Innovations in Health Care—A Conceptual Framework

Fleßa, Steffen; Hüebner, Claudia

doi:10.3390/ijerph181910026

Cited by 65 publications

(38 citation statements)

References 43 publications

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“…The development, adoption, and dissemination of innovation require the fulfillment of four major factors: metastability, cost, innovation capability, and promotion capability [ 54 ]. Not only must smart health compensate the shortcomings of traditional health systems, but it also needs to reduce costs and improve innovation capabilities.…”

Section: Results and Analysismentioning

confidence: 99%

Conceptual Framework for Smart Health: A Multi-Dimensional Model Using IPO Logic to Link Drivers and Outcomes

Deng

Huang

Wang

et al. 2022

IJERPH

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Smart health is considered to be a new phase in the application of information and communication technologies (ICT) in healthcare that can improve its efficiency and sustainability. However, based on our literature review on the concept of smart health, there is a lack of a comprehensive perspective on the concept of smart health and a framework for how to link the drivers and outcomes of smart health. This paper aims to interweave the drivers and outcomes in a multi-dimensional framework under the input–process–output (IPO) logic of the “system view” so as to promote a deeper understanding of the model of smart health. In addition to the collection of studies, we used the modified Delphi method (MDM) to invite 10 experts from different fields, and the views of the panelists were analyzed and integrated through a three-round iterative process to reach a consensus on the elements included in the conceptual framework. The study revealed that smart health contains five drivers (community, technology, policy, service, and management) and eight outcomes (efficient, smart, sustainable, planned, trustworthy, safe, equitable, health-beneficial, and economic). They all represent a unique aspect of smart health. This paper expands the research horizon of smart health, shifting from a single technology to multiple perspectives, such as community and management, to guide the development of policies and plans in order to promote smart health.

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Section: Results and Analysismentioning

confidence: 99%

Conceptual Framework for Smart Health: A Multi-Dimensional Model Using IPO Logic to Link Drivers and Outcomes

Deng

Huang

Wang

et al. 2022

IJERPH

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“…Process innovation was defined as "a method, idea, or process to enhance internal production processes or change the way of service.'' [15,16].…”

Section: Resultsmentioning

confidence: 99%

“…Repurposing was defined as “reuse of an existing innovation in a different context’’ [ 32 ]. Process innovation was defined as “a method, idea, or process to enhance internal production processes or change the way of service.’’ [ 15 , 16 ].…”

Section: Resultsmentioning

confidence: 99%

A Narrative Review of Innovative Responses During the COVID-19 Pandemic in 2020

Wu¹,

Ho²

2022

Int J Public Health

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Objectives: The coronavirus disease 2019 (COVID-19) pandemic presented unprecedented challenges to healthcare systems worldwide. While existing studies on innovation have typically focused on technology, health providers still only have a vague understanding of the features of emergency responses during resource exhaustion in the early stage of a pandemic. Thus, a better understanding of innovative responses by healthcare systems during a crisis is urgently needed.Methods: Using content analysis, this narrative review examined articles on innovative responses during the COVID-19 pandemic that were published in 2020.Results: A total of 613 statements about innovative responses were identified from 296 articles and were grouped under the following thematic categories: medical care (n = 273), workforce education (n = 144), COVID-19 surveillance (n = 84), medical equipment (n = 59), prediction and management (n = 34), and governance (n = 19). From the four types of innovative responses extracted, technological innovation was identified as the major type of innovation during the COVID-19 pandemic, followed by process innovations, frugal innovation, and repurposing.Conclusion: Our review provides insights into the features, types, and evolution of innovative responses during the COVID-19 pandemic. This review can help health providers and society show better and quicker responses in resource-constrained conditions in future pandemics.

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“…Desde los procesos, innovación y capacidad transformadora, emergieron en forma constante las competencias los equipos, en quienes los liderazgos positivos y la motivación tuvieron gran relevancia en la magnitud de las iniciativas. Esto se ha relacionado también con competencias organizacionales de adaptación al cambio, resiliencia cultural y organizacional necesarias para afrontar los contextos de crisis [33][34][35]. Dicha resiliencia, posiblemente gatilló la capacidad gestionada a nivel local de innovar y transformar sus prácticas ante las emergentes necesidades de la población.…”

Section: Investigaciónunclassified

Systematization of initiatives in sexual and reproductive health about good practices criteria in response to the COVID-19 pandemic in primary health care in Chile

Contreras¹,

Quiroz-Carreño²,

Contreras³

et al. 2022

Medwave

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Introduction The COVID- 19 pandemic discontinued sexual and reproductive health care in Chile and the world. The national focus on hospital care led primary care teams to respond in natural and diverse ways. Understanding the factors involved in this process may improve future responses from the judgment of good practices. Therefore, this study aimed to identify and systematize sexual and reproductive health initiatives raised by primary care teams in response to the COVID- 19 pandemic in Chile. Methods We systematically evaluated initiatives and practices in sexual and reproductive health in prima-ry care between June 2020 and November 2021. This study was developed in three methodological phases: a review of documents, a collection of experiences through an electronic instrument sent to the 29 health services in Chile, and in-depth interviews. According to best practice criteria, mapping and characterizing the initiatives and critical discourse analysis of narratives and interviews were carried out. Results Forty-one initiatives from 19 health services were identified, mainly from the South Central macro zone and urban areas. In these areas, care was recognized. These practices were relevant, aligned with their objectives, rapidly implemented, and used novel strategies through new technologies. However, these initiatives had little intercultural relevance or evaluation. Perceived success was related to motivation, leadership, and institutional and community resilience. The adaptability of initiatives emerged as a new need and criterion of analysis. Conclusion The lessons learned from these initiatives invite us to consider health care teams' mental health, their relationship with the community, the use of new technologies, the evaluation of practices considering satisfaction, cross- cutting approaches, and their adaptability. In all, these aspects may improve primary care response in sexual and reproductive health to new crises.

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Innovations in Health Care—A Conceptual Framework

Cited by 65 publications

References 43 publications

Conceptual Framework for Smart Health: A Multi-Dimensional Model Using IPO Logic to Link Drivers and Outcomes

Conceptual Framework for Smart Health: A Multi-Dimensional Model Using IPO Logic to Link Drivers and Outcomes

A Narrative Review of Innovative Responses During the COVID-19 Pandemic in 2020

Systematization of initiatives in sexual and reproductive health about good practices criteria in response to the COVID-19 pandemic in primary health care in Chile

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