The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system: A qualitative study
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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in: Health Systems, Jahrgang 9, Nr. 1, 01.04.2020, S. 76-93.
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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TY - JOUR
T1 - The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system
T2 - A qualitative study
AU - Hauerwaas, Antoniya
AU - Weisenfeld, Ursula
N1 - © Operational Research Society 2019.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - The aim of this paper is to demonstrate the potential of the systemic innovations approach for transforming transplantation systems. It explores potential leverage points for intervening in the LTx-system as well as possible paths of transformation. We present possible transition pathways giving the example of the German Lung transplantation system that teeters on the brink of collapse due to system failures and organ scarcity and illustrate systemic innovations as core mechanisms for systems change in health systems. Desk research and semi-structured experts interviews provided qualitative data for a deductive-inductive coding and a rigorous qualitative content analysis of the data. Depending on the systemic innovations chosen to achieve systems change, transplant systems follow different transformational paths: from a collapse to a leapfrogging towards a non-human transplantation system. Thus, global health areas like transplantation benefit from analysis on systemic innovations as these support researchers, public policy and regulators by developing transformative strategies in healthcare systems.
AB - The aim of this paper is to demonstrate the potential of the systemic innovations approach for transforming transplantation systems. It explores potential leverage points for intervening in the LTx-system as well as possible paths of transformation. We present possible transition pathways giving the example of the German Lung transplantation system that teeters on the brink of collapse due to system failures and organ scarcity and illustrate systemic innovations as core mechanisms for systems change in health systems. Desk research and semi-structured experts interviews provided qualitative data for a deductive-inductive coding and a rigorous qualitative content analysis of the data. Depending on the systemic innovations chosen to achieve systems change, transplant systems follow different transformational paths: from a collapse to a leapfrogging towards a non-human transplantation system. Thus, global health areas like transplantation benefit from analysis on systemic innovations as these support researchers, public policy and regulators by developing transformative strategies in healthcare systems.
KW - Management studies
KW - systemic innovations
KW - transplantations system
KW - transformation
KW - lung allocation score
KW - Health care system
KW - Lung transplantations system
KW - systemic innovations
KW - transplantations system
KW - transformations
KW - lung allocation score
KW - Lung transplantations system
KW - healthcare systems
UR - http://www.scopus.com/inward/record.url?scp=85074980221&partnerID=8YFLogxK
U2 - 10.1080/20476965.2019.1604086
DO - 10.1080/20476965.2019.1604086
M3 - Journal articles
C2 - 32284853
VL - 9
SP - 76
EP - 93
JO - Health Systems
JF - Health Systems
SN - 2047-6965
IS - 1
ER -