Innovation in Healthcare: A Systematic Review of Recent Research

Länsisalmi, Hannakaisa; Kivimäki, Mika; Aalto, Pirjo; Ruoranen, Raija

doi:10.1177/0894318405284129

Cited by 208 publications

(188 citation statements)

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“…One reason for the limited degree of patient involvement could be related to the particular challenges relating to healthcare. Although innovation is viewed positively in healthcare, there are many challenges to innovations (Länsisalmi et al, 2006), including changing clinician and healthcare organizations, innovations in care, risky treatments and hospital procedures, and legal regulations. There is also a culture of blame caused by clinicians' tendencies to protect their autonomy and reputation, which inhibits organizational learning and a generation of innovations (Länsisalmi et al, 2006).…”

Section: Challenges To Patient Involvement In Service Innovationmentioning

confidence: 99%

Patient involvement and service innovation in healthcare

Engström¹

2014

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This thesis adds to a stream of research suggesting that healthcare can be more patient centered and efficient by redefining the role of the patient from a passive receiver to a more active and collaborative participant. This may relate to healthcare provision (Anderson and Funnell, 2005;Berry and Bendapudi, 2007;Bitner and Brown, 2008;McColl-Kennedy et al., 2012;Nordgren, 2008) and innovation (Bate and Robert, 2006;Groene et al., 2009;Longtin et al., 2010). Through research initiative containing four healthcare units and 68 patients, the present thesis combines healthcare research (e.g., Anderson and Funnell, 2005;Nelson et al., 2002) with service research (e.g., Grönroos, 2006; Lusch, 2008, 2004) to explore three aspects of patient involvement and service innovation.Firstly, the concept of patient involvement itself is investigated through an extensive literature review of empirical research on patient involvement. A model describing the antecedents, forms and consequences of patient involvement is proposed. What value is, and how patients can co-create value is discussed from the perspectives of healthcare research and service management thought.Secondly, the thesis proposes a diary-based methodology for involving patients in service innovation. My colleagues and I developed the methodology in collaboration with the participating care providers and applied it in practice. We used the experiences we gained from the project and the contributions from the patients to examine the opportunities for user involvement in service innovation. The participants contributed with ideas and insights stemming from their experiences in their contact with healthcare and other resources. We suggest the following three ways of learning from the collected data: As ideas for improvements; through summary reports to illustrate other quantitative data; and as narratives to promote change. Thirdly, the thesis explores patients' motivations to participate in service innovation, a hitherto unexplored field. Through an analysis of patients' contributions and interviews with participants we found that there are a number of factors that motivate patients to participate and that participation is perceived as a social-and meaning-laden event. Patients derive psychological well-being and support from participation, but disease was sometimes a barrier to participation. This thesis elaborates on how the most motivated users can be involved in service innovation, applying thinking from the lead-user methodology to a healthcare setting.Overall, the thesis explores patient involvement from new perspectives and, by doing so, adds to our collective efforts to improve healthcare. viii Key words: Patient Involvement, participation, co-creation, patient empowerment, user involvement, patient centered care, motivation, user experiences, co-creation, service development, service innovation, service design, health care, lead users, diary, value ix SAMMANFATTNING Denna avhandling syftar till en mer patientcentrerad och effektiv sjukvård. Den bid...

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Section: Challenges To Patient Involvement In Service Innovationmentioning

confidence: 99%

Patient involvement and service innovation in healthcare

Engström¹

2014

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“…Theoretically, these roles differ in the way they may exert influence to achieve desired changes, but function as change agents, using interpersonal contact and strong communication skills to build trust, promote the use of new practices, and thus affect behavior (5). The ability of opinion leaders to change practices is known to be somewhat limited, in part because studies evaluating this intervention have not described consistent methods for identifying or engaging opinion leaders (6). The cooperative structure between clinicians and nurses has resulted in the adoption of all recommended evidence-based guidelines.…”

Section: Discussionmentioning

confidence: 99%

Surgical wound management made easier and more cost-effective

et al. 2012

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“…A agregação de valor nos serviços torna-se evidente a partir de melhorias em suas características técnicas ocasionadas por inovações de cunho tecnológico, como apontam Länsisalmi et al (2006). A pesquisa permitiu identificar, também, os desafios futuros para os hospitais após a adoção das inovações.…”

Section: Essas Barreiras Encontradas Corroboram Os Achados De Boaden unclassified

Determinants of Innovations in Information and Communication Technologies Adopted by Hospitals

Isidro-Filho

Guimarães

Perin

2012

RAI

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Marcelo Gattermann Perin Doutor em Administração pela Universidade Federal do Rio Grande do Sul -UFRGS Professor da Pontifícia Universidade Católica do Rio Grande do Sul -UFRGS mperin@pucrs.br RESUMOA inovação em serviços de saúde em geral e em hospitais em particular tem sido estudada com intensidade nos últimos anos, relevando o crescente interesse de pesquisadores sobre o tema. Há consenso entre estudiosos desse tema quanto ao caráter complexo e dinâmico das inovações em serviços de saúde, em especial no que se refere aos determinantes e às mudanças decorrentes de inovações. Assim, a compreensão da inovação em toda sua amplitude contribui para identificar fatores que afetam o processo de inovação e seus efeitos sobre organizações hospitalares, particularmente na adoção de Tecnologias de Informação e Comunicação (TIC). Assim, o artigo descreve a adoção de inovações apoiadas em TIC e seus determinantes, em três hospitais. A pesquisa, de natureza qualitativa, foi baseada em 11 entrevistas e analisou barreiras, facilitadores, benefícios e desafios futuros de três inovações: Sistema de Gestão de Unidade de Terapia Intensiva, Prontuário Eletrônico do Paciente e Sala Inteligente de Cirurgia. As barreiras que tiveram mais destaque no levantamento foram: resistência ao uso e desconhecimento de novas tecnologias. Já os facilitadores principais foram: comprometimento da alta administração e comunicação entre equipes. Os benefícios mais relevantes foram: diminuição de erros de diagnóstico, prescrição e intervenções, e recuperação mais rápida de pacientes. Por fim, os desafios identificados versaram sobre competências emergentes que sugerem mudanças em perfis de comportamento de profissionais de hospitais quanto ao uso de TIC, bem como em relação ao serviço hospitalar como um todo. Ao final do artigo, conclusões e recomendações de ordem teórica e prática são apresentadas. Palavras-chave:Inovação em serviços; Inovação em hospitais; Tecnologia de informação e comunicação; Competências profissionais.

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Innovation in Healthcare: A Systematic Review of Recent Research

Cited by 208 publications

References 50 publications

Patient involvement and service innovation in healthcare

Patient involvement and service innovation in healthcare

Surgical wound management made easier and more cost-effective

Determinants of Innovations in Information and Communication Technologies Adopted by Hospitals

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