The ties that bind: innovation configurations in low- and middle-income healthcare delivery settings.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Wiljeana Jackson Glover, Sabrina JeanPierre Jacques, Rebecca Rosemé Obounou, Ernest Barthélemy, Wilnick Richard
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引用次数: 0

Abstract

Purpose: This study examines innovation configurations (i.e. sets of product/service, social and business model innovations) and configuration linkages (i.e. factors that help to combine innovations) across six organizations as contingent upon organizational structure.

Design/methodology/approach: Using semi-structured interviews and available public information, qualitative data were collected and examined using content analysis to characterize innovation configurations and linkages in three local/private organizations and three foreign-led/public-private partnerships in Repiblik Ayiti (Haiti).

Findings: Organizations tend to combine product/service, social, and business model innovations simultaneously in locally founded private organizations and sequentially in foreign-based public-private partnerships. Linkages for simultaneous combination include limited external support, determined autonomy and shifting from a "beneficiary mindset," and financial need identification. Sequential combination linkages include social need identification, community connections and flexibility.

Research limitations/implications: The generalizability of our findings for this qualitative study is subject to additional quantitative studies to empirically test the suggested factors and to examine other health care organizations and countries.

Practical implications: Locally led private organizations in low- and middle-income settings may benefit from considering how their innovations are in service to one another as they may have limited resources. Foreign based public-private partnerships may benefit from pacing their efforts alongside a broader set of stakeholders and ecosystem partners.

Originality/value: This study is the first, to our knowledge, to examine how organizations combine sets of innovations, i.e. innovation configurations, in a healthcare setting and the first of any setting to examine innovation configuration linkages.

联系的纽带:中低收入医疗机构的创新配置。
目的:本研究考察了六个组织的创新配置(即产品/服务、社会和商业模式创新的集合)和配置联系(即有助于将创新结合起来的因素),这取决于组织结构:利用半结构式访谈和现有公共信息,收集定性数据,并使用内容分析法对其进行研究,以描述 Repiblik Ayiti(海地)三个本地/私营组织和三个外国主导/公私合营组织的创新配置和联系:在当地成立的私营组织中,各组织倾向于同时结合产品/服务、社会和商业模式创新,而在外国公私合作伙伴关系中则是依次结合。同时结合的联系包括有限的外部支持、确定的自主权、摆脱 "受益者思维 "以及确定财务需求。顺序结合的联系包括社会需求识别、社区联系和灵活性:我们这项定性研究的结果是否具有普遍性,还需要进行更多的定量研究,对建议的因素进行实证检验,并考察其他医疗机构和国家:实际意义:在中低收入环境中,当地主导的私营组织可能会从考虑如何使其创新相互服务中受益,因为它们的资源可能有限。基于国外的公私合作伙伴关系可能会受益于与更广泛的利益相关者和生态系统合作伙伴一起努力:据我们所知,这项研究首次考察了医疗机构如何将成套创新(即创新配置)结合在一起,也是首次考察创新配置联系的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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