Use of System Innovation for Sustainable Health System in Angola
Background: Health systems in low-and middle-income countries face different problems as they generally fall short of providing universal, equitable, and appropriate high-quality services. The challenges relate to amongst others, double burden of disease, high maternal and child mortality and growing non-communicable diseases. Furthermore, people living with mental or physical disabilities do not have sufficient access to healthcare. Angola is also faced with these challenges due to its weak health system and also other social determinants of health such as lack of proper housing, education, water and sanitation. Conventional solutions to address these problems have generally not led to the desired effects in many countries. Therefore, this study looked at how adoption and diffusion of system innovation may facilitate sustainable health systems in Angola. Research Problem: The Angolan health system, like many health systems from low- and middle-income countries, faces problems eluded in the background. Problems are also manifested in sub-systems of the health system, such as lack of skilled personnel; leadership and governance issues; inappropriate service delivery models and lack of access to quality and affordable medicines. Furthermore, other challenges relate to understanding how innovations (such as new policies, new knowledge and novel technologies) can be effectively introduced into the health systems and how these innovations interact with health system variables to influence health outcomes. Aims: We presented an adapted model in the context of low and middle-income countries for analyzing adoption and diffusion of innovations in health service delivery and organizations towards more sustainable health systems and contribute towards improved health outcomes, focusing on Angola. Methodology: We searched 10 database for peer-reviewed and grey literature published between 2000 and 2013. The keywords varied according to the database. From an initial set of thousand articles, only 647 were identified as relevant to the focus of inquiry. Of these, 23 were selected after data extraction independently by two team members using a pre-established data extraction form to list determinants that may facilitate or impede the dissemination, diffusion, adoption, implementation of innovation in service organizations or systems. These determinants were divided into four categories: characteristics of the environment, characteristics of the organization, and characteristics of the user (or adopting person), and the characteristics of the innovation. Results and Conclusion: The study has demonstrated the usefulness of systems innovation to study health system change. In the context of low and middle-income countries, there are multiple interacting determinants of innovation factors which influence adoption of innovations ranging from understanding characteristics of innovation, complex health system and socio-political contexts and characteristics of adopting person (or user). Therefore, understanding these innovations determinants, sophisticated analysis of the socio-political context and health system user will enable better understanding of the short- and long-term effects of an innovation when introduced into health systems. Hence, systems thinking approach will assist in understanding of the linkages, inter-relationships, interactions, and behaviors among elements that characterize the entire health organization or system. The study has also provided insights on the central role of systems change agents in the restructuring the thinking and organizing of sustainable health system in Angola and other low- and middle-income countries. Furthermore, we proposed a framework for analyzing adoption and diffusion of innovations in health service delivery and organizations towards more sustainable health systems. This framework will help to shift the boundaries of the debate, especially in low and middle-income countries. As with any conceptual or analytical framework, our model will evolve over time
Year of publication: |
2014
|
---|---|
Authors: | Sekhejane, Palesa ; Modisenyane, Moeketsi |
Publisher: |
[S.l.] : SSRN |
Subject: | Innovation | Gesundheitswesen | Health care system | Angola | Nachhaltigkeit | Sustainability | Privater Haushalt | Household | Nachhaltige Entwicklung | Sustainable development |
Saved in:
freely available
Extent: | 1 Online-Ressource (14 p) |
---|---|
Type of publication: | Book / Working Paper |
Language: | English |
Notes: | In: OIDA International Journal of Sustainable Development, Vol. 07, No. 05, pp. 71-84, 2014 Nach Informationen von SSRN wurde die ursprüngliche Fassung des Dokuments September 21, 2014 erstellt |
Source: | ECONIS - Online Catalogue of the ZBW |
Persistent link: https://www.econbiz.de/10014142189
Saved in favorites
Similar items by subject
-
Value-based healthcare paradigm for healthcare sustainability
Falivena, Camilla, (2020)
-
Moving from service to sustainable services : a healthcare case study
Williams, Sharon J., (2022)
-
Green investments and sustainable healthcare systems
Navarro Espigares, José Luis, (2016)
- More ...