Sustainability of innovations in healthcare: A systematic review and conceptual framework for professional pharmacy services

Crespo-González, Carmen; Benrimoj, Shalom I.; Scerri, Moira; García-Cárdenas, Victoria

doi:10.1016/j.sapharm.2020.01.015

Cited by 35 publications

(24 citation statements)

References 149 publications

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“…The two prime challenges of sustainability are the lack of an agreed-upon definition of the term and the multiplicity of interchangeable words used by researchers [ 27 ]. Frequently used alternate terms instead of sustainability include continuation, maintenance, routinization, durability, and institutionalization [ 28 , 29 ]. The definitional variations are the result of multiple disciplines (for example, sociology, psychology, health systems, management sciences, prevention science, justice, and education) [ 30 ] confronting similar problems.…”

Section: Literature Reviewmentioning

confidence: 99%

The Effect of Work Safety on Organizational Social Sustainability Improvement in the Healthcare Sector: The Case of a Public Sector Hospital in Pakistan

Ullah

Sulaiman

Ali

et al. 2021

IJERPH

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Social sustainability is the much emphasized organizational phenomenon in Western literature; however, in emerging economies, its importance has only been realized in the recent past. Social sustainability is the amiability of the relationship between employees and the organizations on a relatively permanent basis. Social sustainability is the key determinant of organizational sustainability and organizational effectiveness. As healthcare organizations are labor-intensive, the role of social sustainability in hospitals is more crucial. The purpose of the present study is to understand the role of work safety in improving social sustainability in public sector hospitals. To this effect, we collected data from 431 healthcare professionals of a large public sector tertiary and teaching hospital in the city of Lahore Pakistan and analyzed the data using structural equation modeling (SEM). The results uncovered certain important facts, which were not expected per se. job design, coworkers’ behavior towards work safety, and supervisors’ role in ensuring work safety are the key factors that influence social sustainability. However, surprisingly, in the eyes of employees, management practices and safety programs/policies do not contribute to the work safety of the hospital under study. Keeping in view the findings, we suggest that management must participate in work safety affairs directly and formulate indigenous policies and programs according to local needs. Job analysis is needed to redesign job structures to meet workplace safety requirements. Formal and informal training will be beneficial to make workers and supervisors more aware, more sensitive, and more responsible regarding work safety.

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Section: Literature Reviewmentioning

confidence: 99%

The Effect of Work Safety on Organizational Social Sustainability Improvement in the Healthcare Sector: The Case of a Public Sector Hospital in Pakistan

Ullah

Sulaiman

Ali

et al. 2021

IJERPH

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“…Such a challenge has previously been highlighted with an emphasis for pharmacy education to address this barrier to implementation and build pharmacy students' ability to adapt to change [36]. The ability to plan for change allows pharmacy teams to become more adaptable, which is a major factor in ensuring the sustainability of innovation such as professional services in community pharmacy [37]. For pharmacists in practice, this can be addressed by governing pharmacy bodies and • Emphasise enhanced customer outcomes as opposed to poor practice • Outline negative impacts to lack of implementation (using evidence/opinion) • Outlining benefits of implementation (using evidence/ opinion)…”

Section: Discussionmentioning

confidence: 99%

“…Such a challenge has previously been highlighted with an emphasis for pharmacy education to address this barrier to implementation and build pharmacy students’ ability to adapt to change [ 36 ]. The ability to plan for change allows pharmacy teams to become more adaptable, which is a major factor in ensuring the sustainability of innovation such as professional services in community pharmacy [ 37 ]. For pharmacists in practice, this can be addressed by governing pharmacy bodies and by pharmacy owners equipping their teams with the right capabilities to plan for change and become more adaptable, this is crucial because if ‘pharmacy practice is to survive as an active participant in emerging healthcare systems, pharmacy practice must change along with the rest of health care’ [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Data-driven approach for tailoring facilitation strategies to overcome implementation barriers in community pharmacy

