Challenges in healthcare - the changing role of patients

Oftedal, Elin Merethe; Iakovleva, Tatiana; Bessant, John

doi:10.4337/9781788975063.00010

Cited by 4 publications

(5 citation statements)

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“…In 2012, the Norwegian Coordination Reform was implemented, with major motivation to promote healthcare provision and reduce the increasing public spending on it [57]. The government suggested that Norway's aim was to be the leader in e-health innovation in the Nordic Region [73].…”

Section: Context: Characteristics Of the Norwegian Health Sectormentioning

confidence: 99%

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Responsible for Responsibility? A Study of Digital E-health Startups

2019

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Responsible innovation (RI) has received increased attention from policymakers and academics as a solution to grand challenges and is viewed as the main driver for innovation. The United Nations has suggested 17 Sustainable Development Goals and responsible innovation can be seen as a tool that allows the movement of society towards reducing inequality, coping with environmental challenges and sustaining countries’ economic and societal development. Our knowledge of how businesses act responsibly in solving these challenges is scarce. An inductive analysis of 14 e-health startups in Norway, shows that responsibility is highly prevalent. Entrepreneurs have instant contact with users (patients or healthcare professionals), which increases inclusiveness, anticipation and reflection as the main elements of responsibility. However, firms’ contextual and strategic awareness of responsibility remains low, which means an absence of focused strategies to exercise responsibility. Consequently, entrepreneurial startups are prevented from reaching broader stakeholders and fully reflecting the knowledge obtained. Moreover, RI activities are often bundled with other activities on the “path” to successful commercialization. This paper contributes to and enriches the current RI understanding from a firm perspective and suggests some implications for practitioners as well as policymakers to enhance sustainable development in the healthcare sector.

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Section: Context: Characteristics Of the Norwegian Health Sectormentioning

confidence: 99%

“…Tromsø and Stavanger are both dynamic cities, with a strategy focus on e-health [64,73]. Theoretical sampling was selected for the purpose of explaining and refining the emerging theory and involved choosing appropriate cases for the research question [77] and an appropriate unit of analysis.…”

Section: Sample Criteriamentioning

confidence: 99%

Responsible for Responsibility? A Study of Digital E-health Startups

2019

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“…This study builds upon previous research demonstrating that responsible innovation and the inclusion of diverse stakeholders are effective in improving healthcare services (18,22,(24)(25)(26). Our primary aim is to describe and analyze an inclusive innovation process for the responsible coordination of municipal health and care services for individuals with mental illness.…”

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confidence: 71%

“…We started each café dialogue by welcoming participants, introducing ourselves, and presenting the agenda for the day. We rst gave a 30-minute teaching session on care coordination to establish a shared understanding of the dialogue topics: e cient care coordination, coordination challenges, and measures to improve care coordination (24,25). We used PowerPoint to present our understanding of care coordination (2), relevant health policy (15), and literature (31,32) that highlighted the importance of care coordination and the complexities of ensuring and improving the health of individuals with mental illness.…”

Section: Café Dialoguesmentioning

confidence: 99%

Responsible coordination of municipal health and care services: Café dialogues as a method for responsible innovation

Skjærpe,

Iakovleva,

Storm

2023

Preprint

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Background Care coordination is crucial to ensure and improve the health of individuals with mental illness. This study aimed to describe and analyze an inclusive innovation process that could contribute to the responsible coordination of municipal health and care services. Method Café dialogues were performed to explore the perspectives of professionals and service users regarding care coordination. Further, we used a responsible innovation framework to analyze the innovation process. Results Factors supporting responsible coordination at the individual level comprised service users knowing the professionals working with them, personalized healthcare services, and access to meaningful activities. At the provider level, key factors were effective coordination routines, communication, information exchange, and professionals being familiar with each other. Results reflect professionals' and service users' perspectives on efficient care coordination, existing challenges, and measures to improve care coordination. Conclusion Café dialogues can be an inclusive method for innovation and can inform responsible coordination of municipal health and care services for individuals with mental illness. The impact of these measures on the improvement and responsible coordination of municipal health and care services should be explored.

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“…However, while it is more readily undertaken and financed in chemical and medical engineering-because the results translate into new drugs or technologies that improve treatments-analyses of innovation in healthcare systems as drivers of improvements in people's quality of life have only recently started to emerge. Some studies have focused on specific technologies Kijima, 2009, 2010;Consoli et al, 2016), others on hospitals as innovative organizations (Ugurluoglu et al, 2013;Yang, 2014;Dias and Escoval, 2015), on professionals (García-Goni et al, 2007;Xu and Kesselheim, 2014) and even on patient care (Oftedal et al, 2019).…”

Section: Literature Reviewmentioning

confidence: 99%