Hauerwaas Antoniya, Weisenfeld Ursula
Institute of Management and Organisation, Leuphana University, Lueneburg, Germany.
Health Syst (Basingstoke). 2019 May 16;9(1):76-93. doi: 10.1080/20476965.2019.1604086. eCollection 2020.
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.
本文旨在展示系统性创新方法在变革移植系统方面的潜力。它探索了干预肺移植系统的潜在杠杆点以及可能的变革路径。我们以德国肺移植系统为例，该系统因系统故障和器官短缺而濒临崩溃，展示了可能的转型路径，并阐明系统性创新是卫生系统变革的核心机制。案头研究和半结构化专家访谈为演绎-归纳编码和严格的定性内容分析提供了定性数据。根据为实现系统变革而选择的系统性创新，移植系统遵循不同的转型路径：从崩溃到跨越式发展，迈向非人类移植系统。因此，像移植这样的全球卫生领域受益于对系统性创新的分析，因为这些分析通过制定医疗保健系统中的变革性战略来支持研究人员、公共政策和监管机构。
