Resisting social innovation: the case of neighborhood health centers in Belgium
Resistencia a la innovación social: el caso de los centros de salud en los barrios de Bélgica
Palabras clave:
Social innovation, opposition, healthcare, poverty, diffusion.Resumen
Resumen
El papel que desempeñan los grupos sociales poderosos para oponerse o incluso detener la difusión de la innovación social no está suficientemente estudiado en relación con las innovaciones sociales modernas. Esto es especialmente relevante en los casos de encuentro con grupos sociales de escasos recursos, como las personas en situación de pobreza. Este artículo examina esta situación en el caso de los Centros Vecinales de Salud en Bélgica, una innovación social con potencial para ofrecer atención accesible a los habitantes con menos recursos. El artículo documenta cómo estas organizaciones hicieron un esfuerzo por expandirse, pero se encontraron con una resistencia por parte de las asociaciones de médicos y opositores políticos. El texto concluye que los méritos inherentes de las innovaciones sociales que benefician a los grupos vulnerables son insuficientes para justificar su difusión, ya que las iniciativas podrían ir en contra de los intereses de los grupos más poderosos.
Palabras clave: innovación social, oposición; salud, pobreza, difusión.
Descargas
Citas
Alcock, P. (2005). ‘Maximum Feasible Understanding’ – Lessons from Previous Wars on Poverty. Social Policy and Society, 4(3), 321-329. DOI: https://doi.org/10.1017/S1474746405002472
Boelman, V., Kwam, A., Lauritzen, J., Millard, J. & Schon, R. (2014). Growing Social Innovation: A Guide for Policy Makers. Brussels: European Commission, DG Research. http://www.transitsocialinnovation.eu/resource-hub/growing-social-innovation--a-guide-for-policy-makers
Brandsen, T. (2014). Wilco Final Report. http://www.wilcoproject.eu/wilco-project-findings-summary/
Coene, J. (2019). Armoede en sociale uitsluiting ontcijferd. In J. Coene, P. Raeymaeckers, B. Hubeau, S. Marchal, R. Remmen & A. Van Haarlem (eds.), Armoede en Sociale uitsluiting – jaarboek 2019 (pp. 361-443). Leuven: Acco.https://www.uantwerpen.be/images/uantwerpen/container34686/files/Jaarboek%20Armoede%202019_WEB3.pdf
Cools, P. & Oosterlynck, S. (2015). Domo vzw Leuven: Family support by volunteers. ImPRovE case study 9. Antwerp: Herman Deleeck Centre for Social Policy. http://improve-research.eu/?page_id=2507
Davies, A. (2014). Spreading Social Innovations: A Case Study Report. TEPSIE report. Brussels: European Commission, DG Research. https://youngfoundation.org/wp-content/uploads/2015/04/Spreading-Social-Innovations-A-Case-Study-Report.pdf
de Maeseneer, J., de Roo, L. & Willems, S. (2012). Wijkgezondheidscentra in Vlaanderen. In D. Dierckx, S. Oosterlynck, J. Coene & Van Haarlem, A. (eds.), Armoede en Sociale uitsluiting - Jaarboek 2012 (pp. 5-261). Leuven: Acco.https://www.uantwerpen.be/images/uantwerpen/container2456/files/Projecten/Jaarboek/2012%20Jaarboek%20armoede%20en%20sociale%20uitsluiting.pdf
Gabriel, M. (2014). Making it big. Strategies for scaling social innovation. London: NESTA.
Gans, H. (1995). The war against the poor. New York: BasicBooks.
Gazet van Antwerpen (2004, June 1). Wijkgezondheidscentrum laat nog wel flinke poos op zich wachten. Gazet van Antwerpen/Waasland, p. 17.
Ghys, T. (2016). Sociale Innovatie en Structurele Armoedebestrijding [Doctoral dissertation, University of Antwerp]. Antwerpen: OASeS. https://www.uantwerpen.be/images/uantwerpen/container2456/files/Tuur%20Ghys%20doctoraat%20-%20Sociale%20innovatie%20en%20structurele%20armoedebestrijding.pdf
Ghys, T. (2018). Analysing social innovation through the lens of poverty reduction: five key factors. European Public & Social Innovation Review, 2(2), 1-14. DOI: https://doi.org/10.31637/epsir.17-2.1
Ghys, T. & Oosterlynck, S. (2017). Sociale innovaties bekeken vanuit structurele armoedebestrijding: case Wijkgezondheidscentra [Working paper]. Antwerpen: Vlaams Armoedesteunpunt. https://www.uantwerpen.be/images/uantwerpen/container2456/files/VLAS_Rapport%20WGC.pdf
Green, M. & Hulme, D. (2005). From Correlates and Characteristics to Causes: Thinking About Poverty from a Chronic Poverty Perspective. World Development, 33(6), 867–879. DOI: https://doi.org/10.1016/j.worlddev.2004.09.013
Heiskala, R. (2007). Social Innovations: Structural and Power Perspectives. In T. J. Hamalainen & R. Heiskala (eds.), Social Innovations, Institutional Change and Economic Performance (pp. 52-80). Cheltenham: Edward Elgar.
