Coordination mechanisms for implementing complex innovations in the health care sector

Coordination is a central element in the public sector, especially for introducing complex innovations. In health care this issue takes on great importance since many stakeholders are involved, pursuing multiple interests, and influencing the outputs and outcomes of the health care system. This paper discusses the introduction of a specific health care innovation (i.e. Electronic Patient Records) in two Italian regions and it aims to contribute to the debate on coordination in health care, depicting the coordination mechanisms that took place in two different contexts in order to introduce the same kind of innovation, and highlighting any potential enabling conditions.