigure routinised practices and their structural context, we show how actors create, perceive and act upon opportunities for change while tracing the development trajectories of two networks in the regions of Murcia (Spain) and Örebro (Sweden), respectively. The cases illustrate the role intermediary actors play in creating opportunities and shaping organisational and institutional context.

Original languageEnglish
Number of pages11
JournalRegional Studies
Volume59
Issue number1
Early online date28 Oct 2024
DOIs
Publication statusE-pub ahead of print - 28 Oct 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding

This study was supported by the European Commission through the Horizon 2020 Framework Programme [grant number 872873]. 10.13039/100010685

FundersFunder number
European Commission872873

    Keywords

    • agency
    • health
    • innovation
    • practice

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