scholarly journals User Participation in Coproduction of Health Innovation: Proposal for a Synergy Project (Preprint)

2017 ◽  
Author(s):  
Jens Nygren ◽  
Elena Zukauskaite ◽  
Niklas Westberg

BACKGROUND This project concerns advancing knowledge, methods, and logic for user participation in coproduction of health innovations. Such advancement is vital for several reasons. From a user perspective, participation in coproduction provides an opportunity to gain real influence over goal definition, design, and implementation of health innovations, ensuring that the solution developed solves real problems in right ways. From a societal perspective, it’s a mean to improve the efficiency of health care and the implementation of the Patient Act. As for industry, frameworks and knowledge of coproduction offer tools to operate in a complex sector, with great potential for innovation of services and products. OBJECTIVE The fundamental objective of this project is to advance knowledge and methods of how user participation in the coproduction of health innovations can be applied in order to benefit users, industry, and public sector. METHODS This project is a synergy project, which means that the objective will be accomplished through collaboration and meta-analysis between three subprojects that address different user groups, apply different strategies to promote human health, and relate to different parts of the health sector. Furthermore, subprojects focus on distinctive stages in the spectrum of innovation, with the objective to generate knowledge of the innovation process as a whole. The project is organized around three work packages related to three challenges—coproduction, positioning, and realization. Each subproject is designed such that it has its own field of study with clearly identified objectives but also targets work packages to contribute to the project as a whole. The work on the work packages will use case methodology for data collection and analysis based on the subprojects as data sources. More concretely, logic of multiple case studies will be applied with each subproject representing a separate case which is similar to each other in its attention to user participation in coproduction, but different regarding, for example, context and target groups. At the synergy level, the framework methodology will be used to handle and analyze the vast amount of information generated within the subprojects. RESULTS The project period is from July 1, 2018 to June 30, 2022. CONCLUSIONS By addressing the objective of this project, we will create new knowledge on how to manage challenges to health innovation associated with the coproduction process, the positioning of solutions, and realization.


Author(s):  
Endah Mustika Ramdani

Innovation in public services is a demands , both for central and local governments to improve services to the community. In service innovations at the local level, it certainly brings the risk of rejection from people who are not ready to change. This study aims to examine the local innovations in the health sector, Cimalaka Sehat e-health innovation case studies. The method used is descriptive qualitative with a case study at the Innovation of e-health Cimalaka Sehat services as a pioneer of e-health innovations in the Sumedang Regency. The technique of determining informants uses purposive sampling, data collection is done by observation, in-depth interviews, and documentation. The results showed that in innovation healthy cimalaka e-health has many advantages for the community through changing processes from manual to online as well as increasing features of health services that support the development of health services for puskesmas. However, from several advantages, there are several constraints and problems including the lack of a thorough understanding of the usefulness of innovation, low commitment and consistency of service providers to adapt to available innovations, with indications that the organizers are in a comfort zone that is providing alternative services similar to the innovation e-health (service through WhatsApp), which actually reduces the value of the usefulness of innovation, so that people are reluctant to change to existing service innovations.



F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 361 ◽  
Author(s):  
Archna Gupta ◽  
Cathy Thorpe ◽  
Onil Bhattacharyya ◽  
Merrick Zwarenstein

