The innovation process in hospital services: a case study in an occupational therapy


  • José Carlos Jacintho Federal Institute of Education, Science and Technology of São Paulo – IFSP; Paulista University
  • Márcia Terra da Silva Paulista University
  • Maria Cândida de Miranda Luzo Orthopedics and Traumatology Institute



Innovation in hospital services; Types of innovation; Rehabilitation, Reverse cycle, Hospital services


The theoretical debates in the literature point to the need of innovations in hospital services. The objective of this article is to identify the conditions of services that facilitate or hinder the process for different types of innovation in hospital services. For this, case studies were developed that allow the identification of the types of innovation found in the physical rehabilitation outpatient clinics of the Occupational Therapy unit (OT) of the Orthopedics and Traumatology Institute (OTI) of the Clínicas’ Hospital of the Faculty of Medicine of the University of São Paulo (HCFMUSP). The data collected reveal that the results of hospital services are related to the process of developing innovations in the various stages of the workflow, from the generation of ideas to the diffusion within the hospital unit. On the other hand, the review of the literature based on the reverse cycle of Barras and the complements of Gallouj and Djellal show that the paths of innovation in hospital services and innovations in industrial organizations are opposite. Therefore, the results of the analysis of the five cases selected for study reveal that, under the integrative approach, a process change leads to a product change. Thus, the article concludes that, in hospital services, innovations are born within the organizational structure as well as in external contact with professionals, researchers and surgeons.


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Author Biographies

José Carlos Jacintho, Federal Institute of Education, Science and Technology of São Paulo – IFSP; Paulista University

Graduated in Mechanical Engineering from the University Center of FEI (1982); graduated in teacher training for second degree, by the Federal Center of Technology of Paraná (1997); Postgraduate Lato Sensu in: Business Administration - FAAP (1996), Master in Educational Technology - FAAP (2003), Public Management - UCDB (2013); Strictu Sensu Post-Graduate: Master's Degree in Engineering (Production Engineering) at the Polytechnic School of the University of São Paulo (2000), PhD in Engineering (Mechanical Engineering - Materials and Manufacturing Processes) Mechanical Engineering (FEM) of the State University of Campinas (UNICAMP). Post-Doc in Production Engineering - research area Innovation in Services in the department of Post-Graduation in Production Engineering of UNIP. Full Professor of the IFSP- São Paulo Campus.

Márcia Terra da Silva, Paulista University

Márcia Terra da Silva is Professor at the Post Graduation Program of Production Engineering of Paulista University (Universidade Paulista - PPGEP-UNIP). Until 2014, was Associate Professor in the Production Engineering Department of Polytechnic School of University of Sao Paulo (USP) in Brazil. She holds a Ph.D in Production Engineering and masters in administration. In the last 20 years, she has been developing research in the area of service work organization, with focus on professional services as healthcare and educational services. Marcia has published several articles in Brazilian and in international journals. Currently, she researches about High Education organization and management, with leading interest in the qualification to the demands of the Industry 4.0.

Maria Cândida de Miranda Luzo, Orthopedics and Traumatology Institute

Holds a degree in Occupational Therapy from the Methodist University of Piracicaba (1980), specialization in Orthesis Specialization in Neuro-Orthopedics from the University of São Paulo (2011) and specialization in Specialization in Hand Therapy from the University of São Paulo (2000). She is currently an Occupational Therapist at Fmusp Hospital das Clínicas and Occupational Therapist at Fito Fisicoterapia S C Ltda. Has experience in the area of Physical Therapy and Occupational Therapy.




How to Cite

Jacintho, J. C., Terra da Silva, M., & de Miranda Luzo, M. C. (2018). The innovation process in hospital services: a case study in an occupational therapy. Brazilian Journal of Operations & Production Management, 15(2), 322–329.