PurposeThe study examines the amplifying role of users in the e-healthcare sector and holistically show its current state and potential. The paper aims at contributing to the scientific literature with a comprehensive review of the current state of the art on the application of user innovation (UI) in the e-healthcare sector, as a solid step for discussing the potential, trends, managerial gaps and future research avenues in this field. Despite the crucial importance of the topic and increasing attention toward it in the last few years, there is a lack of comprehensive scrutiny on different angles of involving users in health technology innovations so far.Design/methodology/approachThis study combines two methods of bibliometric analysis and extensive content analysis of 169 journal articles on Scopus and Web of Science to unfold five research questions regarding the mechanisms of involving users, innovations characteristics and the role of users throughout the innovation process.FindingsA clear result of the applied methodology is the profiling of users involved in e-health innovations in seven categories. The results of this study shed light on the current practice of not involving users in all the stages of the innovation process of m-health, telemedicine, self-managing technologies, which is contrary to the best practices of the UI application.Research limitations/implicationsCollection of relevant studies due to lack of comprehensibility of the keywords.Practical implicationsThe offered propositions can act as a roadmap to potential research opportunities as well as to organize such innovations from a managerial perspective in particular healthcare organization managers and the middle managers operating at R&D sectors and policymakers.Originality/valueThis study is the first of its kind that digs out the application of UI strategies such as user-centered design in the context of e-healthcare and provides a bibliometric and extensive content analysis of the studies conducted in this theme over the years.

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The Lean Startup Method (LSM) provides a systematic management of innovation processes within startups and even within well-established companies. Despite its wide use by a lot of innovative companies, this study claims that using the LSM compromises the development of breakthrough and radical innovations and also companies' innovativeness is hindered given that companies usually follow the method and its principles blindly, without fully understanding its advantages and disadvantages. The aim of this study is to make a critical analysis of the LSM with focus on the above two statements and to test the critical findings from the analysis with the help of innovation experts. The methods employed in the study are mainly statistical ones like Pearson correlation, linear regression and statistical mean. The results show that innovation experts generally do agree with the formulated critical points (CPs) in the research but still use the method because they had not been aware of these disadvantages before entering the research as respondents. Another finding is the negative correlation between commercializing breakthrough innovations and using customers in the innovation development process. The contribution of the paper for the readers is mainly related to the impact of customer utilization within the breakthrough innovation development process and how using the LSM might compromise companies' innovativeness in general.

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