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What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping
Pascale Lehoux1, Federico Roncarolo2, Hudson Pacifico Silva2
1Department of Health Management, Evaluation and Policy, School of Public Health, University of Montreal, Montreal, QC, Canada.
Responsible innovation in health (RIH) should address system-level challenges to improve healthcare. Innovations must consider broader system impacts, not just clinical use, to ensure sustainability.
Area of Science:
- Health Systems Research
- Innovation Management
- Public Health Policy
Background:
- Responsible innovation in health (RIH) proposes purposeful design of innovations to support health systems.
- Limited understanding exists regarding system-level challenges RIH should address.
- This study investigates health systems' demand for innovations.
Purpose of the Study:
- To document existing knowledge on health system challenges that innovations should address.
- To identify system-level demands influencing the development and implementation of health innovations.
Main Methods:
- Scoping review of scientific literature on health system challenges (2000-2016) from 8 databases.
- Classification of challenges using the dynamic health system framework.
- Analysis of studies from 99 countries, grouped by Human Development Index (HDI).
Main Results:
- 1391 challenges identified across 254 articles.
- Top challenges: service delivery (25%), human resources (23%), leadership & governance (21%).
- Innovations impact human resources, service delivery, and require governance; infrastructure/logistics critical in low/medium HDI; rising costs/technology in medium/high HDI; IT solutions needed universally.
Conclusions:
- RIH should focus on reducing innovation production costs and addressing broader system vulnerabilities.
- Policy-makers must translate system demands into innovation opportunities for sustainable health systems.
- Fostering innovations aligned with system needs is crucial for health system success and sustainability.
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