Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders
Background Responsible innovation in health (RIH) emphasizes the importance of developing technologies that are responsive to system-level challenges and support equitable and sustainable healthcare. To help decision-makers identify whether an innovation fulfills RIH requirements, we developed and v...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2021-04-01
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| Series: | International Journal of Health Policy and Management |
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| Online Access: | https://www.ijhpm.com/article_3778_4475cc23937b4afe941b21366bd490ee.pdf |
| _version_ | 1811158770460393472 |
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| author | Hudson P. Silva Andrée-Anne Lefebvre Robson R. Oliveira Pascale Lehoux |
| author_facet | Hudson P. Silva Andrée-Anne Lefebvre Robson R. Oliveira Pascale Lehoux |
| author_sort | Hudson P. Silva |
| collection | DOAJ |
| description | Background Responsible innovation in health (RIH) emphasizes the importance of developing technologies that are responsive to system-level challenges and support equitable and sustainable healthcare. To help decision-makers identify whether an innovation fulfills RIH requirements, we developed and validated an evidence-informed assessment tool comprised of 4 inclusion and exclusion criteria, 9 assessment attributes and a scoring system. Methods We conducted an inter-rater reliability assessment to establish the extent to which 2 raters agree when applying the RIH Tool to a diversified sample of health innovations (n = 25). Following the Tool’s 3-step process, sources of information were collected and cross-checked to ensure their clarity and relevance. Ratings were reported independently in a spreadsheet to generate the study’s database. To measure inter-rater reliability, we used: a non-adjusted index (percent agreement), a chance-adjusted index (Gwet’s AC) and the Pearson’s correlation coefficient. Results of the Tool’s application to the whole sample of innovations are summarized through descriptive statistics. Results Our findings show complete agreement for the screening criteria, “almost perfect” agreement for 7 assessment attributes, “substantial” agreement for 2 attributes and “almost perfect” agreement for the RIH overall score. A large portion of the sample obtained high scores for 6 attributes (health relevance, health inequalities, responsiveness, level and intensity of care and frugality) and low scores for 3 attributes (ethical, legal, and social issues [ELSIs], inclusiveness and eco-responsibility). At the rating step, 88% of the innovations had a sufficient number of attributes documented (≥ 7/9), but the assessment was based on sources of moderate to high quality (mean score ≥ 2 points) for 36% of the sample. While “Almost all RIH features” were present for 24% of the innovations (RIH mean score between 4.1-5.0 points), “Many RIH features” were present for 52% of the sample (3.1-4.0 points) and “Few RIH features” were present for 24% of the innovations (2.1-3.0 points). Conclusion By confirming key aspects of the RIH Tool’s reliability and applicability, our study brings its development to completion. It can be jointly put into action by innovation stakeholders who want to foster innovations with greater social, economic and environmental value. |
| first_indexed | 2024-04-10T05:29:53Z |
| format | Article |
| id | doaj.art-1c21a89353074f9eaa6afde344fec55d |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:53Z |
| publishDate | 2021-04-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-1c21a89353074f9eaa6afde344fec55d2023-03-07T09:06:59ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392021-04-0110418119110.34172/ijhpm.2020.343778Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation StakeholdersHudson P. Silva0Andrée-Anne Lefebvre1Robson R. Oliveira2Pascale Lehoux3Public Health Research Institute, University of Montreal, Montreal, QC, CanadaSchool of Public Health, University of Montreal, Montreal, QC, CanadaPublic Health Research Institute, University of Montreal, Montreal, QC, CanadaPublic Health Research Institute, University of Montreal, Montreal, QC, CanadaBackground Responsible innovation in health (RIH) emphasizes the importance of developing technologies that are responsive to system-level challenges and support equitable and sustainable healthcare. To help decision-makers identify whether an innovation fulfills RIH requirements, we developed and validated an evidence-informed assessment tool comprised of 4 inclusion and exclusion criteria, 9 assessment attributes and a scoring system. Methods We conducted an inter-rater reliability assessment to establish the extent to which 2 raters agree when applying the RIH Tool to a diversified sample of health innovations (n = 25). Following the Tool’s 3-step process, sources of information were collected and cross-checked to ensure their clarity and relevance. Ratings were reported independently in a spreadsheet to generate the study’s database. To measure inter-rater reliability, we used: a non-adjusted index (percent agreement), a chance-adjusted index (Gwet’s AC) and the Pearson’s correlation coefficient. Results of the Tool’s application to the whole sample of innovations are summarized through descriptive statistics. Results Our findings show complete agreement for the screening criteria, “almost perfect” agreement for 7 assessment attributes, “substantial” agreement for 2 attributes and “almost perfect” agreement for the RIH overall score. A large portion of the sample obtained high scores for 6 attributes (health relevance, health inequalities, responsiveness, level and intensity of care and frugality) and low scores for 3 attributes (ethical, legal, and social issues [ELSIs], inclusiveness and eco-responsibility). At the rating step, 88% of the innovations had a sufficient number of attributes documented (≥ 7/9), but the assessment was based on sources of moderate to high quality (mean score ≥ 2 points) for 36% of the sample. While “Almost all RIH features” were present for 24% of the innovations (RIH mean score between 4.1-5.0 points), “Many RIH features” were present for 52% of the sample (3.1-4.0 points) and “Few RIH features” were present for 24% of the innovations (2.1-3.0 points). Conclusion By confirming key aspects of the RIH Tool’s reliability and applicability, our study brings its development to completion. It can be jointly put into action by innovation stakeholders who want to foster innovations with greater social, economic and environmental value.https://www.ijhpm.com/article_3778_4475cc23937b4afe941b21366bd490ee.pdfresponsible innovationhealth technologyassessment toolmulti-criteria decision analysissustainabilityequity |
| spellingShingle | Hudson P. Silva Andrée-Anne Lefebvre Robson R. Oliveira Pascale Lehoux Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders International Journal of Health Policy and Management responsible innovation health technology assessment tool multi-criteria decision analysis sustainability equity |
| title | Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders |
| title_full | Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders |
| title_fullStr | Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders |
| title_full_unstemmed | Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders |
| title_short | Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders |
| title_sort | fostering responsible innovation in health an evidenceinformed assessment tool for innovation stakeholders |
| topic | responsible innovation health technology assessment tool multi-criteria decision analysis sustainability equity |
| url | https://www.ijhpm.com/article_3778_4475cc23937b4afe941b21366bd490ee.pdf |
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