Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for a Digital Gaming Solution : Qualitative Study

Background: The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents' experiences help care providers to provide effective, family-centered care that responds to parents' needs throughout the day surgery pathway. Objective: The objective of our study was to describe parental experiences of the pediatric day surgery pathway and the needs for a digital gaming solution in order to facilitate the digitalization of these pathways. Methods: This was a descriptive qualitative study. The participants (N=31) were parents whose children were admitted to the hospital for the day surgical treatments or magnetic resonance imaging. The data were collected through an unstructured, open-ended questionnaire; an inductive content analysis was conducted to analyze the qualitative data. Reporting of the study findings adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results: Parental experiences of the children's day surgery pathway included 3 main categories: (1) needs for parental guidance, (2) needs for support, and (3) child involved in his or her own pathway (eg, consideration of an individual child and preparation of child for treatment). The needs for a digital gaming solution were identified as 1 main category-the digital gaming solution for children and families to support care. This main category included 3 upper categories: (1) preparing children and families for the day surgery via the solution, (2) gamification in the solution, and (3) connecting people through the solution. Conclusions: Parents need guidance and support for their children's day surgery care pathways. A digital gaming solution may be a relevant tool to support communication and to provide information on day surgeries Families are ready for and are open to digital gaming solutions that provide support and guidance and engage children in the day surgery pathways.Peer reviewe

Success factors of demand-driven open innovation as a policy instrument in the case of the healthcare industry

Abstract According to the WHO Global Digital Health Strategy 2020–2024, we should advocate people-centred health systems, promote global collaboration and strengthen the governance of global digital health practices. All this requires a new open innovation approach, which means that stakeholders from regional administrations, hospitals, companies and intermediate organisations openly work together towards commonly identified global and regional digital health goals. Although both practice and theory have proven that the open innovation approach is beneficial for companies and end-users, there is still a need for increased understanding of what leads to the success of digital health related to regional competitiveness through the implementation of policies based on people-centred open innovation. This study is a longitudinal case study in which open innovation ecosystem partners (including challengers (healthcare organisation representatives), solvers (companies), funders (policy organisations) and supporters (intermediate organisations) were monitored and analysed in three countries. The focus of the paper is to explore a digital health open innovation ecosystem over the years. The results show that the created demand-driven open innovation model can be used to strengthen the governance of digital health, and to improve communication density and knowledge transfer between the ecosystem actors. The new model is a useful way to make funding structures clearer and to improve the people centricity of digital health solutions. The findings help policy-makers to use open innovation as a policy instrument supporting hospital and company managers to increase understanding of the opportunities of demand-driven open innovation

Health specialists’ views on the needs for developing a digital gaming solution for paediatric day surgery

Abstract Aims and objectives: To describe the views on the needs of health specialists to consider when developing a digital gaming solution for children and families in a paediatric day surgery. Background: Children’s day surgery treatment is often cancelled at the last minute for various reasons, for example due to the lack of information. Digital gaming solutions could help families to be better oriented to the coming treatment. Despite the increasing demands for mHealth systems, there is not enough evidence‐based information from the health specialist perspective for developing a digital gaming solution. Design: A qualitative descriptive study was conducted. Methods: Health specialists (N = 15) including 11 nurses, one physiotherapist and four doctors from different areas from one university hospital in Finland were recruited using a snowball sampling method. Semi‐structured, face‐to‐face interviews were conducted in March and April 2019. The data were analysed using inductive conduct analyses. The COREQ checklist was used to report the data collection, analysis and the results. Results: The data yielded 469 open codes, 21 sub‐categories, three upper categories and one main category. The main category the digital gaming solution to support knowledge, care and guidance in children’s day surgery included three upper categories: (a) support for preoperative information and guidance, (b) support for intra‐operative information and care, and (c) support for postoperative information, care and guidance. Conclusion: Digital gaming solutions could be used to help children and families to be better prepared for upcoming treatments, to support communication in different languages and to improve children’s pain management after operations. Relevance to clinical practice: Evidence‐based information is important to ensure that future digital solutions answer the real needs of the staff and patients. There is a need for families and children’s views to be taken into consideration when developing digital gaming solutions in the hospital context

Exploring potential changes in the business model:the impacts of using human-centered personal data as a resource