Hölsgens, R. (2016). On the importance of power struggles in the diffusion of social innovations. The case of women suffrage in the Netherlands. European Public Social & Social Innovation Review, 1(2), 63-72. DOI: https://doi.org/10.31637/epsir.16-2.1
Jordan, B. (1996). A theory of poverty and social exclusion. Cambridge: Polity Press.
KCE (2008). Vergelijking van kost en kwaliteit van twee financieringssystemen voor de eerstelijnszorg in België. KCE Reports 85A. https://kce.fgov.be/sites/default/files/page_documents/d20081027349_0.pdf
Leubolt, B. & W., Romão (2017). Socio-Ecological Innovation in Brazil: The Collective Survival Strategy of the Collectors of Recyclable Material. Journal für Entwicklungspolitik, 33(2), 36-57. DOI: https://doi.org/10.20446/jep-2414-3197-33-2-36
Martinelli, F. (2012). Social Innovation or Social Exclusion? Innovating Social Services in the Context of a Retrenching Welfare State. In Franz, H.W., Hochgerner, J. & Howaldt, J. (eds.), Challenge Social Innovation (pp. 169-180). New York: Springer.
Mathijssen, C. (2010). Armoedebestrijding op het platteland. Op zoek naar knelpunten en uitwegen. Rapport van literatuuronderzoek, interviews en rondetafel. CERA.
Moulaert, F., Martinelli, F., Swyngedouw, E. & González, S. (2005). Towards Alternative Model(s) of Local Innovation. Urban Studies, 42(11), 1969-1990. DOI: https://doi.org/10.1080/00420980500279893
Mumford, M. (2002). Social Innovation: Ten Cases from Benjamin Franklin. Creativity Research Journal, 14(2), 253-266. DOI: https://doi.org/10.1207/S15326934CRJ1402_11
Novy, A. & Leubolt, B. (2005). Participatory Budgeting in Porto Alegre: Social Innovation and the Dialectical Relationship of State and Civil Society. Urban Studies, 42(11), 2023-2036. DOI: https://doi.org/10.1080/00420980500279828
Oosterlynck, S., Novy, A., Kazepov, Y., Verschraegen, G., Saruis, T., Colombo, F., Cools, P., Cucca, R., Leubolt, B. & Weinzierl, C. (2016). Towards a more effective governance of socially innovative policies – First insights from the case studies [ImPRovE Working Paper 16/11]. Antwerp: Herman Deleeck Centre for Social Policy. http://improve-research.eu/?page_id=37
Pinch, T. J. & Bijker, W. E. (1984). The social construction of facts and artefacts: or how the sociology of science and the sociology of technology might benefit each other. Social Studies of Science, 14(3), 399–441. DOI: https://doi.org/10.1177/030631284014003004
Polanyi, K. (1968). The Great Transformation. The political and economic origins of our time. Boston: Beacon Press.
Royce, E. (2015). Poverty and power. The problem of structural inequality. New York: Rowman & Littlefield.
Rubin, H. J. & Rubin, I. S. (2005). Qualitative interviewing. The art of hearing data. Thousand Oaks: Sage Publications Inc.
Simon, J., Schon, R., Kitcher, H., Millard, J., Carpenter, G. & Ingermann, A. (2014). Growing the field of social innovation in Europe. TEPSIE Report. Brussels: European Commission, DG Research. https://youngfoundation.org/wp-content/uploads/2015/04/YOFJ2786_Growing_Social_Innovation_16.01.15_WEB.pdf
Sinclair, S. & Baglioni, S. (2014). Social Innovation and Social Policy. Promises and Risks. Social Policy & Society, 13(3), 469–476. DOI: https://doi.org/10.1017/S1474746414000086
Tilley, J. (2014). Toegankelijkheid van de huisartspraktijk: is de drempel ook letterlijk laag? Gent: Universiteit Gent.
Townsend, P. (2010). The meaning of poverty. The British Journal of Sociology, 61(s1), 85-102. DOI: https://doi.org/10.1111/j.1468-4446.2009.01241.x
Van Garderen, F. (2016, October 21). Wijkgezondheidscentra: 'De scalpel blijkt toch een bijl'. De Morgen, 5.
Vrancken, J. (2001). Unraveling the social strands of poverty: differentiation, fragmentation, inequality, and exclusion. In Andersen, H.T., & Van Kempen, H.T. (eds.), Governing European Cities (pp. 71-91). Aldershot: Ashgate.
Westly, F. & Antadze, N. (2009). Making a difference. Strategies for scaling social innovation for greater impact. The innovation journal: the public sector innovation journal, 15(2), 1-19.
Willems, S. (2005). The socio-economic gradient in health: a never-ending story? A descriptive and explorative study in Belgium. Gent: Universiteit Gent. https://lib.ugent.be/fulltxt/RUG01/000/922/283/RUG01-000922283_2010_0001_AC.pdf
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under Creative Commons Non Commercial, No Derivatives Attribution 4.0. International (CC BY-NC-ND 4.0.), that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
