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GLOBAL DIFFUSION OF HEALTHCARE INNOVATION (GDHI)
JULIE MCQUEEN, POLICY FELLOW – INNOVATION STUDIESIMPERIAL COLLEGE, LONDON
GDHI
Origins of GDHI
Innovation is crucial in addressing current and future healthcare challenges
But, it takes too long at present for new ideas and solutions to become prevalent practice
IGHI is undertaking a study to identify and analyse the facilitating factors that support and promote the diffusion of innovations across health systems
• Phase 1: developing a diffusion framework
• Phase 2: exploring, quantitatively, the importance and prevalence of key factors of diffusion
• Phase 3: examining examples of successful diffusion to understand the journey organisations go through and factors that accelerate progress
Three kinds of influences affect diffusion of healthcare innovations
GDHI
Enablers
• Vision, strategy and leadership• Specific funding for research,
development and diffusion• Specific agent or program to
promote diffusion • Communication channels and
networks• Transparency of research & data• Incentives and rewards• ICT / informatics capability • Standards and protocols
Frontline behaviours
• Engaging patients and the public
• Addressing concerns of health professionals
• Adapting to local context• Supporting champions• Creating time and space for
learning• Eliminating old ways of working• Improving the next innovation
diffusion journey
System Characteristics
System characteristics
macroeconomic environment
political/legal/regulatory environment
health system size, structure and finance
innovation environment
investment environment
infrastructure for information and communication technologies
research environment
Enablers
vision, strategy and leadership
specific funding for research, development and diffusion
specific organizations or programs to promote diffusion
communication channels and networks
transparency of research and data
incentives and rewards
information communications technology (ICT) capability
healthcare standards and protocols
Frontline behaviours
engaging patients and the public as co-producers of well-being
addressing concerns of healthcare professionals about outcomes and sustainability
identifying and supporting champions who embrace and promote change
adapting innovations to suit the local context “delayering” - eliminating old and less effective
ways of working creating the time and space for learning and new
ways of working improving the next innovation diffusion journey
• We conducted research in eight countries– Australia, Brazil, England, India, Qatar, South Africa, Spain, United States – to examine the relevance of the framework in different health systems
• The study involved 100 qualitative interviews with health experts and quantitative surveys of 1,500 health care professionals
EnglandSpain
Qatar
India
Australia
Brazil
United States
South Africa
Testing the framework internationally
GDHI
We observed a noticeable gap between the importance and the prevalence of enablers in most countries …
GDHI
GDHI… but there is much to do to increase the prevalence of some behaviours that aid diffusion at the front line
‘Delayering’
Adapting Innovation
Making time and space
for learning and new ways
of working
The diffusion benefit curve (achievement of value over time)
Phase 3 of GDHI examined successful examples of innovation diffusion to trace the ‘diffusion journey’
InnovationPhase 1
Create a climate for change
Phase 2 Engage and enable
organisations to implement change
Phase 3Embed and sustain
the changeTransformation
Specific agent
for changeICT
Incentives and rewards
Specificfunding fordiffusion
Visionstrategy andleadership
Transparencyof researchand data
Commschannels
Standards and
protocols
Time andspace forlearning
Identifychampions
DelayeringImprovingthe nextjourney
Adapt tolocal context
Engagingpatients and
the public
Addressconcerns of
professionals
En
ab
lers
Fro
ntl
ine b
eh
avio
urs
Accelerating the journey – building organizational capacity for change