scholarly journals Are disruptive innovations recognised in the healthcare literature? A systematic review

2020 ◽  
Vol 7 (1) ◽  
pp. 208-216
Author(s):  
Viknesh Sounderajah ◽  
Vanash Patel ◽  
Lavanya Varatharajan ◽  
Leanne Harling ◽  
Pasha Normahani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Informatics ◽  
Health Management ◽  
Digital Health ◽  
Health Sector ◽  
Disruptive Innovation ◽  
Healthcare Sector ◽  
Healthcare Industry ◽  
Geographical Regions ◽  
Disruptive Innovations

The study aims to conduct a systematic review to characterise the spread and use of the concept of ‘disruptive innovation’ within the healthcare sector. We aim to categorise references to the concept over time, across geographical regions and across prespecified healthcare domains. From this, we further aim to critique and challenge the sector-specific use of the concept. PubMed, Medline, Embase, Global Health, PsycINFO, Maternity and Infant Care, and Health Management Information Consortium were searched from inception to August 2019 for references pertaining to disruptive innovations within the healthcare industry. The heterogeneity of the articles precluded a meta-analysis, and neither quality scoring of articles nor risk of bias analyses were required. 245 articles that detailed perceived disruptive innovations within the health sector were identified. The disruptive innovations were categorised into seven domains: basic science (19.2%), device (12.2%), diagnostics (4.9%), digital health (21.6%), education (5.3%), processes (17.6%) and technique (19.2%). The term has been used with increasing frequency annually and is predominantly cited in North American (78.4%) and European (15.2%) articles. The five most cited disruptive innovations in healthcare are ‘omics’ technologies, mobile health applications, telemedicine, health informatics and retail clinics. The concept ‘disruptive innovation’ has diffused into the healthcare industry. However, its use remains inconsistent and the recognition of disruption is obscured by other types of innovation. The current definition does not accommodate for prospective scouting of disruptive innovations, a likely hindrance to policy makers. Redefining disruptive innovation within the healthcare sector is therefore crucial for prospectively identifying cost-effective innovations.

scholarly journals Making Healthcare Systems More Efficient and Sustainable in Emerging and Developing Economies Through Disruptive Innovation: The Case of Nigeria

2019 ◽  
Vol 9 (2) ◽  
pp. 1
Author(s):  
Ivo Pezzuto
Keyword(s):  
Developing Economies ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Disruptive Innovation ◽  
Healthcare Sector ◽  
Shared Value ◽  
Healthcare Industry ◽  
Creating Shared Value ◽  
The World ◽  
Disruptive Innovations

This paper focuses on the potential opportunities that disruptive innovation may bring to the healthcare sector of emerging and developing economies, and in particular to the one of the leading Sub-Saharan Africa’s country, Nigeria. The author examines the possibility of using advancements in the innovation of Technology 4.0 to bridge the gap in access to what could be defined as “good enough” healthcare services for poorer regions of the world while also aiming to potentially reduce healthcare costs and making the local healthcare systems more sustainable, productive, and accessible. Nigerian health industry is used as an exploratory case study to examine the feasibility of implementing Mobile Health and Telehealth Systems, and more in general, to assess the potential benefits of disruptive innovations in the healthcare industry for the lower income patients of emerging and developing economies. This analysis on disruptive innovation, industry competitiveness, and sustainability of the healthcare models is inspired by Michael Porter’s Creating Shared Value (CSV) strategic framework (Porter et al., 2011; 2018) and by Clayton Christensen’s Disruptive Innovation Theory (Christensen et al., 1997; 2000; 2004; 2006; 2013; 2015, 2017). This study also aims to provide a compelling argument supporting the thesis that disruptive innovations in the healthcare system can help grant access to critical basic healthcare services in poor regions of the world while also achieving multiple goals such as, sustainability, efficiency, shared-value creation, and corporate profitability for forward-looking firms with scalable and disruptive business models. Ultimately, the paper aims to contribute to the body of knowledge in the field of disruptive innovation, sustainability, and creating shared-value strategies, assessing the feasibility of solutions that may drive to improved competitiveness, social progress, social inclusion, and sustainability of the healthcare industry in one of the developing economies. The results of this study aim to prove that, in the coming years, disruptive innovations are likely to redefine the competitive environment of the healthcare industry and improve the healthcare conditions of the poorer, underserved, and underreached population of developing and emerging economies like Nigeria, thus increasing their life expectancy rates.

scholarly journals All that Glitters Is not Gold: Consumer Health Informatics and Education in the Era of Social Media and Health Apps

