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Perspectives on innovation of the diagnostic process in general practice: Q-methodological study
Esmée W P Vaes1,2, Siamack Sabrkhany1, Alma C van de Pol3
1Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
BMC Primary Care
|February 9, 2026
Summary
Stakeholders have diverse views on innovating the diagnostic process in general practice. Understanding these perspectives, from technological transformation to system reform, is key for successful diagnostic innovation.
Area of Science:
- Healthcare Innovation
- Diagnostic Process Optimization
- General Practice Research
Background:
- Growing demands, workforce shortages, and rising costs necessitate rethinking the diagnostic process.
- Technological innovation is reshaping diagnostics, highlighting the need for stakeholder-centered approaches.
- Limited understanding of stakeholder perspectives hinders alignment with needs and expectations for diagnostic innovation.
Purpose of the Study:
- To identify and understand stakeholder perspectives on innovation within the diagnostic process in general practice care.
- To explore diverse viewpoints on advancing diagnostic procedures and technologies.
- To gather insights crucial for aligning diagnostic innovation with user needs.
Main Methods:
- A Q-methodological study was employed, involving stakeholders with informed opinions on diagnostic innovation.
- Participants sorted 57 statements reflecting key aspects of diagnostic process innovation.
- Factor analysis identified distinct perspectives, which were then interpreted holistically.
Main Results:
- Five distinct stakeholder perspectives on diagnostic innovation were identified: diagnostic transformation, communication-focused innovation, doctor-centered innovation, system reform focus, and ambivalence towards innovation.
- Key differences among perspectives emerged regarding the urgency for system change and the role of technology.
- Perspectives varied in their views on the necessity of current/future system changes and the perceived potential of technology.
Conclusions:
- This study provides valuable insights into the varied perspectives of stakeholders regarding innovation in the general practice diagnostic process.
- Recognizing and integrating these diverse viewpoints is essential for achieving successful and effective diagnostic process innovation.
- All identified perspectives are crucial for a comprehensive approach to advancing diagnostic care.
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