scholarly journals Evaluation in healthcare organizations: a literature review about innovation assessment

2021 ◽  
Vol 13 (12) ◽  
pp. e9290
Author(s):  
Breitner Gomes Chaves ◽  
Catherine Briand ◽  
Khayreddine Bouabida ◽  
Carol Giba Bottger Garcia

Objective: This article identifies and provides the reader with the basis for evaluating the innovations proposed in healthcare organizations and highlights determinants to consider when implementing them. Bibliographic review: There is no complete, exhaustive, and absolute definition of health evaluation. Several evaluative approaches and tools were identified. They can be adapted and used according to the evaluator's evaluative objectives, paradigms, and theoretical influences. Moreover, essential concepts regarding the implementation of innovations were considered and synthesized, allowing the reader to understand the complexity of this phase and its impact on the success of innovations. Final considerations: Although the evaluative field is broad and has several distinct concepts, this article presents a synthesis of concepts that would support decision-makers in evaluating their organization's innovation process. Furthermore, the present paper enables a better understanding of the risks of success or failure of interventions (or innovation) from a comprehensive perspective of the critical determinants in the implementation phase.

Author(s):  
Mahdi Mahdavi ◽  
Javad Sajjadi Khasraghi ◽  
Haniye Sadat Sajadi ◽  
Bahareh Yazdizadeh ◽  
Sima Nikooee ◽  
...  

Background: SASHA, which stands for "Evidence-Informed Health Policymaking (EIHP)" in Persian, is a national project to draw a roadmap for strengthening EIHP in Iran. As a part of SASHA, this research aimed to develop evidence-based and context-aware policy options for increasing the capacity of decision-makers to apply EIHP in Iran. Methods: This was a qualitative study, which was informed by a literature review of pull efforts’ capacity building programs (CBPs). Based on the review, we developed policy options and validated them through an expert panel that involved twelve experts. Data were analyzed using a content analysis method. Results: We extracted data from 11 articles. The objectives of CBPs were: single-skill development, personal/professional development, and organizational development. According to these objectives, the contents and training methods of the programs vary. CBPs have shown positive impacts on individual knowledge/attitudes to use EIHP. However, the impacts of programs at the organizational or the health system level remain under-researched. We followed several threads from the literature review through to the expert panel that included training the management team, instead of training managers, training for problem-solving skills, and designing tailored programs. Barriers of capacity building for EIHP regard the context of the health system (weak accountability and the widespread conflict of interest) and healthcare organizational structures (decision support systems, knowledge management infrastructures, and lack of management team). Experts suggested interventions on the barriers, particularly on resolving the conflict of interests before launching new programs. A proposed framework to increase the capacity of health policymakers incorporates strategies at three levels: CBP, organizational structure, and health system context. Conclusion: To prepare the context of Iranian healthcare organizations for CBPs, the conflict of interests needs to be resolved, decision-makers should be made more accountable, and healthcare organizations need to provide more knowledge management infrastructures and decision support systems.


Author(s):  
Hakikur Rahman

While talking about successful entrepreneurship and value addition within an enterprise through innovation, one could realize that the innovation paradigm has been shifted from simple introduction of new ideas and products to accumulation of diversified actions, actors and agents along the process. Furthermore, when the innovation process is not being restricted within the closed nature of it, the process takes many forms during its evolution. Innovations have been seen as closed innovation or open innovation, depending on its nature of action, but contemporary world may have seen many forms of innovation, such as technological innovation, products/service innovation, process/production innovation, operational/management/organizational innovation, business model innovation or disruptive innovation, though often they are strongly interrelated. Definition of innovation has also adopted many transformations along the path, incorporating innovations within the products, process or service of an enterprise to organizational, marketing, or external entities and relations. Nature and scope of agents and actors even varies widely within the innovation dynamics, when the open innovation techniques are being applied to enterprises, designated as the small and medium enterprises (SMEs). Researching in this paradigm, one has to look for some underlying issues that should be attended through responding to research questions as the research continues. Among many of the fundamental questions on innovation advancement for SMEs development there are a few, how to acquire precise information on the flow-chart of their business operations, gain knowledge on specific parameters of their business processes, utilize existing potential capacities to extend their knowledge towards successful innovation acquisition and dissemination, and extend their knowledge platform through various capacity development initiatives. They aggregate further, when issues of opportunities and challenges are being researched along the path of SME development through open innovation. Rationale of this research is to ascertain diverse aspects of opportunities and challenges surrounding the open innovation processes, and design action plans to empower SMEs in reaching out to the grass roots communities utilizing open innovation strategies. Primary focus of this research is to enable SMEs in finding out their innovation potentiality and empower them through various capacity development initiatives. However, the specific focus will adhere to adaptable technology transfer through open innovation. Along the route to justify the research potential and validate the research hypotheses (whether this research will add any economic value or knowledge gain), this study will conduct extensive literature review on various patterns of open innovation (crowdsourcing or collaborative), investigate case studies to learn about intricate issues surrounding their operational strategies (conducted by European Commission, OECD and similar institutions) and conduct surveys among selected SMEs (email, web based, egroups) in several phases. Research design includes formulation of strategies to resolve acquired research questions; collection and recording of the evidences obtained from the literature review or case studies or surveys; processing and analyzing gathered data and their appropriate interpretations; and publication of results. Analysis will include both qualitative (descriptive and exploratory) and quantitative (inferential statistics) methods.