IntroductionHealth sector management is increasingly complex as new health technologies, treatments, and innovative service delivery strategies are developed. Many of these innovations are implemented prematurely, or fail to be implemented at scale, resulting in substantial wasted resources.  MethodsA scoping review was conducted to identify articles that described the scale up process conceptually or that described an instance in which a healthcare innovation was scaled up. We define scale up as the expansion and extension of delivery or access to an innovation for all end users in a jurisdiction who will benefit from it.ResultsSixty nine articles were eligible for review. Frequently described stages in the innovation process and contextual issues that influence progress through each stage were mapped. 16 stages were identified: 12 deliberation and 4 action stages. Included papers suggest that innovations progress through stages of maturity and the uptake of innovation depends on the innovation aligning with the interests of 3 critical stakeholder groups (innovators, end users and the decision makers) and is also influenced by 3 broader contexts (social and physical environment, the health system, and the regulatory, political and economic environment). The 16 stages form the rows of the Nose to Tail Tool (NTT) grid and the 6 contingency factors form columns. The resulting stage-by-issue grid consists of 72 cells, each populated with cell-specific questions, prompts and considerations from the reviewed literature.ConclusionWe offer a tool that helps stakeholders identify the stage of maturity of their innovation, helps facilitate deliberative discussions on the key considerations for each major stakeholder group and the major contextual barriers that the innovation faces. We believe the NTT will help to identify potential problems that the innovation will face and facilitates early modification, before large investments are made in a potentially flawed solution.



2012 ◽  
Vol 28 (3) ◽  
Author(s):  
Ronald Batenburg ◽  
Margo Brouns

The labor market of the Dutch health sector as patient: diagnosis and some advices for treatment The labor market of the Dutch health sector as patient: diagnosis and some advices for treatment In this article we discuss the labor market and job structure of the health care in the Netherlands. The health care market is under cost and capacity pressure which calls for a fundamental change of the job and training system. A meta-analysis based on two leading trend reports shows that there is a watershed between the labor market for physicians and non-physicians. The labor market for doctors is centrally planned, while for the much larger group of nurses the labor market is not governed. Another observation is that bottlenecks are mainly approached by increasing the capacity, less by innovations in the educational and occupational structure. Following this analysis, this article advocates for a comprehensive labor market policy that takes into account different segments of care, that require different skills mixes and competence bundles. We also argue that segmentation on the regional level is required to achieve a demand-based health labor market policy.



2020 ◽  
Vol 7 (2) ◽  
pp. 68-75
Author(s):  
Elissa Dwi Lestari

Startups, as they are bounded to their liabilities of newness and smallness, need to collaborate extensively with their external partners through the open innovation process. This study aims to depict Co-working space's pivotal role in building up a working innovation ecosystem that facilitates open innovation for startups. To get a more deep understanding of the phenomena, this study used an exploratory study based on three case studies of Co-working spaces operated in the Jakarta region. The study shows that the open innovation process among startups is not naturally existed, but instead, it is purposefully designed by the role of a community manager who acts as the ecosystem catalyst. The community manager becomes the ecosystem enablers that facilitate the networking process by connecting members. As a result, these activities will help the emerging of mutual connection and collaboration processes among members that empower open innovation among startups members. The multiple-case design makes the study conclusions might be difficult to generalize. Future research, including quantitative studies, will help the conclusions examination and the knowledge enrichment of start-ups' open innovation process. This paper will enrich the knowledge concerning how Co-working spaces member seizing opportunities that lead to the open innovation process.



Author(s):  
Sara de Freitas ◽  
Steve Jarvis

This chapter reviews some of the key research supporting the use of serious games for training in work contexts. The review indicates why serious games should be used to support training requirements, and in particular identifies “attitudinal change” in training as a key objective for deployment of serious games demonstrators. The chapter outlines a development approach for serious games and how it is being evaluated. Demonstrating this, the chapter proposes a game-based learning approach that integrates the use of a “four-dimensional framework”, outlines some key games principles, presents tools and techniques for supporting data collection and analysis, and considers a six-stage development process. The approach is then outlined in relation to a serious game for clinical staff concerned with infection control in hospitals and ambulances, which is being developed in a current research and development project. Survey findings from the target user group are presented and the use of tools and techniques explained in the context of the development process. The chapter proposes areas for future work and concludes that it is essential to use a specific development approach for supporting consistent game design, evaluation and efficacy for particular user groups.



