Institute of Tropical Medicine Antwerp
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The need for a dynamic approach to health system-centered innovations comment on "What health system challenges should responsible innovation in health address? Insights from an international scoping review" [commentary]

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dc.contributor.author van Olmen, J. en_US
dc.contributor.author Marchal, B. en_US
dc.contributor.author Ricarte, B. en_US
dc.contributor.author Van Damme, W. en_US
dc.contributor.author Van Belle, S. en_US
dc.date.accessioned 2020-08-25T09:58:11Z
dc.date.available 2020-08-25T09:58:11Z
dc.date.issued 2019 en_US
dc.identifier.issn 2322-5939 en_US
dc.identifier.doi http://dx.doi.org/10.15171/ijhpm.2019.25 en_US
dc.identifier.other http://lib.itg.be/pdf/itg/2019/2019ijhp0444.pdf en_US
dc.identifier.other 20 en_US
dc.identifier.other ITG-H1A; ITG-H2A; ITG-H3B; ITG-H4A; ITG-HLA; DPH; U-HSO; U-HPOL; JIF; DOI; PDF; PMC; Abstract; ITMPUB; DSPACE68 en_US
dc.identifier.uri http://hdl.handle.net/10390/11288
dc.description.abstract Lehoux and colleagues plea for a health systems perspective to evaluate innovations. Since many innovations and their scale-up strategies emerge from processes that are not (centrally) steered, we plea for any assessment with a dynamic, instead of a sequential, approach. We provide further guidance on how to adopt such dynamic approach, in order to better un-derstand and steer innovations for better health systems. A systems-level challenge is constituted by interactions and feedback loops between different actors and components of the health system. It is therefore essential to explore both the entry-point of innovation and the interactions with other components. If innovation is regarded as an injection of resources and opportunities into a health system, this system needs to have the capacity to transform these into desired outputs, the 'absorption capacity.' The highly organic diffusion of innovation in complex adapative systems cannot be easily controlled, but the system behaviours can be analysed, with occurance of phenomena such as path dependence, feedback loops, scale-free networks, emergent behaviour and phase transitions. This helps to anticipate unintended consequences, and to engage key actors in ongoing problem-solving and adaptation. By adopting a prospective approach, responsible innovation could set in motion prospective policy evaluations, which on the basis of iterative learning would allow decisionmakers to continuously adapt their policies and programmes. Priority-setting for innovation is an essentially political process that is geared towards consensus-building and grounded in values. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/31441280 en_US
dc.subject Public health en_US
dc.subject Health systems en_US
dc.subject Innovation en_US
dc.subject Scoping reviews en_US
dc.title The need for a dynamic approach to health system-centered innovations comment on "What health system challenges should responsible innovation in health address? Insights from an international scoping review" [commentary] en_US
dc.type Comment en_US
dc.type Article
dc.citation.issue 7 en_US
dc.citation.jtitle International Journal of Health Policy and Management en_US
dc.citation.volume 8 en_US
dc.citation.pages 444-446 en_US
dc.citation.abbreviation Int J Health Policy Manag en_US


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