dc.contributor.author
Haring, Malte
dc.contributor.author
Freigang, Felix
dc.contributor.author
Amelung, Volker
dc.contributor.author
Gersch, Martin
dc.date.accessioned
2024-11-21T06:30:09Z
dc.date.available
2024-11-21T06:30:09Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/45703
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-45416
dc.description.abstract
Background
Until now, scholarship on innovation processes in healthcare systems lack an in-depth appreciation of tensions. Tensions often revolve around barriers and result from individual assessments and prioritizations that guide actions to eventually overcome these barriers. In order to develop a more differentiated understanding of tensions’ role in healthcare innovation processes, this paper aims to shed light on the multifaceted ways in which tensions emerge, are being dealt with, and how they hinder or, at times, facilitate innovation processes.
Methods
A systematic review of published and grey literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline. The review involved searching three databases for original research articles and manually searching citations. Twenty-nine original full texts were identified, evaluated, and coded. These include papers on innovation in healthcare systems that investigated innovation-related organizational tensions. The findings were synthesized into different types of tensions in healthcare system innovation and the descriptions of the conflicting elements. We also analyzed the investigated innovations by type, process stages, and across different countries and healthcare systems.
Results
A total of forty-two tensions were identified and grouped into nine categories. Organizing tensions were predominant, followed by learning/belonging, performing, and performing/organizing tensions. Tensions most frequently occurred in the implementation phase and in the form of a dilemma. Included studies were conducted mainly in government-funded healthcare systems.
Conclusion
Our data suggest that innovation processes in healthcare systems are impaired by conflicts between contradictory elements, working cultures, and convictions and the organizational and regulatory context. Since the majority of the tensions we collected in our study can be addressed, future policy-making and research should take advantage of this fact and develop strategies that significantly influence the successful management of tensions and thus improve the implementation of innovations.
en
dc.format.extent
20 Seiten
dc.rights
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Healthcare system
en
dc.subject
System innovation
en
dc.subject
Systematic literature review
en
dc.subject.ddc
300 Sozialwissenschaften::330 Wirtschaft::330 Wirtschaft
dc.title
What can healthcare systems learn from looking at tensions in innovation processes? A systematic literature review
dc.type
Wissenschaftlicher Artikel
dc.date.updated
2024-11-20T08:57:06Z
dcterms.bibliographicCitation.articlenumber
1299
dcterms.bibliographicCitation.doi
10.1186/s12913-022-08626-7
dcterms.bibliographicCitation.journaltitle
BMC Health Services Research
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.volume
22
dcterms.bibliographicCitation.url
https://doi.org/10.1186/s12913-022-08626-7
refubium.affiliation
Wirtschaftswissenschaft
refubium.affiliation.other
Betriebswirtschaftslehre / Department Wirtschaftsinformatik
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.isPartOf.eissn
1472-6963
refubium.resourceType.provider
DeepGreen