@article{fdi:010087608,
  title = {{A}ttributes and organizational factors that enabled innovation in health care service delivery during the {COVID}-19 pandemic - case studies from {B}razil, {C}anada and {J}apan},
  author = {{H}onda, {A}. and {O}liveira, {S}. {R}. {D}. and {R}idde, {V}al{\'e}ry and {Z}inszer, {K}. and {G}autier, {L}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}nnovation by health service organizations can enable adaptation to and transformation of challenges caused by health shocks. {D}rawing on results from case studies in {B}razil, {C}anada, and {J}apan, this study looked at innovations the study hospitals introduced in response to challenges caused by {COVID}-19 to identify: 1) attributes of the innovations that make them conducive to adoption; and 2) organizational factors that facilitate the creation and implementation of innovative health care approaches during health system shocks. {Q}ualitative information was gathered using key informant interviews, participatory observations at the study hospitals and a review of relevant documentation. {A} thematic approach was used for analysis, and a cross-country comparison framework was prepared to synthesize findings from the case studies in the three countries. {I}n response to the disruptions caused by {COVID}-19, the study hospitals undertook innovative changes in services, processes, organizational structures, and operational policy. {T}he driving force behind the innovations was the need and urgency generated by the unprecedented nature of the pandemic. {W}ith {COVID}-19, if an innovation met the perceived needs of hospitals and provided an operational advantage, some level of complexity in the implementation appeared to be acceptable. {T}he study findings suggest that for hospitals to create and implement innovations in response to health shocks, they need to: have adaptive and flexible organizational structures; build and maintain functioning communication systems; have committed leadership; ensure all staff share an understanding of hospital organizational and professional missions; and establish social networks that facilitate the creation and implementation of new ideas.},
  keywords = {{COVID}-19 ; health care service delivery ; hospital ; innovation ; resilience ; {BRESIL} ; {CANADA} ; {JAPON}},
  booktitle = {},
  journal = {{H}ealth {S}ystems and {R}eform},
  volume = {9},
  numero = {2},
  pages = {2176022 [12 p.]},
  ISSN = {2328-8604},
  year = {2023},
  DOI = {10.1080/23288604.2023.2176022},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087608},
}