The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review”
<span class="fontstyle0">Lehoux and colleagues plea for a health systems perspective to evaluate innovations. Since many innovations and their scale-up strategies emerge from processes that are not (centrally) steered, we plea for any assessment with a dynamic, instead of a sequentia...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2019-07-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_3622_e9bf04e14554097193a47fadaaa84f6c.pdf |
| _version_ | 1818155913014411264 |
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| author | Josefien van Olmen Bruno Marchal Button Ricarte Wim Van Damme Sara Van Belle |
| author_facet | Josefien van Olmen Bruno Marchal Button Ricarte Wim Van Damme Sara Van Belle |
| author_sort | Josefien van Olmen |
| collection | DOAJ |
| description | <span class="fontstyle0">Lehoux and colleagues plea for a health systems perspective to evaluate innovations. Since many innovations and their scale-up strategies emerge from processes that are not (centrally) steered, we plea for any assessment with a dynamic, instead of a sequential, approach. We provide further guidance on how to adopt such dynamic approach, in order to better un-derstand and steer innovations for better health systems. A systems-level challenge is constituted by interactions and feedback loops between different actors and components of the health system. It is therefore essential to explore both the entry-point of innovation and the interactions with other components. If innovation is regarded as an injection of resources and opportunities into a health system, this system needs to have the capacity to transform these into desired outputs, the ‘absorption capacity.’ The highly organic diffusion of innovation in complex adapative systems cannot be easily controlled, but the system behaviours can be analysed, with occurance of phenomena such as path dependence, feedback loops, scale-free networks, emergent behaviour and phase transitions. This helps to anticipate unintended consequences, and to engage key actors in ongoing problem-solving and adaptation. By adopting a prospective approach, responsible innovation could set in motion prospective policy evaluations, which on the basis of iterative learning would allow decisionmakers to continuously adapt their policies and programmes. Priority-setting for innovation is an essentially political process that is geared towards consensus-building and grounded in values.</span> |
| first_indexed | 2024-12-11T14:49:57Z |
| format | Article |
| id | doaj.art-371e916060524797ae1df6a847f33782 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-11T14:49:57Z |
| publishDate | 2019-07-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-371e916060524797ae1df6a847f337822022-12-22T01:01:30ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392019-07-018744444610.15171/ijhpm.2019.253622The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review”Josefien van Olmen0Bruno Marchal1Button Ricarte2Wim Van Damme3Sara Van Belle4Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium<span class="fontstyle0">Lehoux and colleagues plea for a health systems perspective to evaluate innovations. Since many innovations and their scale-up strategies emerge from processes that are not (centrally) steered, we plea for any assessment with a dynamic, instead of a sequential, approach. We provide further guidance on how to adopt such dynamic approach, in order to better un-derstand and steer innovations for better health systems. A systems-level challenge is constituted by interactions and feedback loops between different actors and components of the health system. It is therefore essential to explore both the entry-point of innovation and the interactions with other components. If innovation is regarded as an injection of resources and opportunities into a health system, this system needs to have the capacity to transform these into desired outputs, the ‘absorption capacity.’ The highly organic diffusion of innovation in complex adapative systems cannot be easily controlled, but the system behaviours can be analysed, with occurance of phenomena such as path dependence, feedback loops, scale-free networks, emergent behaviour and phase transitions. This helps to anticipate unintended consequences, and to engage key actors in ongoing problem-solving and adaptation. By adopting a prospective approach, responsible innovation could set in motion prospective policy evaluations, which on the basis of iterative learning would allow decisionmakers to continuously adapt their policies and programmes. Priority-setting for innovation is an essentially political process that is geared towards consensus-building and grounded in values.</span>https://www.ijhpm.com/article_3622_e9bf04e14554097193a47fadaaa84f6c.pdfhealth systemshealth systems agencydiffusion of innovation |
| spellingShingle | Josefien van Olmen Bruno Marchal Button Ricarte Wim Van Damme Sara Van Belle The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” International Journal of Health Policy and Management health systems health systems agency diffusion of innovation |
| title | The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” |
| title_full | The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” |
| title_fullStr | The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” |
| title_full_unstemmed | The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” |
| title_short | The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review” |
| title_sort | need for a dynamic approach to health system centered innovations comment on what health system challenges should responsible innovation in health address insights from an international scoping review |
| topic | health systems health systems agency diffusion of innovation |
| url | https://www.ijhpm.com/article_3622_e9bf04e14554097193a47fadaaa84f6c.pdf |
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