Innovation as a driver of quality and productivity in UK healthcare: Creating and connecting receptive places

Marjanovic, Sonja; Sim, Megan; Dubow, Talitha; Corbett, Jennie; Harte, Emma; Parks, Sarah; Miani, Céline; Chataway, Joanna; Ling, Tom

doi:10.7249/wr1186

Cited by 10 publications

(16 citation statements)

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“…As the 2018 RAND Europe review of UK Healthcare identified [ 15 ], there is a pressing need in the NHS innovation landscape for national policy which supports regional innovation, and for regional success to then shape national policy and implementation. A similar point was emphasised in the 2021 Health and Care White Paper [ 10 ].…”

Section: Regional Pathwaysmentioning

confidence: 99%

Innovation Pathways in the NHS: An Introductory Review

Arora

Wright

Cheng

et al. 2021

Ther Innov Regul Sci

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Healthcare as an industry is recognised as one of the most innovative. Despite heavy regulation, there is substantial scope for new technologies and care models to not only boost patient outcomes but to do so at reduced cost to healthcare systems and consumers. Promoting innovation within national health systems such as the National Health Service (NHS) in the United Kingdom (UK) has been set as a key target for health care professionals and policy makers. However, while the UK has a world-class biomedical research industry, several reports in the last twenty years have highlighted the difficulties faced by the NHS in encouraging and adopting innovations, with the journey from idea to implementation of health technology often taking years and being very expensive, with a high failure rate. This has led to the establishment of several innovation pathways within and around the NHS, to encourage the invention, development and implementation of cost-effective technologies that improve health care delivery. These pathways span local, regional and national health infrastructure. They operate at different stages of the innovation pipeline, with their scope and work defined by location, technology area or industry sector, based on the specific problem identified when they were set up. In this introductory review, we outline each of the major innovation pathways operating at local, regional and national levels across the NHS, including their history, governance, operating procedures and areas of expertise. The extent to which innovation pathways address current challenges faced by innovators is discussed, as well as areas for improvement and future study.

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Section: Regional Pathwaysmentioning

confidence: 99%

Innovation Pathways in the NHS: An Introductory Review

Arora

Wright

Cheng

et al. 2021

Ther Innov Regul Sci

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“…The increased use of web-based services has been shown to benefit patients, general medical practitioners (primary care physicians, known as general practitioners [GPs] in the United Kingdom), and other primary care staff through improved communication between patients and GP practices, expanded health and health care knowledge for patients, and improved access to services [11][12][13]. For GP practices and patients to gain the potential benefits that technological innovation can bring to primary care, patients must be able to, as well as wish to, access and use web-based services [14]. There is emerging evidence that the trend toward web-based interactions creates or exacerbates pre-existing inequalities in access to health care information and services for some patient groups who may not be able, or may not choose, to use or access web-based services [15,16].…”

Section: Introductionmentioning

confidence: 99%

Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review

Leach¹,

Parkinson²,

Gkousis³

et al. 2022

J Med Internet Res

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Background The use of web-based services within primary care (PC) in the National Health Service in England is increasing, with medically underserved populations being less likely to engage with web-based services than other patient groups. Digital facilitation—referring to a range of processes, procedures, and personnel that seek to support patients in the uptake and use of web-based services—may be a way of addressing these challenges. However, the models and impact of digital facilitation currently in use are unclear. Objective This study aimed to identify, characterize, and differentiate between different approaches to digital facilitation in PC; establish what is known about the effectiveness of different approaches; and understand the enablers of digital facilitation. Methods Adopting scoping review methodology, we searched academic databases (PubMed, EMBASE, CINAHL, Web of Science, and Cochrane Library) and gray literature published between 2015 and 2020. We conducted snowball searches of reference lists of included articles and articles identified during screening as relevant to digital facilitation, but which did not meet the inclusion criteria because of article type restrictions. Titles and abstracts were independently screened by 2 reviewers. Data from eligible studies were analyzed using a narrative synthesis approach. Results A total of 85 publications were included. Most (71/85, 84%) were concerned with digital facilitation approaches targeted at patients (promotion of services, training patients to improve their technical skills, or other guidance and support). Further identified approaches targeted PC staff to help patients (eg, improving staff knowledge of web-based services and enhancing their technical or communication skills). Qualitative evidence suggests that some digital facilitation may be effective in promoting the uptake and use of web-based services by patients (eg, recommendation of web-based services by practice staff and coaching). We found little evidence that providing patients with initial assistance in registering for or accessing web-based services leads to increased long-term use. Few studies have addressed the effects of digital facilitation on health care inequalities. Those that addressed this suggested that providing technical training for patients could be effective, at least in part, in reducing inequalities, although not entirely. Factors affecting the success of digital facilitation include perceptions of the usefulness of the web-based service, trust in the service, patients’ trust in providers, the capacity of PC staff, guidelines or regulations supporting facilitation efforts, and staff buy-in and motivation. Conclusions Digital facilitation has the potential to increase the uptake and use of web-based services by PC patients. Understanding the approaches that are most effective and cost-effective, for whom, and under what circumstances requires further research, including rigorous evaluations of longer-term impacts. As efforts continue to increase the use of web-based services in PC in England and elsewhere, we offer an early typology to inform conceptual development and evaluations. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020189019; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=189019

