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Table 10 Belonging/organizing tensions associated with healthcare innovation

From: What can healthcare systems learn from looking at tensions in innovation processes? A systematic literature review

Authors

Type of innovation

Stage of innovation process

Type of tension

(dilemma or paradox)

Conflicting elements

Shaller (2004)

Quality measures for children’s health care

Developing proposals,

Implementing projects

Integration

vs.

Independence

(Paradox)

A: Integration: Overcoming barriers and obstacles in concert with others and for other populations (p. 225 f.)

B: Independence: Overcoming barriers and obstacles independently (p. 226)

Cresswell et al. (2016)

Technological innovation in healthcare

Identifying problems,

Generating ideas,

Developing proposals

Central coordination

vs.

Local collaboration

(Dilemma)

A: Central coordination: Central coordination of innovative activity to spread knowledge and stimulate competition (p. 779)

B: Local collaboration: Local collaboration to identify needs and build solutions based on these, creating safe spaces for collaborative endeavors (p. 779)