The sustainability of healthcare innovations: a concept analysis

Fleiszer, Andrea R.; Semenic, Sonia; Ritchie, Judith A.; Richer, Marie‐Claire; Denis, Jean‐Louis

doi:10.1111/jan.12633

Cited by 117 publications

(185 citation statements)

References 63 publications

(160 reference statements)

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“…[7]. However, it remains a multi-dimensional, multi-factorial notion that is used somewhat inconsistently or ambiguously and takes on different meanings at various times or contexts [5]. Scheirer and Dearing define the sustainability of public health programmes as "the continued use of programme components and activities (beyond their initial funding period) for the continued achievement of desirable programme and population outcomes" [6,8].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Stirman et al proposed the framework of influences on sustainability as innovation characteristics, context, capacity, processes and interactions [11]. While Fleiszer et al [5] sorted the indicators as innovation, context, leadership and process. Buchanan et al [12] approached a synthesis with the influences on sustainability categorized as substantial, individual, managerial, financial, leadership, organizational, cultural, political, processual, contextual and temporal.…”

Section: Literature Reviewmentioning

confidence: 99%

“…However, there is no "Gold standard" for sustainability since the programme type, setting or resources can be varied [5]. Previous studies on the sustainability of LTC programmes mostly drew on a single perspective.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

et al. 2016

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Sustainability is a crucial factor in Long-Term Care (LTC) programmes, which implies whether the programmes have the capability of sustaining a quality service over the long term. To evaluate the sustainability of community-based LTC programmes, a novel hybrid framework has been demonstrated with a mixed Multi-Criteria Decision Making (MCDM) technique. According to extensive literature review and the fuzzy Delphi method, four pillars of initial criteria and twelve sub-criteria have been determined. Then a weighted hierarchy has been constructed with Analytic Hierarchy Process (AHP) to constitute the evaluation index system. In order to prove our framework, a case study of four community-based LTC programmes in Michigan is presented by applying the fuzzy technique for order preference by similarity to an ideal solution (TOPSIS) method. The results indicate that programme P2 has the best potential of sustainability, and sub-criteria associated with economy outweigh other sub-criteria. The sensitivity analysis verifies that the result of the ranking remains stable regardless of the fluctuation in sub-criteria weights, which proves the evaluation results and proposed model to be accurate and effective. This study develops a comprehensive and effective framework for evaluating community-based LTC programmes from the sustainability perspective.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

et al. 2016

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“…Projects are supposed to efficiently manage demands for constant change, flexibility and development. In parallel, there is a critique that projects rarely generate long-term sustainable effects (Brulin & Svensson, 2012;Fleiszer et al, 2015;Racine, 2006;Savaya & Spiro, 2012;Shediac-Rizkallah & Bone, 1998). This problem and the concept of sustainable change in organizations are the focal points of the present research.…”

Section: English Summarymentioning

confidence: 99%

“…The definition combines three elements frequently highlighted in the research literature (Fleiszer et al, 2015). First, it is stressed that project results and new knowledge should be routinized (or institutionalized) in organizations (Goodman & Steckler, 1989;Yin, 1981).…”

Section: Sustainable Change In Organizationsmentioning

confidence: 99%

Hållbart utvecklingsarbete i vård och omsorg : Ett institutionellt perspektiv på projekt i en professionell och byråkratisk kontext

Åhlfeldt¹

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Det drivs många utvecklingsprojekt inom offentlig sektor, men det saknas kunskap om hur dessa projekt kan bidra till ett hållbart utvecklingsarbete. Syftet med avhandlingen är att förstå och förklara hur resultat och kunskap från utvecklingsprojekt kan integreras i den ordinarie verksamheten i offentliga organisationer och bidra till långsiktiga effekter, som har ett värde för brukarna, organisationen och de anställda. I forskningen saknas en etablerad begreppsapparat för att studera hållbar utveckling i organisationer. En utmaning har därför varit att identifiera och analysera tidigare forskning, för att därigenom definiera begreppet hållbart utvecklingsarbete och viktiga förutsättningar för ett sådant arbete. Den teoretiska referensramen baseras på ett institutionellt perspektiv: nyinstitutionell organisationsteori kombineras med Giddens struktureringsteori och sociologisk professionsteori, som synliggör spänningar mellan konkurrerande styrformer som byråkrati, marknad och professionalism. Avhandlingen utgår från en interaktiv forskningsansats och består av två empiriska delar: en kvantitativ enkätstudie som inkluderar 348 utvecklingsprojekt inom vård och omsorg samt en kvalitativ flerfallstudie av fyra utvecklingsprojekt. Studierna visar att olika faktorer främjade projekten på kort och lång sikt. Tydliga projektmål, styrning och kompetent projektledning hade betydelse för de kortsiktiga projektresultaten, men mycket begränsat påverkan på den långsiktiga hållbarheten. Istället var det ett aktivt ägarskap, och andra faktorer kopplade till ledningen i mottagarorganisationerna, som tydligast främjade ett hållbart utvecklingsarbete. Studierna visar även hur konflikter och motstånd i projekten påverkade förutsättningarna för långsiktig hållbarhet. Det gällde konflikter mellan olika yrkesgrupper, mellan ledning och professionella samt mellan byråkratiska och professionella styrformer. En slutsats är att en analysmodell för hållbart utvecklingsarbete behöver komplettera ett organisatoriskt och institutionellt perspektiv med ett professionsperspektiv.There are many development projects in the public sector, but there is a lack of knowledge about how these projects can be made sustainable. The aim of the thesis is to explain how project results and knowledge can be integrated into public organizations and contribute to long-term effects and value for clients, organizations and employees. The scientific literature lacks an established conceptual framework for studying sustainability in organizations. Therefore, it has been a challenge to identify and analyze previous research in order to delineate and define the concept of sustainable change in organizations. The research is based on an institutional perspective: neo-institutional theory in combination with Giddens' structuration theory and sociological profession theory, which reveal tensions between three competing logics of control, i.e., bureaucracy, market and professionalism. The method is inspired by an interactive research approach and comprises two empirical p...

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Sustainable Healthcare Systems

et al. 2020

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The sustainability of healthcare innovations: a concept analysis

Abstract: Further conceptual development is essential to continue advancing our understanding of the sustainability of healthcare innovations, especially in nursing where this topic remains largely unexplored.

Cited by 117 publications

References 63 publications

Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

Hållbart utvecklingsarbete i vård och omsorg : Ett institutionellt perspektiv på projekt i en professionell och byråkratisk kontext

Sustainable Healthcare Systems

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