Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review
Innovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a compre...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Journal of Open Innovation: Technology, Market and Complexity |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2199853125000253 |
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| author | Sanne Allers Frank Eijkenaar Erik M. van Raaij Frederik T. Schut |
| author_facet | Sanne Allers Frank Eijkenaar Erik M. van Raaij Frederik T. Schut |
| author_sort | Sanne Allers |
| collection | DOAJ |
| description | Innovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a comprehensive overview of the role payment mechanisms play in innovation processes is lacking. To fill this knowledge gap, we conducted an extensive literature review, combining a systematic data search with textual narrative synthesis. We contextualize the literature on the role of funding and reimbursement in the process of healthcare innovation in relation to stage-gate models of innovation processes. This results in a ‘financial fugle model’ in which the role of funding and reimbursement is analyzed in three consecutive phases of the innovation process: development, translation, and implementation. From the review of 157 included articles, four key findings stand out: 1) shortcomings in national reimbursement systems result in local fragmentation in the implementation of innovations; 2) lack of evidence on costs and benefits in financial decision-making may harm the development and implementation of potentially value-enhancing innovations; 3) more disruptive innovations encounter larger financial barriers; and 4) non-financial factors, including innovator characteristics and institutional support, are essential in overcoming financial barriers. Based on these key findings, we develop a research agenda for further investigation of the influence of payment mechanisms on the process of healthcare innovation. |
| format | Article |
| id | doaj-art-278438e57ff844d2a36a895f2ee243c4 |
| institution | Kabale University |
| issn | 2199-8531 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Open Innovation: Technology, Market and Complexity |
| spelling | doaj-art-278438e57ff844d2a36a895f2ee243c42025-02-04T04:10:23ZengElsevierJournal of Open Innovation: Technology, Market and Complexity2199-85312025-03-01111100490Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic reviewSanne Allers0Frank Eijkenaar1Erik M. van Raaij2Frederik T. Schut3Erasmus School of Health Policy & Management, Erasmus University Rotterdam, the Netherlands; Corresponding author.Erasmus School of Health Policy & Management, Erasmus University Rotterdam, the NetherlandsErasmus School of Health Policy & Management, Erasmus University Rotterdam, the Netherlands; Rotterdam School of Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, PA 3062, the NetherlandsErasmus School of Health Policy & Management, Erasmus University Rotterdam, the NetherlandsInnovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a comprehensive overview of the role payment mechanisms play in innovation processes is lacking. To fill this knowledge gap, we conducted an extensive literature review, combining a systematic data search with textual narrative synthesis. We contextualize the literature on the role of funding and reimbursement in the process of healthcare innovation in relation to stage-gate models of innovation processes. This results in a ‘financial fugle model’ in which the role of funding and reimbursement is analyzed in three consecutive phases of the innovation process: development, translation, and implementation. From the review of 157 included articles, four key findings stand out: 1) shortcomings in national reimbursement systems result in local fragmentation in the implementation of innovations; 2) lack of evidence on costs and benefits in financial decision-making may harm the development and implementation of potentially value-enhancing innovations; 3) more disruptive innovations encounter larger financial barriers; and 4) non-financial factors, including innovator characteristics and institutional support, are essential in overcoming financial barriers. Based on these key findings, we develop a research agenda for further investigation of the influence of payment mechanisms on the process of healthcare innovation.http://www.sciencedirect.com/science/article/pii/S2199853125000253Health innovationHealthcare financingFinancial barriersHealthcare technologyHealthcare processesInnovation process |
| spellingShingle | Sanne Allers Frank Eijkenaar Erik M. van Raaij Frederik T. Schut Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review Journal of Open Innovation: Technology, Market and Complexity Health innovation Healthcare financing Financial barriers Healthcare technology Healthcare processes Innovation process |
| title | Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review |
| title_full | Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review |
| title_fullStr | Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review |
| title_full_unstemmed | Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review |
| title_short | Patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation: A systematic review |
| title_sort | patterns in the influence of funding and reimbursement on the development and implementation of healthcare innovation a systematic review |
| topic | Health innovation Healthcare financing Financial barriers Healthcare technology Healthcare processes Innovation process |
| url | http://www.sciencedirect.com/science/article/pii/S2199853125000253 |
| work_keys_str_mv | AT sanneallers patternsintheinfluenceoffundingandreimbursementonthedevelopmentandimplementationofhealthcareinnovationasystematicreview AT frankeijkenaar patternsintheinfluenceoffundingandreimbursementonthedevelopmentandimplementationofhealthcareinnovationasystematicreview AT erikmvanraaij patternsintheinfluenceoffundingandreimbursementonthedevelopmentandimplementationofhealthcareinnovationasystematicreview AT frederiktschut patternsintheinfluenceoffundingandreimbursementonthedevelopmentandimplementationofhealthcareinnovationasystematicreview |