2020 ◽  
Vol 33 (3) ◽  
pp. 249-257
Author(s):  
Toke Vanwesemael ◽  
Koen Boussery ◽  
Tinne Dilles

The idea of patients self-administering their medication in hospital is not new; it was first cited in literature in 1959. Up to date, there is a growing body of literature that recognizes the importance of this approach. In this current state of the literature, self-administration of medication in hospital is positioned in the context of the definition of health as proposed by Huber et al. and Orem’s self-care deficit theory: first identify the concept of medication self-administration, as well as the prevalence, existing procedures, tools, and proven effects of interventions; then the findings should point the way forward for research, practice, and policy.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Charles Gessert ◽  
Stephen Waring ◽  
Lisa Bailey-Davis ◽  
Pat Conway ◽  
Melissa Roberts ◽  
...  

2021 ◽  
pp. 17-23
Author(s):  
Inna SHEVCHENKO ◽  
Stanislav POTAPENKO

Introduction. Among the problems faced by business, there is nothing more important and complex than the problem of the development and implementation of innovations. Innovation is the object of research by many scientists. But the study of any object must begin with an understanding of its essence. Today in the scientific literature there is no consensus on the essence of the concept of "innovation". Some scientists associate innovation with a system of one-time innovations that are introduced periodically; others researchers − with the end result of the introduction of innovation to change the object of management and obtain economic, social, environmental, scientific, technical or other effect; others scientists – with the life cycle of the enterprise and its products. The purpose of the paper is to study historical evolution and provide a modern interpretation of the definition of the category "innovation". Results. In the paper the authors using a monographic method conducted a retrospective review of interpretations of the concept of "innovation" by domestic scientists. Based on the study of the historical evolution of the definition of the category "innovation", a conclusion is made about the feasibility of a dualistic approach to identifying the essence of this concept. Conclusion. According to the chosen dualistic approach, innovation should be understood simultaneously as: the result of the innovation process (newly created or improved science-intensive technologies, methods of management/entrepreneurship, various types of products, services, works); the process, which includes research, design, development, organization of production and management, commercialization and distribution of the various types of products, services, works, and provides a synergistic effect of the integrated interaction of economic, social, environmental, scientific, technical and technological effects.


Author(s):  
Johannes Lindvall

This chapter introduces the problem of “reform capacity” (the ability of political decision-makers to adopt and implement policy changes that benefit society as a whole, by adjusting public policies to changing economic, social, and political circumstances). The chapter also reviews the long-standing discussion in political science about the relationship between political institutions and effective government. Furthermore, the chapter explains why the possibility of compensation matters greatly for the politics of reform; provides a precise definition of the concept of reform capacity; describes the book's general approach to this problem; and discusses the ethics of compensating losers from reform; and presents the book's methodological approach.


2018 ◽  
Vol 11 (4) ◽  
pp. 87-98
Author(s):  
Abdullah Alamri

Healthcare systems have evolved to become more patient-centric. Many efforts have been made to transform paper-based patient data to automated medical information by developing electronic healthcare records (EHRs). Several international EHRs standards have been enabling healthcare interoperability and communication among a wide variety of medical centres. It is a dual-model methodology which comprises a reference information model and an archetype model. The archetype is responsible for the definition of clinical concepts which has limitations in terms of supporting complex reasoning and knowledge discovery requirements. The objective of this article is to propose a semantic-mediation architecture to support semantic interoperability among healthcare organizations. It provides an intermediate semantic layer to exploit clinical information based on richer ontological representations to create a “model of meaning” for enabling semantic mediation. The proposed model also provides secure mechanisms to allow interoperable sharing of patient data between healthcare organizations.


2021 ◽  
Author(s):  
Chantal C. Cantarelli ◽  
David Oglethorpe ◽  
Bert van Wee

AbstractLock-in is defined as the tendency to continue with an inefficient decision or project proposal. The front-end phase is critical to project success, yet most studies have focused on lock-in in the implementation phase. Moreover, little is known about the way in which decision-makers perceive the risk of lock-in. In this paper we identify determinants of lock-in in the front-end phase and we reveal decision-makers’ perceptions of risk of lock-in. Our findings show that risk attitudes towards lock-in vary with the level of risk aversion. However, this is not sufficiently acute to drive the level of regret needed to avoid lock-in. This implies that decision-makers do not accurately assess the risk of lock-in and as such their risk perceptions are a mediating factor in the formation of lock-in. Based on escalation of commitment, path dependency, and prospect theory, the main contribution lies in providing a more comprehensive understanding of lock-in in the front-end phase.


2021 ◽  
pp. 088541222199424
Author(s):  
Mauro Francini ◽  
Lucia Chieffallo ◽  
Annunziata Palermo ◽  
Maria Francesca Viapiana

This work aims to reorganize theoretical and empirical research on smart mobility through the systematic literature review approach. The research goal is to reach an extended and shared definition of smart mobility using the cluster analysis. The article provides a summary of the state of the art that can have broader impacts in determining new angles for approaching research. In particular, the results will be a reference for future quantitative developments for the authors who are working on the construction of a territorial measurement model of the smartness degree, helping them in identifying performance indicators consistent with the definition proposed.


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