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“…The achievements in global health, particularly in the last several decades, are remarkable. The healthcare systems of industrialized countries have evolved into engines of innovation, developing and widely disseminating innovative, lifeenhancing treatments and providing customers with a diverse range of options (Marjanovic et al, 2017). As a result, these countries achieved an overall increase in life expectancy and provided high-quality patient care by using advanced technologies and diagnostic techniques.…”

Section: Introductionmentioning

confidence: 99%

“…The wellknown problems range from medical errors, which by some accounts are the leading cause of death, to the soaring cost of healthcare threatening the economic future of government, businesses, and individuals. Such issues necessitate creative solutions incorporating all aspects of healthcare, including patient care, diagnostic technologies, treatment techniques, and business models (Demircioglu, 2017;Marjanovic et al, 2017;Raghavan et al, 2021). The public sector hospitals are under pressure because the costs of equipment and services are constantly increasing, and the governments are trying to reduce budgets while at the same time pushing to improve quality (Kumar and Bano, 2017).…”

Section: Introductionmentioning

confidence: 99%

Leadership Styles, Organizational Culture, and Innovation in Healthcare: A Conceptual Framework

Saeed¹,

Som²,

Mahmood³

2022

IJARBSS

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This study examines the importance of leadership styles and how they relate to organizational innovation, which is vital in organizations because it enhances systems, services, procedures, and goods, especially in developing nations. Innovation can inspire a proactive, self-assured mindset that encourages taking chances and moving things along while also helping to develop a culture of innovation. The paper aims to propose a conceptual framework to investigate the relationship between the organizational innovation and leadership styles in the healthcare sector. The proposed model also aims to investigate the mediating role of organizational culture in relationship to leadership styles and organizational innovation. The framework is based on findings from reviewing key theories and concepts along with the relevant literature in the areas of leadership and organizational innovation. The framework can be used to empirically test a leadership style, and organizational culture suitable to promote administrative and technological innovation in hospitals and healthcare units. Methodologically, the framework will be tested by using quantitative methods and data will be collected through a cross-sectional survey design. Statistical software such as SmartPLS will be used for data analysis and to understand the relationships between the variables. The conceptual framework is expected to add to the body of knowledge both theoretically and in terms of practical implications for regulators, human resources, and healthcare practitioners. Further research will provide empirical data to the practitioners and policymakers of health and public sector organizations on the skills and competencies of the leaders that must be possessed to run healthcare institutions and deliver services to the masses at the optimum level. The health managers will further understand organizational leadership, innovation, and culture dynamics by having a framework that will help them to reassess capabilities and shortcomings. The paper also highlights the key determinants, and the importance of innovation in providing adequate patient care services and facilities within the context of healthcare sector in developing countries.

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Innovation as a driver of quality and productivity in UK healthcare: Creating and connecting receptive places

Cited by 10 publications

References 0 publications

Innovation Pathways in the NHS: An Introductory Review

Innovation Pathways in the NHS: An Introductory Review

Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review

Leadership Styles, Organizational Culture, and Innovation in Healthcare: A Conceptual Framework

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