What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

LEHOUX PASCALE; Roncarolo Federico; Silva Hudson Pacifico; Boivin Antoine; DENIS JEAN LOUIS; Hebert Rejean

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: International Journal of Health Policy and Management Year:2019 | Volume:8 | Issue:2 Page(s): 63-75

Download Full-Text

View:

273

Download:

144

Cites:

Information Journal Paper

Title

What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review

Author(s)

Keywords

Health System Demand

Health Technology

Equity

Sustainability

International Analysis

Abstract

Background: While responsible innovation in health (RIH) suggests that health innovations could be purposefully designed to better support health systems, little is known about the system-level challenges that it should address. The goal of this paper is thus to document what is known about health systems’ demand for innovations. Methods: We searched 8 databases to perform a scoping review of the scientific literature on health system challenges published between January 2000 and April 2016. The challenges reported in the articles were classified using the dynamic health system framework. The countries where the studies had been conducted were grouped using the human development index (HDI). Frequency distributions and qualitative content analysis were performed. Results: Up to 1391 challenges were extracted from 254 articles examining health systems in 99 countries. Across countries, the most frequently reported challenges pertained to: service delivery (25%), human resources (23%), and leadership and governance (21%). Our analyses indicate that innovations tend to increase challenges associated to human resources by affecting the nature and scope of their tasks, skills and responsibilities, to exacerbate service delivery issues when they are meant to be used by highly skilled providers and call for accountable governance of their dissemination, use and reimbursement. In countries with a low and medium HDI, problems arising with infrastructure, logistics and equipment were described in connection with challenges affecting procurement, supply and distribution systems. In countries with a medium and high HDI, challenges included a growing demand for drugs and new technology and the management of rising costs. Across all HDI groups, the need for flexible information technologies (IT) solutions to reach rural areas was underscored. Conclusion: Highlighting challenges that are common across countries, this study suggests that RIH should aim to reduce the cost of innovation production processes and attend not only to the requirements of the immediate clinical context of use, but also to the vulnerabilities of the broader system wherein innovations are deployed. Policy-makers should translate system-level demand signals into innovation development opportunities since it is imperative to foster innovations that contribute to the success and Sustainability of health systems.

Cites

References

Cite

APA: Copy

LEHOUX, PASCALE, Roncarolo, Federico, Silva, Hudson Pacifico, Boivin, Antoine, DENIS, JEAN LOUIS, & Hebert, Rejean. (2019). What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 8(2), 63-75. SID. https://sid.ir/paper/338644/en

Vancouver: Copy

LEHOUX PASCALE, Roncarolo Federico, Silva Hudson Pacifico, Boivin Antoine, DENIS JEAN LOUIS, Hebert Rejean. What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2019;8(2):63-75. Available from: https://sid.ir/paper/338644/en

IEEE: Copy

PASCALE LEHOUX, Federico Roncarolo, Hudson Pacifico Silva, Antoine Boivin, JEAN LOUIS DENIS, and Rejean Hebert, “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 8, no. 2, pp. 63–75, 2019, [Online]. Available: https://sid.ir/paper/338644/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops