Unleashing innovation in first-line healthcare: The barriers to realizing platform openness

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-10-03 DOI:10.1016/j.ijmedinf.2024.105643

Gijs van der Wielen , Antragama Ewa Abbas , Mark de Reuver

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Abstract

Purpose

Digital platforms are essential for fostering innovation in first-line healthcare. These platforms require openness, allowing external parties to utilize, enhance, or profit from them. