Innovative doctors in Germany: changes through communities of practice

Bosa, Iris

doi:10.1108/14777260810898697

Cited by 7 publications

(8 citation statements)

References 20 publications

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“…For example, a qualitative study of two organizations in Germany found that deep knowledge of patient-centered care models and emerging financial models encouraged entrepreneurial physicians to form group practices with new fee structures (e.g. Bosa, 2008). Organizational members with environmental understanding of other stakeholders may be more successful at implementing innovations via relationship building to achieve value alignment with ecosystem partners (Wankah et al, 2022), particularly in LMIS (Bloom and Dees, 2008).…”

Section: Ic Linkagesmentioning

confidence: 99%

The ties that bind: innovation configurations in low- and middle-income healthcare delivery settings

Glover,

Jacques,

Obounou

et al. 2024

JHOM

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PurposeThis study examines innovation configurations (i.e. sets of product/service, social and business model innovations) and configuration linkages (i.e. factors that help to combine innovations) across six organizations as contingent upon organizational structure.Design/methodology/approachUsing semi-structured interviews and available public information, qualitative data were collected and examined using content analysis to characterize innovation configurations and linkages in three local/private organizations and three foreign-led/public-private partnerships in Repiblik Ayiti (Haiti).FindingsOrganizations tend to combine product/service, social, and business model innovations simultaneously in locally founded private organizations and sequentially in foreign-based public-private partnerships. Linkages for simultaneous combination include limited external support, determined autonomy and shifting from a “beneficiary mindset,” and financial need identification. Sequential combination linkages include social need identification, community connections and flexibility.Research limitations/implicationsThe generalizability of our findings for this qualitative study is subject to additional quantitative studies to empirically test the suggested factors and to examine other health care organizations and countries.Practical implicationsLocally led private organizations in low- and middle-income settings may benefit from considering how their innovations are in service to one another as they may have limited resources. Foreign based public-private partnerships may benefit from pacing their efforts alongside a broader set of stakeholders and ecosystem partners.Originality/valueThis study is the first, to our knowledge, to examine how organizations combine sets of innovations, i.e. innovation configurations, in a healthcare setting and the first of any setting to examine innovation configuration linkages.

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Section: Ic Linkagesmentioning

confidence: 99%

The ties that bind: innovation configurations in low- and middle-income healthcare delivery settings

Glover,

Jacques,

Obounou

et al. 2024

JHOM

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“…CoPs allowed professional service firms to analyze new practices, identify critical generative elements, combine learning pathways to networks, and promote knowledge-based organizations (Anand, Gardner, & Morris, 2007;Jawitz, 2009). These innovative structures can offer a unique viewpoint regarding professional advancement in which participants can leverage inquiry and expertise (Ash, Brown, Kluger-Bell, & Hunter, 2009;Dabback, 2010) whereas breaking old practice paradigms to learn new practices (Bosa, 2008).…”

Section: Domainmentioning

confidence: 99%

“…Organized CoPs can promote change in bureaucratic environments such as public health care by promoting entrepreneurial impetus and channeling it into modern tools, radical change, and refined techniques (Bosa, 2008;Elmualim & Govender, 2008). Empirical evidence from longitudinal studies in different industries (from call center organizations to complex innovation working environments) demonstrated that professional CoPs supported the identification of best practices and creative solutions to everyday problems, enabling an environment of innovation and competitiveness (Corso, Giacobbe, & Martini, A., 2009) for private and public organizations alike (Gambarotto & Cammozzo, 2010).…”

Section: Domainmentioning

confidence: 99%

Community, Practice, and Domain Behaviors, and the Moderator Influence of Information Technology among global Communities of Practice: A Meta-Analysis

Saldaña

2012

HOJ

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The theory of Communities of Practice (CoPs) emerged in the middle 1990s through the work of Etienne Wenger and other contemporary authors (Wenger, 2004; Wenger, McDermott, & Snyder, 2002; Wenger & Snyder, 2000). Domain, practice, and community are the main dimensions of CoPs, each with a set of defined behavioral dynamics that allow communities of learners to develop continued growth and sustainability. Professional associations and educational institutions are using online CoPs to engage industry and academia in contributing with innovative solutions to everyday problems. The knowledge management theory has defined groups that meet to produce knowledge solutions in response to common interests as invisible colleges, epistemic communities, learning communities, and CoPs. A meta-analysis of 84 research designs dated from 2000 to 2011, and representing 18 geographic areas in more than 20 industries, demonstrated that professional CoPs manifest distinctive behaviors in all CoP structural dimensions as described by Wenger et al. (2002). Reflective collaboration (e.g., community), sense of common purpose (e.g., practice), and innovation, creativity, and solutions to everyday problems (e.g., domain) are the behaviors present with more frequency among global CoPs. The moderator role of information technology for collaboration and knowledge creation is evident in the observed CoP behaviors and dynamics of this meta-analysis. The use of technologies to promote CoPs creates new challenges for organizations, which will be providing more technological services and support to the diverse CoPs’ memberships.

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“… Cranfield et al. , 2015 ), or they are only visible as “background” when research focuses on innovative physicians ( Bosa, 2008 ) or entrepreneurs ( Exton, 2008 ). In line with Thune and Mina (2016) , we argue that there is a need for more knowledge on the active role of healthcare organisations in innovation processes and how they can contribute to innovations.…”

Section: Introductionmentioning

confidence: 99%

Nurturing innovative culture in a healthcare organisation – Lessons from a Swedish case study

Andersson

Linnéusson

Holmén

et al. 2023

JHOM

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PurposeHealthcare organisations are often described as less innovative than other organisations, since organisational culture works against innovations. In this paper, the authors ask whether it has to be that way or whether is possible to nurture an innovative culture in a healthcare organisation. The aim of this paper is to describe and analyse nurturing an innovative culture within a healthcare organisation and how culture can support innovations in such a healthcare organisation.Design/methodology/approachBased on a qualitative case study of a healthcare unit that changed, within a few years, from having no innovations to repeatedly generating innovations, the authors describe important aspects of how innovative culture can be nurtured in healthcare. Data were analysed using inductive and deductive analysis steps.FindingsThe study shows that it is possible to nurture an innovative culture in a healthcare organisation. Relationships and competences beyond healthcare, empowering structures and signalling the importance of innovation work with resources all proved to be important. All are aspects that a manager can influence. In this case, the manager's role in nurturing innovative culture was very important.Practical implicationsThis study highlights that an innovative culture can be nurtured in healthcare organisations and that managers can play a key role in such a process.Originality/valueThe paper describes and analyses an innovative culture in a healthcare unit and identifies important conditions and strategies for nurturing innovative culture in healthcare organisations.

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Innovative doctors in Germany: changes through communities of practice

Abstract: The paper presents two original case studies of radical change leading to an integration of healthcare services in Germany. The approach adopted by the German GPs reveals important general lessons for practitioners, as does the analytical framework employed in the paper.

Cited by 7 publications

References 20 publications

The ties that bind: innovation configurations in low- and middle-income healthcare delivery settings

The ties that bind: innovation configurations in low- and middle-income healthcare delivery settings

Community, Practice, and Domain Behaviors, and the Moderator Influence of Information Technology among global Communities of Practice: A Meta-Analysis

Nurturing innovative culture in a healthcare organisation – Lessons from a Swedish case study

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