Responsible Innovation in Digital Health
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Responsible Innovation in Digital Health

Empowering the Patient

Edited by Tatiana Iakovleva, Elin M. Oftedal and John Bessant

Powerful new approaches and advances in medical systems drive increasingly high expectations for healthcare providers internationally. The form of digital healthcare – a suite of new technologies offering significant benefits in cost and quality – allow institutions to keep pace with society’s needs. This book covers the need for responsible innovation in this area, exploring the issues of implementation as well as potential negative consequences to ensure digital healthcare delivers for the benefit of all stakeholders.
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Chapter 5: Patient-initiated innovation - evidence and research agenda

Thomas Laudal and Tatiana Iakovleva


This chapter presents a preliminary review of the literature on institutional innovations linked to hospital patients, delineates the main concepts involved, and presents a research agenda. Patients’ knowledge of their health conditions has improved due to better education and information access. Trends towards peer-to-peer innovations and customer-driven innovations suggest there is a potential for patient-initiated innovations at a time where electronic health records (EHRs) are disseminated to patients. Based on the literature on how patients contribute to innovations and our interviews in a large Norwegian hospital region, we expect an increase in the number of patient-initiated innovations. Recommendations in the literature on ‘responsible innovations’ ensures that these innovations benefit patients and contribute to economic and/or non-economic performance indicators of hospitals. We identify three questions for future research: What kind of relationship is there between the release of EHRs and patient feedback? How do patient-initiated innovations influence hospital performance? And, what are the most important contextual factors?

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