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Innovating for improved healthcare: Sociotechnical and innovation systems perspectives and lessons from the NHS

Marjanovic, S; Altenhofer, M; Hocking, L; Chataway, J; Ling, T; (2020) Innovating for improved healthcare: Sociotechnical and innovation systems perspectives and lessons from the NHS. Science and Public Policy , 47 (2) pp. 283-297. 10.1093/scipol/scaa005. Green open access

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Abstract

Healthcare systems with limited resources face rising demand pressures. Healthcare decision-makers increasingly recognise the potential of innovation to help respond to this challenge and to support high-quality care. However, comprehensive and actionable evidence on how to realise this potential is lacking. We adopt sociotechnical systems and innovation systems theoretical perspectives to examine conditions that can support and sustain innovating healthcare systems. We use primary data focussing on England (with 670 contributions over time) and triangulate findings against globally-relevant literature. We discuss the complexity of factors influencing an innovating healthcare system’s ability to support the development and uptake of innovations and share practical learning about changes in policy, culture, and behaviour that could support system improvement. Three themes are examined in detail: skills, capabilities, and leadership; motivations and accountabilities; and collaboration and coordination. We also contribute to advancing applications of sociotechnical systems thinking to major societal transformation challenges.

Type: Article
Title: Innovating for improved healthcare: Sociotechnical and innovation systems perspectives and lessons from the NHS
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/scipol/scaa005
Publisher version: https://doi.org/10.1093/scipol/scaa005
Language: English
Additional information: Copyright © The Author(s) 2020. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > STEaPP
URI: https://discovery.ucl.ac.uk/id/eprint/10091686
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