et al. 2021

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Background Implementation research has delved into barriers to implementing change and interventions for the implementation of innovation in practice. There remains a gap, however, that fails to connect implementation barriers to the most effective implementation strategies and provide a more tailored approach during implementation. This study aimed to explore barriers for the implementation of professional services in community pharmacies and to predict the effectiveness of facilitation strategies to overcome implementation barriers using machine learning techniques. Methods Six change facilitators facilitated a 2-year change programme aimed at implementing professional services across community pharmacies in Australia. A mixed methods approach was used where barriers were identified by change facilitators during the implementation study. Change facilitators trialled and recorded tailored facilitation strategies delivered to overcome identified barriers. Barriers were coded according to implementation factors derived from the Consolidated Framework for Implementation Research and the Theoretical Domains Framework. Tailored facilitation strategies were coded into 16 facilitation categories. To predict the effectiveness of these strategies, data mining with random forest was used to provide the highest level of accuracy. A predictive resolution percentage was established for each implementation strategy in relation to the barriers that were resolved by that particular strategy. Results During the 2-year programme, 1131 barriers and facilitation strategies were recorded by change facilitators. The most frequently identified barriers were a ‘lack of ability to plan for change’, ‘lack of internal supporters for the change’, ‘lack of knowledge and experience’, ‘lack of monitoring and feedback’, ‘lack of individual alignment with the change’, ‘undefined change objectives’, ‘lack of objective feedback’ and ‘lack of time’. The random forest algorithm used was able to provide 96.9% prediction accuracy. The strategy category with the highest predicted resolution rate across the most number of implementation barriers was ‘to empower stakeholders to develop objectives and solve problems’. Conclusions Results from this study have provided a better understanding of implementation barriers in community pharmacy and how data-driven approaches can be used to predict the effectiveness of facilitation strategies to overcome implementation barriers. Tailored facilitation strategies such as these can increase the rate of real-time implementation of innovations in healthcare, leading to an industry that can confidently and efficiently adapt to continuous change.

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“…During this pandemic, difficult access impedes patient communication with medical workers. An innovation regarding this issue needs to be made to allow patients to obtain adequate information and health services (Crespo-Gonzalez et al, 2020). Health facilities must anticipate this condition by providing health services to patients and thinking about new strategies to sustain treatment adherence.…”

Section: Impact On Health Aspect Dan Innovationsmentioning

confidence: 99%

Pandemic 2020: Economic pressure and evaluation of a primary health care innovation programme for type 2 diabetes mellitus treatment

2021

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Background: The COVID-19 pandemic has affected two vital sectors: the economy and health. Subsequently, people with type 2 diabetes mellitus (T2DM) face the dilemma of risking having a severe prognosis or non-compliance treatment. Objective: This study determines the relationship problems between the economic aspects and compliance behaviour in T2DM patients during the pandemic and how community health centres solve them. Methods: Data were collected from interviews with 20 T2DM patients and nine health workers in the Central Bogor region. The data were transcribed verbatim and analysed thematically. Results: Most patients tended to prioritise their economic condition. Besides, the community health centre has innovated an internet-based health service with particular policies to solve the problems. Conclusion: Economic pressure due to the COVID-19 pandemic has changed patients’ mindsets. Community health centres respond with particular policies to sustain patient treatment adherence.

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Sustainability of innovations in healthcare: A systematic review and conceptual framework for professional pharmacy services

Cited by 35 publications

References 149 publications

The Effect of Work Safety on Organizational Social Sustainability Improvement in the Healthcare Sector: The Case of a Public Sector Hospital in Pakistan

The Effect of Work Safety on Organizational Social Sustainability Improvement in the Healthcare Sector: The Case of a Public Sector Hospital in Pakistan

Data-driven approach for tailoring facilitation strategies to overcome implementation barriers in community pharmacy

Pandemic 2020: Economic pressure and evaluation of a primary health care innovation programme for type 2 diabetes mellitus treatment

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