Characters of Innovation Management in the Primary Health Care Centers (original) (raw)

Diffusion of Ideation and Innovation in the Finnish Primary Health Care Centers: An Action Research

Providing access to care along with delivering good quality services to patients are the main aims of the health care systems in different countries, especially in developed countries. Today innovation in primary health care centers (HCC) is one of the important debates among the governments and academic forums. Although the number of studies in the field of innovation in health care sectors (HCS) has increased greatly over the last 10 years, little is known about the conditions for the successful implementation of innovations in the health care centers (HCC). This article, in the frame of an action research, reviews and assesses the situation of Finnish health care centers from innovation management viewpoint. The work also tries to answer to one of the important questions designed by policy and decision makers titled "How can Finnish health care centers move toward the systems that will continuously improve their innovation and creativity?" Then, an innovative framework presents and describes the main characters and dimensions of the diffusion of ideation and innovation in the HCCs. I.

Key Items of Innovation Management in the Primary Healthcare Centres Case Study: Finland

Central European journal of public health, 2015

Trends such as aging populations, excess costs, rising public expectations, and progress in medical science and technologies point out the necessity of adaptation and development of innovation in the healthcare systems particularly in developed countries. The main objective of this article is to review diffusion of innovation in the healthcare sector. Different types of innovation, diffusion characteristics, and adoption mechanisms are the subjects that are discussed in the selected case study, Finland. Finally, the key items of innovation management in the Finnish health system are introduced. The results can be implemented in other countries as well.

Mechanisms of Innovation Improvement in the Primary Healthcare Centers

International Journal of Public and Private Healthcare Management and Economics, 2013

Trends such as aging populations, excess costs, rising public expectations, and progress in medical science and technologies point out necessity of adoption and development of innovation in the healthcare systems particularly in developed countries. The main objective of this article is to review diffusion of innovation improvement in the healthcare sector. Different types of innovation, diffusion characters, and adoption mechanisms are the subjects that are discussed as the key items in a selected case study, Finland.

The framework of the practice of innovation in primary healthcare: a case study

2015

The objective of this study was to identify the practice of innovation in primary healthcare in the second-largest county, by population, in the state of Rio Grande do Sul, Brazil. The methodology employed case studies of multiple units of analysis, where various studies were simultaneously conducted. Forty-five semi-structured interviews were carried out with the directors of basic health clinics, followed by content analysis, beginning with the construction of a system of categories based on the literature. Fifty-six innovations in total were identified: Eighteen were innovations of products (goods and/or services), fifteen in processes, eleven in marketing, and twelve were organizational innovations. Studies that focus on and highlight innovation in primary healthcare facilitate changes, improvements, and alternatives in the form of services provided to the population, serving as a basis for the formulation of public health policy. Finally, we also highlight the limitations and opportunities of future research.

Tending to innovate in Swedish primary health care: a qualitative study

BMC Health Services Research

Background: Policymakers in many countries are involved in system reforms that aim to strengthen the primary care sector. Sweden is no exception. Evidence suggests that targeted financial micro-incentives can stimulate change in certain areas of care, but they do not result in more radical change, such as innovation. The study was performed in relation to the introduction of a national health care reform, and conducted in Jönköping County Council, as the region's handling of health care reforms has attracted significant national and international interest. This study employed success case method to explore what enables primary care innovations. Methods: Five Primary Health Care Centres (PHCCs) were purposively selected to ensure inclusion of a variety of aspects, such as size, location, ownership and regional success criteria. 48 in-depth interviews with managers and staff at the recruited PHCCs were analysed using content analyses. The COREQ checklist for qualitative studies was used to assure quality standards. Results: This study identified three types of innovations, which break with previous ways of organizing work at these PHCCs: (1) service innovation; (2) process innovation; and (3) organizational innovation. A learning-oriented culture and climate, comprising entrepreneurial leadership, cross-boundary collaboration, visible and understandable performance measurements and ability to adapt to external pressure were shown to be advantageous for innovativeness. Conclusions: This qualitative study highlights critical features in practice that support primary care innovation. Managers need to consistently transform and integrate a policy "push" with professionals' understanding and values to better support primary care innovation. Ultimately, the key to innovation is the professionals' engagement in the work, that is, their willingness, capability and opportunity to innovate.