2021 ◽  
Author(s):  
Irene Göttgens ◽  
Sabine Oertelt-Prigione

BACKGROUND Design-based approaches to healthcare strive to support the development of innovative, effective and person-centered solutions for healthcare. Although their use is increasing, there is no systematic overview describing the details of human centered design (HCD) methods in health innovations. OBJECTIVE This study aims to provide an overview of human centered design approaches applied for the development of health innovations, with the aim of assisting healthcare workers and design researchers in selecting suitable methods for participatory and human centered design processes. METHODS We performed electronic searches in Pubmed, CINHAL, Embase, Cochrane Library, Web of Science, PsycInfo and Sociological Abstracts (2000 – 2020) using search terms related to “human-centered design”, “design thinking”(DT) and “user-centered design”(UCD). Abstracts and full-text articles were screened by two reviewers independently based on predefined inclusion criteria. Data extraction focussed on (a) the methodology employed throughout the research process, (b) the choice of methods in different phases of the innovation cycle and (c) the level of engagement of end-users. RESULTS A wide variation of design-based practices are increasingly applied in health research. Design-based approaches are applied in health research in combination with traditional qualitative and quantitative approaches. All included studies structured the innovation process using a variation of the following phases: understand – define – generate ideas – test. HCD/DT-based research primarily targeted understanding the context and defining the problem whereas UCD-based work focused mainly on the direct generation of solutions. CONCLUSIONS Design-based researchers should tailor their choice of design methods according to their primary focus; problem identification or solution development. Design techniques are challenging to evaluate with traditional biomedical research methods, limiting the opportunity for standardized assessment. Future research on HCD practices should focus on the development of specific standards, transdisciplinary evaluation methods, and guidelines for stakeholder engagement.



This chapter describes how OncoRx-MI, a pharmaco-informatics platform for detecting chemotherapy interactions, was designed through a pharmaco-cybernetics approach targeting the 5 activities of the digital health innovation process. This is the first database of its kind that is able to provide interaction information for anticancer drugs and chemotherapy regimen cocktails. In order to identify the gap and determine the usefulness of this database in clinical oncology practice, the quality of online anticancer drug interactions was assessed, and the perceptions of oncology practitioners were sought. The results showed that the accuracy of drug interaction content and the clinical usefulness of the database was highly regarded by these practitioners. In addition, evidence of its relevance and credibility was demonstrated through user feedback on the database.



Author(s):  
Yiannis Koumpouros ◽  
Aggelos Georgoulas

The scope of the chapter is to present a thorough review on the most up to date research and development activities funded by the European Union in the m-health sector and more specifically in the domain of m-Health Innovations for Patient-Centered Care. This review brings to light the latest research directions and trends that are taking place around Europe and the world. The mhealth market is analyzed along with the focusing on the main apps and their classification. Moreover, it presents the trends of the research topics addressed and what are the plans and future activities pushed. The obstacles faced, the pros and cons and the proposed actions, and their match to real life situations are also discussed. The chapter concludes on the current trends and the potential market on m-health solutions and innovations and how they are trying to address the global need for patient-centered care.



1996 ◽  
Vol 5 (5) ◽  
pp. 451-464
Author(s):  
STEVE BALDWIN & MELISSA OXLAD
Keyword(s):  


2020 ◽  
Vol 34 (1) ◽  
pp. 21-25
Author(s):  
Reg Joseph ◽  
Antonio Bruni ◽  
Chris Carvalho

Health City was established in the fall of 2018 as a Canadian not-for-profit corporation that works with numerous stakeholders to develop new pathways of care that can drive better health outcomes and economic development in the health sector. Data, artificial intelligence, and extended reality are technology platforms in healthcare that are highlighted in the context of Health City Initiatives presented here. Health City’s future area of focus in addressing challenges in procurement for health innovations is also discussed as a new approach that connects the health industry to healthcare. Health City has been an active stakeholder in health innovation in Edmonton and will continue to focus on developing a global niche and owning that space through meaningful partnerships and impactful projects. This will drive improved health outcomes and economic development for the Edmonton region and Canada that can be scaled globally.



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