Innovation, Demand, and Responsibility: Some Fundamental Questions About Health Systems; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review”

Document Type : Commentary


Faculty of Arts and Social Sciences, Maastricht University, Maastricht, The Netherlands


In this commentary on the exercise of Lehoux et al (this volume) I argue that in discussions on the current challenges of health systems, a better diagnosis of the health system is required. The cause of responsible innovation in health (RIH) requires a better understanding of the dynamics of health systems, in particular how innovation, demand, and responsibility are manifested. Innovation brings its own dynamic to the health system; demands are linked to historical and social developments; responsibility brings contestations about what counts as good healthcare. Any attempt of RIH should include such reflections.


Main Subjects

  1. Lehoux P, Roncarolo F, Silva HP, Boivin A, Denis JL, Hébert R. What health system challenges should responsible innovation in health address? Insights from an international scoping review. Int J Health Policy Manag. 2019;8(2):63–75. doi:10.15171/ijhpm.2018.110
  2. Abrishami P, Boer A, Horstman K. Understanding the adoption dynamics of medical innovations: affordances of the da Vinci robot in the Netherlands. Soc Sci Med. 2014;117:125-33. doi:10.1016/j.socscimed.2014.07.046
  3. Hyysalo S, Jensen TE, Oudshoorn NEJ, eds. The new Production of Users: Changing Innovation Collectives and Involvement Strategies, London: Routledge; 2016.
  4. Hinman LM, ed. Contemporary Moral Issues. Diversity and Consensus. London: Routledge; 2010.
  5. Boenink M, Van Lente H, Moors E, eds. Emerging Technologies for Diagnosing Alzheimer's Disease. Innovating with Care. Palgrave Macmillan; 2016.
  6. Cuijpers Y, van Lente H. Early diagnostics and Alzheimer's disease: beyond 'cure' and 'care.' Technol Forecast Soc Change. 2015;93:54-67. doi:10.1016/j.techfore.2014.03.006
  7. Brown N. Metrics of hope: Disciplining affect in oncology. Health. 2015;19(2):119-136. 
Volume 8, Issue 9
September 2019
Pages 567-569
  • Receive Date: 07 March 2019
  • Revise Date: 04 June 2019
  • Accept Date: 08 June 2019
  • First Publish Date: 01 September 2019