A New Space for Patients – How Space Enters Innovation Translation Processes

Abstract

In Chapter 2, Gorli, Mengis and Liberati focus on an innovation – the one towards patient-centred care – that has gained prominence in recent healthcare reforms. Drawing on data from an ethnographic study, the authors focus on the spatial translation of the innovation; that is, the process through which a large, multi-specialty hospital was redesigned and rebuilt to enact a new care paradigm. The findings show that different aspects of the organizational space affected the ways in which the concept of patient-centredness was translated into practice. These included the architectural trends that informed the hospital design, the new material walls that shaped the organization of medical wards, and the way in which the new space was experienced by organizational actors (staff, patients and family members). The authors propose that, when innovative ideas and care paradigms are translated into practice, the role of organizational space (including its material, symbolic, practised and lived qualities) should be considered carefully. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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