Table 6 Performing tensions associated with healthcare innovation
Authors | Type of innovation | Stage of innovation process | Type of tension (dilemma or paradox) | Conflicting elements |
|---|---|---|---|---|
Kennedy et al. (2014) | Self-managament support approach (WISE) | Implementing projects | Project engagement vs. Annual planning (Dilemma) | A: Project engagement: Commitment and buy-in from key stakeholders (p. 8) B: Annual planning: Existing long-term business and resource planning (p. 8) |
Marjanovic et al. (2020) | Not specified | Implementing projects, Diffusing lessons | Cooperation vs. Competition (Dilemma) | A: Cooperation: Uptake of specific products, technologies, or new service and care models by connecting different stakeholders around the development (p. 292) B: Competition: Sociotechnical system and social fabric (e.g. ownership and accountability issues) challenge effective coordination (p. 292) |
Mansfield et al. (2018) | Pilot project implementation in general | Implementing projects | A: Cooperation: Successfully engaging in pilot projects demands for collaboration (p. 9) B: Competition: A myriad of simultaneous pilot projects compete for access and resources (p. 10) | |
Vito (2017) | Improvement of access, accountability, evidence and coordination of children`s mental health services | Implementing projects | A: Cooperation: Valuing the idea of going through the process together and achieving a win win situation (p. 12) B: Competition: Competitive nature of the process leading to the demarcation between agencies (p. 12) | |
Shaller (2004) | Quality measures for children’s health care | Developing proposals, Implementing projects | Quality improvement vs. Implementation costs (Dilemma) | A: Quality improvement: Designing measures to improve quality of care (p. 219) B: Implementation costs: Need for a strong and compelling business case that clearly demonstrates the benefits of quality measurement relative to the costs of implementation (p. 222) |
Sharp et al. (2020) | Smart phone application for use by rheumatoid arthritis patients | Implementing projects, Diffusing lessons | Clinical practice vs. User requirements (Dilemma) | A: Clinical practice: Practitioners’ preferences in regard to technological artifacts’ functionality and design has impact on implementation and diffusion (p. 7) B: User requirements: Patient needs must be taken into account in order to ensure adoption and diffusion of the technological artifact (p. 7) |