2016 ◽  
Vol 25 (01) ◽  
pp. 188-193 ◽  
Author(s):  
P. Staccini ◽  
L. Fernandez-Luque ◽  
Keyword(s):  
Social Media ◽  
Health Literacy ◽  
Health Care Professionals ◽  
Health Informatics ◽  
Health Management ◽  
Digital Health ◽  
Unintended Consequences ◽  
Consumer Health Informatics ◽  
Consumer Health ◽  
Chronic Patients

Summary Objective: To summarize the state of the art published during the year 2015 in the areas related to consumer health informatics and education with a special emphasis on unintended consequences of applying mobile and social media technologies in that domain. Methods: We conducted a systematic review of articles published in PubMed with a predefined set of queries, which lead to the selection of over 700 potential relevant articles. Section editors screened those papers on the title, abstract, and finally complete paper basis, taking into account the papers’ relevance for the section topic. The 15 most representative papers were finally selected by consensus between the two section editors and submitted for full review and scoring to external reviewers and the yearbook editors. Based on the final scoring, section editors selected the best five papers. Results: The five best papers can be grouped in two major areas: 1) Digital health literacy and 2) Quality and safety concerns. Regarding health literacy issues of patients with chronic conditions such as asthma, online interventions should rather focus on changing patient beliefs about the disease than on supporting them in the management of their pathology since personally controlled health management systems do not show expected benefits,. Nevertheless, encouraging and training chronic patients for an active online health information–seeking behaviour substantially decreases state anxiety level. Regarding safety and privacy issues, even recommended health-related apps available on mobile phones do not guarantee personal data protection. Furthermore, the analysis indicated that patients undergoing Internet interventions experienced at least one adverse event that might be related to treatment. At least, predictive factors have been identified in order to credit or not a health rumour. Conclusions: Trusting digital and connected health can be achieved if patients, health care professionals, and industrials build a shared model of health data management integrating ethics rules. Only increasing efforts in education with regards of digital health would help reach this goal., This would not resolve all frauds and security issues but at least improve their detection.

scholarly journals Work-Life Balance of Women Medical Professionals in the Healthcare Sector-A Systematic Literature Review

2021 ◽  
pp. 54-79
Author(s):  
Akhila Rao ◽  
Shailashri V.T.
Keyword(s):  
Systematic Review ◽  
Work Life ◽  
Work Life Balance ◽  
Healthcare Sector ◽  
Healthcare Personnel ◽  
Medical Professionals ◽  
Healthcare Industry ◽  
Life Balance ◽  
Factors Affecting ◽  
Doctors And Nurses

Purpose: Healthcare employees frequently put their personal needs aside for their professions, making it a challenge to maintain a healthy Work-Life Balance (WLB), particularly for women. WLB is a delicate balancing act between the importance and priorities of one's personal and professional paths, which are closely interwoven in every aspect. The Healthcare sector is rapidly expanding with female doctors and nurses accounting for a large portion of the workforce. Their job entails a variety of issues which include night shifts, prolonged shifts, fewer breaks, and high work pressure. When there is a positive organizational culture and supportive environment at work and home, female medical professionals will be able to offer excellent medical care, be more efficient, and enhance the quality of patient care. Hence it is necessary to identify various factors affecting the personal and professional life of female medical professionals and discuss ways to improve their WLB. Methodology: A systematic review was carried out on the existing literature of WLB of Female Doctors and Nurses using the keywords Work-Life Balance, Hospital, Female Doctors, Female Nurses in three search engines: PubMed, Google Scholars, and Academia. The eligible articles were screened using exclusion criteria before being analyzed for the conceptual framework of the study. Findings/Result: The review identified personal and professional factors affecting the WLB of Female Doctors and Nurses. The study also discovered various research gaps in the domain of WLB and offered several recommendations to help healthcare personnel improve their WLB. Originality/Value: The systematic research yielded a clear picture of the WLB in the healthcare industry. The study also discovered a link between female healthcare workers' WLB and personal and professional issues, as well as various ways for enhancing their WLB. Implementing these methods in the healthcare industry can help medical practitioners become more efficient and successful, allowing them to provide the highest suitable care to their patients. Paper Type: Systematic Review Paper.

scholarly journals Analysis of Medical Worker Satisfaction Level Towards the Implementation of Digitalized E-Health Applications of Health Services at Member of Indonesian Clinic Association in Kediri 2021

2021 ◽  
Vol 5 (1) ◽  
pp. 169-173
Author(s):  
Ishak Sulistianto Rahardjo ◽  
Ratna Wardani
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health Management ◽  
Digital Health ◽  
Health Sector ◽  
Health Management Information System ◽  
Satisfaction Level ◽  
The Right ◽  
Health Application ◽  
Health Applications

