TY - JOUR
T1 - Success and limiting factors in health service innovation
T2 - A theory-generating mixed methods evaluation of UK projects
AU - Leedham-Green, Kathleen
AU - Knight, Alec
AU - Reedy, Gabriel B.
N1 - Funding Information:
Funding This work was funded by Health Education England (grant number XXMLIVESEY).
Publisher Copyright:
© 2021 BMJ Publishing Group. All rights reserved.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/5/25
Y1 - 2021/5/25
N2 - Objectives To explore and explain success and limiting factors in UK health service innovation. Design Mixed methods evaluation of a series of health service innovations involving a survey and interviews, with theory-generating analysis. Setting The research explored innovations supported by one of the UK's Academic Health Science Networks which provides small grants, awards and structural support to health service innovators including clinical academics, health and social care professionals and third-sector organisations. Participants All recipients of funding or support 2014-2018 were invited to participate. We analysed survey responses relating to 56 innovation projects. Results Responses were used to conceptualise success along two axes: value creation for the intended beneficiaries and expansion beyond its original pilot. An analysis of variance between categories of success indicated that participation, motivation and evaluation were critical to value generation; organisational, educational and administrative support were critical to expansion; and leadership and collaborative expertise were critical to both value creation and expansion. Additional limiting factors derived from qualitative responses included difficulties navigating the boundaries and intersections between organisations, professions, sectors and cultures; a lack of support for innovation beyond the start-up phase; a lack of protected time; and staff burn-out and turnover. Conclusions A nested hierarchy of innovation needs has been derived via an analysis of these factors, providing targeted suggestions to enhance the success of future innovations.
AB - Objectives To explore and explain success and limiting factors in UK health service innovation. Design Mixed methods evaluation of a series of health service innovations involving a survey and interviews, with theory-generating analysis. Setting The research explored innovations supported by one of the UK's Academic Health Science Networks which provides small grants, awards and structural support to health service innovators including clinical academics, health and social care professionals and third-sector organisations. Participants All recipients of funding or support 2014-2018 were invited to participate. We analysed survey responses relating to 56 innovation projects. Results Responses were used to conceptualise success along two axes: value creation for the intended beneficiaries and expansion beyond its original pilot. An analysis of variance between categories of success indicated that participation, motivation and evaluation were critical to value generation; organisational, educational and administrative support were critical to expansion; and leadership and collaborative expertise were critical to both value creation and expansion. Additional limiting factors derived from qualitative responses included difficulties navigating the boundaries and intersections between organisations, professions, sectors and cultures; a lack of support for innovation beyond the start-up phase; a lack of protected time; and staff burn-out and turnover. Conclusions A nested hierarchy of innovation needs has been derived via an analysis of these factors, providing targeted suggestions to enhance the success of future innovations.
KW - change management
KW - health policy
KW - health services administration &management
KW - organisational development
KW - quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85106962390&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2020-047943
DO - 10.1136/bmjopen-2020-047943
M3 - Article
C2 - 34035107
AN - SCOPUS:85106962390
SN - 2044-6055
VL - 11
JO - BMJ Open
JF - BMJ Open
IS - 5
M1 - e047943
ER -
