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"

Harro van Lente*

*Corresponding author for this work

Research output: Contribution to journalBook/Film/Article reviewAcademic


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.
Original languageEnglish
Pages (from-to)567-569
Number of pages3
JournalInternational Journal of Health Policy and Management
Issue number9
Publication statusPublished - Sept 2019


  • Health System
  • Innovation
  • Demand
  • Responsible Innovation

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