Health services that are easy to access, fast, safe, confidential, integrated, effective and efficient are demands on the quality of public services, especially for health sector in the Disruption Era. The purpose of this research was to determine the extent of the SimKes (e-health) application implementation and to explore supportive and impeding factors of health service digitalization at the member clinics of ASKLIN Kediri Branch so that it affects the medical workers’ satisfaction as an application user. The method used in this research is qualitative approach which defined as a research procedure that produces descriptive data. Collecting data using Purposive Sampling by in-depth interview techniques with semi-structured questions to 14 informants and 2 Triangulators Data Sources, namely the founder and creator of SimKes Khanza and the head of the BPJS Kesehatan’s Participant Benefits Guarantor Kediri Branch. From the research’s results, it is known that the SimKes (e-health) application has been used in all health service line in almost all ASKLIN member Clinics in Kediri Branch and the satisfaction level of medical workers using the SimKes (e-health) application ranges from 75-80%. The constraints in implementing SimKes application have been successfully mapped, including application users’ age, data networks and application customization, financing to other profession technical matters, which can increase the satisfaction of medical workers who use e-health applications if they get the right treatment. The implementation of the Health Management Information System (SimKes) application in digital health services (telemedicine/e-health) is expected to maximize health services at Health Service Facilities, especially at the member Clinics of the Indonesian Clinic Association, Kediri Branch. Digitalized health service implementations are expected to provide reliable and integrated data and information so that they can become a tool for effective and efficient management of health development.

scholarly journals New Immigrant Health Professional’s Individual, Societal and Economic Impact of Ryerson University’s Internationally Trained Medical Doctors (ITMDs) Bridging Program: Results from a Pilot Bridge Training Program at the Chang School of Continuing Education

2018 ◽  
Vol 3 ◽  
Author(s):  
Shafi U. Bhuiyan
Keyword(s):  
Economic Impact ◽  
Health Informatics ◽  
Health Sector ◽  
Secondary Data ◽  
Rate Of Return ◽  
Healthcare Sector ◽  
Human Potential ◽  
Medical Doctors ◽  
Viable Option ◽  
The Impact

Although Canada is home to a large number of internationally educated health professionals, their skills and experiences are grossly underutilized in the Canadian healthcare landscape. Barriers to medical practice are pervasive, and as a result the majority of internationally trained medical doctors (ITMDs) work in “survival” jobs significantly below their skill level. The pilot ITMD Bridging Program was developed to provide an alternative path for ITMDs by providing the skills and competencies required for non-licensed health sector employment, ultimately aiming to improve integration of ITMDs into the Canadian workforce. This secondary research evaluates the ITMD Bridging Program by assessing the impact of the program at both individual and societal levels.Qualitative and quantitative data were used to evaluate the individual and societal impact of the program. Secondary data from participants’ entry and exit surveys, as well as key informant interviews conducted with ITMDs upon program completion were used for the analysis.  The economic impact of the program and its overall utility to the economy of Ontario were assessed through literature review and social rate of return analysis.ITMDs program participants reported substantial improvements in skills related each of the core courses including health research methods, health informatics and data management, fundamentals of project management, as well as healthcare professionals communication and leadership skills.  ITMDs also perceived the program to be a viable option to address human potential waste, enhance the economy, develop individual capacity building, and alleviate frustrations associated with labour market exclusion.  The program is also economically viable at the societal level, and represents a rate of return of 6.52%.The ITMD Bridging Program has demonstrated that providing non-licensed health sector employment is a viable option for policymakers to consider in their efforts to address the current brain waste in the Ontario healthcare sector. Bridging programs similar to the ITMD Bridging Program have the capacity to impact individual outcomes of ITMDs, the economic landscape in Ontario, and Canada at large. 

scholarly journals Blockchain Technology - Current Status and Future Research Opportunities in Various Areas of Healthcare Industry

2021 ◽  
pp. 130-150
Author(s):  
P. S. Aithal ◽  
Architha Aithal ◽  
Edwin Dias
Keyword(s):  
Systematic Review ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Current Status ◽  
Future Research ◽  
Healthcare Industry ◽  
Secondary Sources ◽  
Blockchain Technology ◽  
Smart Healthcare ◽  
Research Agendas

