TY - JOUR
T1 - The barriers and facilitators of radical innovation implementation in secondary healthcare: A systematic review
AU - Thijssen, Salina
AU - Jacobs, Maria
AU - Swart, Rachelle
AU - Heising, Luca
AU - Ou, Carol
AU - Roumen, Cheryl
PY - 2021/12/16
Y1 - 2021/12/16
N2 - Purpose: This study aimed to identify the barriers and facilitators related to the implementation of radical innovations in secondary healthcare. Design/methodology/approach: A systematic review was conducted and presented in accordance with a PRISMA flowchart. The databases PubMed and Web of Science were searched for original publications in English between the 1st of January 2010 and 6th of November 2020. The level of radicalness was determined based on five characteristics of radical innovations. The level of evidence was classified according to the level of evidence scale of the University of Oxford. The Consolidated Framework for Implementation Research was used as a framework to classify the barriers and facilitators. Findings: Based on the inclusion and exclusion criteria, nine publications were included, concerning six technological, two organizational and one treatment innovation. The main barriers for radical innovation implementation in secondary healthcare were lack of human, material and financial resources, and lack of integration and organizational readiness. The main facilitators included a supportive culture, sufficient training, education and knowledge, and recognition of the expected added value. Originality/value: To our knowledge, this is the first systematic review examining the barriers and facilitators of radical innovation implementation in secondary healthcare. To ease radical innovation implementation, alternative performance systems may be helpful, including the following prerequisites: (1) Money, (2) Added value, (3) Timely knowledge and integration, (4) Culture, and (5) Human resources (MATCH). This study highlights the need for more high-level evidence studies in this area.
AB - Purpose: This study aimed to identify the barriers and facilitators related to the implementation of radical innovations in secondary healthcare. Design/methodology/approach: A systematic review was conducted and presented in accordance with a PRISMA flowchart. The databases PubMed and Web of Science were searched for original publications in English between the 1st of January 2010 and 6th of November 2020. The level of radicalness was determined based on five characteristics of radical innovations. The level of evidence was classified according to the level of evidence scale of the University of Oxford. The Consolidated Framework for Implementation Research was used as a framework to classify the barriers and facilitators. Findings: Based on the inclusion and exclusion criteria, nine publications were included, concerning six technological, two organizational and one treatment innovation. The main barriers for radical innovation implementation in secondary healthcare were lack of human, material and financial resources, and lack of integration and organizational readiness. The main facilitators included a supportive culture, sufficient training, education and knowledge, and recognition of the expected added value. Originality/value: To our knowledge, this is the first systematic review examining the barriers and facilitators of radical innovation implementation in secondary healthcare. To ease radical innovation implementation, alternative performance systems may be helpful, including the following prerequisites: (1) Money, (2) Added value, (3) Timely knowledge and integration, (4) Culture, and (5) Human resources (MATCH). This study highlights the need for more high-level evidence studies in this area.
KW - Barriers
KW - Facilitators
KW - Implementation
KW - Radical innovation
KW - Secondary healthcare
U2 - 10.1108/JHOM-12-2020-0493
DO - 10.1108/JHOM-12-2020-0493
M3 - Article
SN - 1477-7266
VL - 167
JO - Journal of Health Organization and Management
JF - Journal of Health Organization and Management
ER -