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Area of Science:

  • Health care innovation
  • Design and implementation research
  • Organizational studies

Background:

  • Boundary objects offer organizational focus and dynamic structure for health care innovation.
  • Integrating boundary objects into design methodologies enhances the social and organizational aspects of innovation projects.
  • Four dialogical learning mechanisms (identification, coordination, reflection, transformation) can be triggered at boundaries during design.

Purpose of the Study:

  • To link learning mechanisms with health innovation studies using boundary objects.
  • To assess how these mechanisms provide insight into the design, implementation, or change process of health innovations.

Main Methods:

  • Searched six databases (PubMed, Scopus, ERIC, PsycINFO, LISA, Embase) for relevant health innovation studies.
  • Screened 2186 records and included 25 papers for analysis.
  • Identified and analyzed learning mechanisms within the selected studies.

Main Results:

  • Of 25 included papers, 13 identified one mechanism and 12 identified multiple mechanisms.
  • Papers describing more mechanisms showed a higher success rate in innovation development or implementation (75%).
  • The reflective mechanism, though underrepresented, was associated with more successful innovation projects and smoother integration.

Conclusions:

  • Boundary objects are utilized in health care, but the focus is often on the object itself rather than its social impact.
  • The reflection and transformation mechanisms were underrepresented in the reviewed studies.
  • Actively triggering the reflective mechanism in design, development, and implementation can facilitate smoother integration of health innovations into practice.