1 FROM HEALTH SERVICE QUALITY TO HEALTH SYSTEM QUALITY. A NETWORK INNOVATION ADOPTION AND DIFFUSION

Growing demand for health care due to the ageing of the population, rising costs, constrained resources, and evidence variations in clinical practice have increased interest in improving the attention on quality for health services. Quality in this context is mainly based on two dimensions: access and effectiveness. But, due to the challenging environment, to the objectives of the health services and to the structure of the NHS, this is no more sufficient. Attention to issues such as service innovation, attributes and conditions for its adoption and diffusion, patient’s centered care via technological supports, lead to a new scenario of health care services based on the sharing of competencies of different actors belonging to a net system. Those are the elements on which the present work focuses. In this context the main aim of this work is to investigate the link between quality in health services and adoption and diffusion of innovation thanks to a network approach. Quality in health services is reached through the network. The network allows a particular process of services innovation adoption and diffusion that produces not only technical but also relational quality. In this way the quality of a specific innovative service generate