Centralized Decentralization, or Distributed Leadership as Paradox : The Case of the Patient Innovation's COVID-19 Portal

Patients with rare diseases, as well as their caregivers, sometimes develop new solutions to deal with their health conditions but only a small fraction share the solution with their doctor or other health professionals. When the value of patient developed solutions is considered, the evidence is that these solutions consistently help improve the overall quality of life. Patient-developed innovations are very heterogeneous in nature, level of quality, sophistication and cost; nonetheless, the majority are frugal in cost and design. In this paper we explore the organizational lessons of the patient innovation platform and community, and its leadership expressions, in the context of the COVID-19 pandemic. We consider this theme in terms of our understanding of when leadership is distributed and when it is not. Distributed leadership can be considered as a paradox, a process in which leadership is retained and dispersed. Multi-sided online platforms for collecting, curating and distributing those innovations can help in the fight against the pandemic by centralizing and decentralizing