The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system: A qualitative study

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@article{5d2467de1f964476b3394d508954dd4d,
title = "The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system: A qualitative study",
abstract = "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.",
keywords = "Management studies, systemic innovations, transplantations system, transformation, lung allocation score, Health care system, Lung transplantations system, systemic innovations, transplantations system, transformations, lung allocation score, Lung transplantations system, healthcare systems",
author = "Antoniya Hauerwaas and Ursula Weisenfeld",
note = "{\textcopyright} Operational Research Society 2019.",
year = "2020",
month = apr,
day = "1",
doi = "10.1080/20476965.2019.1604086",
language = "English",
volume = "9",
pages = "76--93",
journal = "Health Systems",
issn = "2047-6973",
publisher = "Taylor & Francis",
number = "1",

}

RIS

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 - 2047-6973

IS - 1

ER -