Lessons from eight countries on diffusing innovation in health care

Health affairs (Project Hope), 2014

Health care systems are under increasing pressure to cope with shifting demographics, the threat of chronic and noncommunicable disease, and rising health care costs. The uptake of innovations to meet these challenges and to advance medicine and health care delivery is not as rapid as the pace of change. Greater emphasis on the diffusion of innovation and greater understanding of the structural and organizational levers that can be used to facilitate systemwide improvement are essential. This article describes the results of a qualitative and quantitative study to assess the factors and behaviors that foster the adoption of health care innovation in eight countries: Australia, Brazil, England, India, Qatar, South Africa, Spain, and the United States. It describes the front-line cultural dynamics that must be fostered to achieve cost-effective and high-impact transformation of health care, and it argues that there is a necessity for greater focus on vital, yet currently underused, or...

Organizational innovation in health care - as a process

Medicinski glasnik

Slovenia, like most countries of the modern world, spends toomuch on its public health care and supplies too little public healthcare services for the government, economists, politicians, and citizensto be happy. The many reforms of the public health care, e.g.in Slovenia, seem to be inefficient, one after the other, in solvingthis problem. Reforms have been conceived with a too poor considerationof the law of the requisite holism in decision preparation,decisions making and decision implementation. The articletackles procedure of implementation of reforms as inventions aresupposed to become innovations in the public health care organizationand management, rather than reforms’ content. Combinationof the absorption capacity, innovation promotion and diffusion issuggested for the requisite holism of implementation.

Pathways and complexity of innovation in health care

The focus of this research is to explore various possibili es to inject innova ve solu ons in day-today healthcare opera ons. The concept of healthcare innova on itself is o en vague, leading to confusion about how to sustain and enforce innova ve prac ce. It inves gates the culture and complexity including organiza onal culture and climate, care delivery, costs, quality pa ent outcomes, and staff efficiencies. Innova on in health care leads to improve care and cut the skyrocke ng costs. Many successful experiences, case studies, and frameworks in health care are discussed and culminated with valuable lessons. This paper also tackles the issues of medical malprac ce and negligence, and how healthcare ins tu ons are implemen ng prac cal steps to minimize such undesirable outcomes.

Disruptive Innovation in the Nordic Countries’ Healthcare Systems

Chinese Business Review (2014) Vol.13 No.3 pp.179-191

 The Nordic healthcare model is recognized to be one of the most innovative in the world. Here billions of USD are annually invested in developing new treatments, drugs, robots etc. to diagnose and cure diseases. Nevertheless, this study establishes that there is a fundamental shortcoming in the system that supports healthcare innovation: It is strongly biased towards micro-level innovation projects focusing on new products, alternative processes, and new financial solutions. The problem with this approach to support new projects is that the results are created as inventions within the system thus lacking holistic perspectives. This has consequently contributed with increasing costs that are out of proportion with existing budgets. Therefore this study seeks to analyze the current understanding of the Nordic healthcare system from a business model perspective. Here other aspects of the healthcare system are explored to determine if they could be redesigned to promote new types of innovation projects. The purpose of undertaking this task is to challenge the established patterns of the current healthcare innovation support practices. Here the vertical innovation process (VIP) framework, which is a systematic radical innovation model that seeks macro-level outcomes based on standalone inventions (see more below), is applied to analyze the current state-of-the-art in Nordic healthcare innovation projects. The results determine that very little attention is given to rethink and redesign the healthcare system at a macro-level, and it is discussed that stand-alone inventions ought to be rethought into the entire healthcare system to create a larger impact. Finally, it is argued that existing performance measures are inappropriate to foster projects that innovate the existing system: New measuring points should be developed to promote macro-level projects and to avoid the current rapid increase of costs in the Nordic healthcare system.