Institutional power play in innovation systems: The case of Herceptin®

Piret Kukk, Ellen H.M. Moors and Marko P. Hekkert

Research Policy, 2016, vol. 45, issue 8, 1558-1569

Abstract: New technologies must be accompanied by institutional change. Innovative actors therefore need to do institutional work or take a role as an institutional entrepreneur in order to shape the institutions in the best interests of their technology. However, the literature on system building and on institutional entrepreneurship have little overlap. The goal of this paper is to bridge these two bodies of literature to gain additional insights into how institutional change evolves in a technological innovation system. We show how the pharmaceutical firm Roche acted as a powerful institutional entrepreneur by influencing the health-care system in England to create a market for the personalized cancer drug Herceptin®. We demonstrate that institutional change can be preceded by a range of innovation system-building activities that are not directly intended to bring about institutional change but are required in order for institutional change to take place. Through this case study, we show how the system-building and institutional change literature can complement each other.

Keywords: Institutional change; Personalized medicine; System building; Technological innovation systems (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (14)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:respol:v:45:y:2016:i:8:p:1558-1569

DOI: 10.1016/j.respol.2016.01.016

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