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The Development of Contraceptive Technology: Case Studies of Incentives and Disincentives to Innovation

Published online by Cambridge University Press:  10 March 2009

Annetine C. Gelijns  and
C. Ok Pannenborg
Annetine C. Gelijns
Affiliation:
Institute of Medicine and Columbia University
C. Ok Pannenborg
Affiliation:
The World Bank
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Abstract

This paper examines the characteristics of the process of innovation as applied to a range of contraceptive technologies. Whereas the understanding of how and why innovation works or does not work has grown in the past few decades in such professional fields as electronics, aviation, and optics, only the first attempts are currently under way in medicine. Borrowing from other fields, this paper proposes a theoretical underpinning to the process of innovation as it would apply to the development of medical technology. Subsequently, it documents this process with regard to contraceptive technology (oral contraceptives, injectables, intrauterine devices, implants, and surgical contraception), providing a framework of first-, second-, and third-generation definitions of development. A number of observations about the importance of certain supply- and demand-side determinants of the direction and rate of medical innovation conclude the essay.

Type
Special Section: Industry and the Generation of Technology
Information
International Journal of Technology Assessment in Health Care , Volume 9 , Issue 2 , Spring 1993 , pp. 210 - 232
Copyright
Copyright © Cambridge University Press 1993

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