The Innovation Systems of Latin America and the Caribbean

It is now widely recognized that we live in a knowledge-based economy; in fact, knowledge is the driving factor behind productivity growth. The share of knowledge-intensive sectors in the world economy`s value-added and employment has been rising for a number of years. This trend is particularly pronounced in the developed countries, where by 1999 knowledge-based industries share of GDP was already above 50 percent, up from 45 percent in 1985 (OECD, 1999; OECD, 2000a). Furthermore, knowledge-driven innovation has become a decisive factor in the competitiveness of both nations and firms

SCIENTIFIC-BUREAUCRATIC MEDICINE AND UK HEALTH POLICY -super-1

One prominent method for controlling health costs is to find measures for the management of demand. Various options exist for this; and many of them have been tried during the fifty years of the UK's National Health Service. Current policy now focuses on what may be called "scientific-bureaucratic medicine." This policy is based on the assumptions that valid medical knowledge is derived from accumulated research evidence and that such knowledge should be implemented through clinical guidelines which are enforced to some extent. This UK development has parallels with the US Agency for Health Care Policy and Research whose experience, therefore, raises some policy issues for the UK. Copyright 2000 by The Policy Studies Organization.