ArticleBMC health services research2025
Advancing quadruple helix theory for health systems innovation: evidence from Ageing@Coimbra.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSocietal challenges in public health call for innovation to enhance health outcomes and equity. This study explores the application of the Quadruple Helix (QH) model—engaging academia, government, industry, and civil society—in driving healthcare innovation at the regional level.
methodsA qualitative case study approach was adopted, focusing on the Ageing@Coimbra Reference Site. Data sources included policy reports, secondary literature, and twelve semi-structured interviews with key stakeholders. A thematic analysis was conducted to examine tangible and intangible outputs and the role of local ecosystem dynamics.
resultsThe findings reveal that Ageing@Coimbra leveraged QH collaboration to generate both tangible outcomes (e.g., integrated care models, digital health tools) and intangible benefits (e.g., civic engagement, patient empowerment). The local ecosystem played a critical role in aligning multi-sectoral actors and enabling participatory governance.
conclusionsThe QH model emerges as a viable framework for advancing regional healthcare innovation. Ageing@Coimbra illustrates how local embeddedness and cross-sectoral trust can foster scalable, community-driven solutions. The study provides actionable insights for policymakers aiming to replicate similar strategies elsewhere.
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