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The 2025 economics prize recognized Joel Mokyr, Philippe Aghion, and Peter Howitt for work explaining innovation-driven growth through institutions, incentives, and competition.
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Hospital medicine began as an organizational innovation that reorganized clinical labor to improve hospital quality, coordination, and efficiency.
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The article argues that digital tools and AI require institutional capacity and hospitalist participation to fit workflows and support lasting productivity and quality improvements.
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Aghion and Howitt’s theory of creative destruction describes how innovation can raise productivity while disrupting established processes and creating transition costs.
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The article frames hospitalists as leaders of endogenous change who can help guide digital innovation and institutional adaptation in inpatient care.