Abstract Purpose: Services are evolving from generic to personalized, and the reverse use of customer data has been discussed in both academia and industry for the past few years. The aim of this study is to understand how personal data is working as a resource for business model transformation in emerging service ecosystems. Design/methodology/approach: The primary data was gathered over the time in the recorded and transcripted workshops, in which future personal data-based services were conceptualized by analyzing future scenarios from a business perspective. Findings: The results have implications to theory and practice, indicating that adopting personal data management principles requires transformation of the business model, which, if successfully managed, may provide access to more resources, potential to offer better value, and additional customer channels. Research limitations/implications: Being a single case study imposes restrictions to the generalizability of the results. Expanding the scope of this study to include actors from different sectors would improve the validity of the research. Social implications: The study views the future business landscape with human centered personal data management lenses. The exploration of the effects of an approach that benefits both people and businesses provides a positive societal aspect. Originality/value: While a few studies have examined the linkage between business models and personal data usage, no empirical studies have looked at how a company should change their business model due to new data access. This paper shows one way to think about this issue

Impacts of coupled open innovation on company business models:a case study of demand-driven co-creation

Abstract Research on open innovation refers to a model in which innovation is driven by the needs of the customer. In the healthcare sector, healthcare organizations are often the core customers for companies that want to use e-health solutions to improve patient care and cost efficiency. We examined the impact of coupled open innovation on companies’ business models. The co-creation between network actors was done in a demand-driven manner based on the needs of healthcare professionals. We present the findings of a longitudinal case study in an international setting. The research generated a new demand-driven coupled open innovation framework that supports companies in the challenging task of exploring economically viable business opportunities. Our paper contributes to the knowledge management and open business model literatures by providing empirical knowledge on the knowledge absorption and impact of coupled open innovation in the company business models in the knowledge-based economy

Computer- and telephone-delivered interventions on patient outcomes and resource utilization in patients with orthopaedic conditions:a systematic review and narrative synthesis

Abstract Background: As the number of patients with orthopaedic conditions has risen continuously, hospital-based healthcare resources have become limited. Delivery of additional services is needed to adapt to this trend. Purpose: The purpose of this study was to describe the current literature of computer- and telephone-delivered interventions on patient outcomes and resource utilization in patients with orthopaedic conditions. Methods: The systematic review was conducted in January 2019. The standardized checklist for randomized controlled trials was used to assess the quality of the relevant studies. A meta-analysis was not possible due to heterogeneity in the included studies, and a narrative synthesis was conducted to draw informative conclusions relevant to current research, policy, and practice. Results: A total of 1,173 articles were retrieved. Six randomized controlled trials met the inclusion criteria, providing evidence from 434 individuals across four countries. Two studies reported findings of computer-delivered interventions and four reported findings of telephone-delivered interventions. The patients who received both computer- and telephone-delivered interventions showed improvements in patient outcomes that were similar or better to those of patients receiving conventional care. This was without any increase in adverse events or costs. Conclusion: Computer- and telephone-delivered interventions are promising and safe alternatives to conventional care. This review, however, identifies a gap in evidence of high-quality studies exploring the effects of computer- and telephone-delivered interventions on patient outcomes and resource utilization. In future, these interventions should be evaluated from the perspective of intervention content, self-management, and patient empowerment. In addition, they should consider the whole care journey and the development of the newest technological innovations. Additionally, future surgery studies should take into account the personalized needs of special, high-risk patient groups and focus on patient-centric care to reduce postdischarge health problems and resource utilization in this population

Orchestrating for lead user involvement in innovation networks

Abstract To respond to the notable changes in the field of healthcare, innovation networks bringing together industry and public sector actors are needed. Subsequently, the orchestration of such networks has attracted increasing attention. However, most research on network orchestration takes the point of view of the orchestrator and/or the innovation producers. It lacks explicit discussion on the users, especially lead users, in the network orchestration context. On the other hand, while the user-innovation literature tells how lead users can be involved in innovation processes, it focuses on those managerial actions that are meant to specifically influence lead users and misses the network-wide orchestration-related dynamics. Furthermore, a lead user discussion with a focus on customers viewing market trends does not necessarily fully acknowledge healthcare professionals or end users of public sector services. This study starts to bridge these discussions as it introduces findings from a theoretical examination and an illustrative case study. It provides a context-sensitive approach to innovation network orchestration in a situation where active involvement of lead users is crucial for the functioning of the innovation network. Acknowledging the interaction between the innovation network orchestrator, innovating companies, and lead users adds to existing knowledge on how to orchestrate innovation networks