02216nas a2200205   4500000000100000008004100001260002200042653001800064653002300082100001300105700001300118700002400131700001300155700001200168245012600180856020300306300002000509520145600529022002501985       2021                            d  bSAGE Publications10aHealth policy10aHealth innovations1 aLehoux P1 aSilva HP1 aRocha de Oliveira R1 aSabio RP1 aMalas K00aResponsible innovation in health and health system sustainability: Insights from health innovators’ views and practices  uhttps://scholar.google.com/scholar_url?url=https://journals.sagepub.com/doi/pdf/10.1177/09514848211048606&hl=en&sa=T&oi=ucasa&ct=ufr&ei=kEO3YdmVI424ygSh9JdQ&scisig=AAGBfm0urlu-0mQUtAfa6wSR3FBw2FV3PQ  a0951484821104863 a<p>Although healthcare managers make increasingly difficult decisions about health innovations, the way they may interact with innovators to foster health system sustainability remains underexplored. Drawing on the Responsible Innovation in Health (RIH) framework, this paper analyses interviews ( n=37) with Canadian and Brazilian innovators to identify: how they operationalize inclusive design processes; what influences the responsiveness of their innovation to system-level challenges; and how they consider the level and intensity of care required by their innovation. Our qualitative findings indicate that innovators seek to: 1) engage stakeholders at an early ideation stage through context-specific methods combining both formal and informal strategies; 2) address specific system-level benefits but often struggle with the positioning of their solution within the health system; and 3) mitigate staff shortages in specialized care, increase general practitioners’ capacity or patients and informal caregivers’ autonomy. These findings provide empirical insights on how healthcare managers can promote and organize collaborative processes that harness innovation towards more sustainable health systems. By adopting a RIH-oriented managerial role, they can set in place more inclusive design processes, articulate key system-level challenges, and help innovators adjust the level and intensity of care required by their innovation.</p>
  a0951-4848, 1758-1044