Purpose: Blockchain technology is one of the emerging Information Communication and Computation (ICCT) underlying technologies of the 21st century with potential applications in primary, secondary, tertiary, and quaternary industry sectors. In this paper, we have identified and analyzed some of the potential fields of the healthcare industry that can get benefit by means of using blockchain technology principles. Based on a systematic review on the development of blockchain technology and its application in healthcare sector to improve the quality of healthcare services, this paper identifies some of the application areas in the healthcare industry including Healthcare Security & Authentication aspects, Clinical Trials & Precision Medicine, Personalizing the Healthcare Services, Healthcare Data Management, Strengthening Public Health Surveillance, e-Healthcare to Customers, Healthcare Administration & Medicine Management, Telehealth & Telemedicine, Managing Medical Imaging, Developing Smart Healthcare System, and Healthcare Information System. The purpose also includes the analysis of the current implementation challenges of blockchain technology in healthcare industry services. Methodology: The study is descriptive and exploratory in nature. The related information is collected from various secondary sources for review. The secondary sources include published literature from various scholarly journals searched through Google scholar by means of identified keywords. Results/Findings: Based on a systematic review, we have identified the current status of the use of blockchain in several areas of healthcare sector, desired status called ideal status, and the research gap of use of blockchain technology in various application areas of the healthcare industry along with identification of various possible research agendas for future research. Originality/Value: It is found that blockchain technology facilitates for the improvement of quality services in the healthcare sector and various research agendas are proposed to carry out further research for patient satisfaction and comfortability. Type of the Paper: Review based research analysis.

scholarly journals Open Innovation in Healthcare Ecosystem – a systematic review

2021 ◽  
Author(s):  
Amir Torab-Miandoab ◽  
Taha Samad-Soltani ◽  
Peyman Rezaei-hachesu
Keyword(s):  
Systematic Review ◽  
Open Innovation ◽  
Health Informatics ◽  
English Language ◽  
Pharmaceutical Research ◽  
Health Information Systems ◽  
Healthcare Sector ◽  
Medical Quality ◽  
Innovative Work ◽  
Research Drug

Abstract Background: Several countries are facing significant troubles of health services, particularly rising prices. Innovative technologies and services are expected to help boost medical quality and cut costs. In this sense, there is a lack of innovative work in spite of a growing interest in open innovation and approaches that advocate for expanded cooperation among various actors in healthcare. Objective: This paper describes the findings of a study concerning the commitment of the healthcare sector to open innovation. Materials and methods: The search for literature focused on English-language papers to 12 January 2020. Based on the indicated criteria for inclusion, 29 articles were included. Results: Results show that most experiments concentrate on the areas of pharmaceutical research (drug discovery) and health informatics (health information systems and infrastructures) that were brought out as concepts or applied as pilot and prototype. Conclusions: The participation of the healthcare sector limited in open innovation, and more work is required with an emphasis how to get open innovation.

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

Skills Gap among Sexual and Reproductive Healthcare Professionals in Cameroon

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael N. Nkwenti ◽  
Ishan Sudeera Abeywardena
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Critical Role ◽  
Health Sector ◽  
Healthcare Sector ◽  
High Fertility ◽  
Skills Gap ◽  
North West ◽  
Health Practitioners ◽  
Reproductive Healthcare

Over the last 10 years, the state of sexual and reproductive health in Cameroon has been challenging with rising levels of sexually transmitted diseases, the high fertility rate, and high infant and maternal mortality rates. Some researchers attributed these challenges to the limited number and quality of sexual and reproductive health personnel working in health facilities across the country. The North West Region of Cameroon was taken as a unit of study to probe into the skills gap among sexual and reproductive health practitioners. A total of n = 302 participants at a confidence interval of 95 per cent were selected using a stratified random sampling technique to take part in the study. The results indicated that a good number of them have no prior experience in the field of sexual and reproductive health. On the other hand, most of the practitioners’ skills level is situated between intermediate and competent with very few of them being at the expert skills level. It was therefore recommended that most of the participants needs improvement in (i) computer or information technology skills; (ii) research skills; and (iii) leadership development of the specialty. These areas need to be dealt with, as a matter of priority, through training and professional development to enable these professionals to deliver better service in the sexual and reproductive healthcare sector. It was also recommended that, in line with the critical role that sexual and reproductive health practitioners play in Cameroon’s health system, the Ministry of Public Health and other role players in the health sector make sufficient investments in the improvement of the health workforce’s accessibility to information and communication technology.

Systematic review methodology for development: An example from microfinance

2018 ◽  
Vol 43 (1) ◽  
pp. 65-77 ◽  
Author(s):  
Carina Van Rooyen ◽  
Ruth Stewart ◽  
Thea De Wet
Keyword(s):  
Systematic Review ◽  
International Development ◽  
Health Sector ◽  
Evidence Based ◽  
Systematic Review Methodology ◽  
Development Interventions ◽  
The Us ◽  
Sub Saharan ◽  
The Impact ◽  
Evidence Based Decision Making

Big international development donors such as the UK’s Department for International Development and USAID have recently started using systematic review as a methodology to assess the effectiveness of various development interventions to help them decide what is the ‘best’ intervention to spend money on. Such an approach to evidence-based decision-making has long been practiced in the health sector in the US, UK, and elsewhere but it is relatively new in the development field. In this article we use the case of a systematic review of the impact of microfinance on the poor in sub-Saharan African to indicate how systematic review as a methodology can be used to assess the impact of specific development interventions.

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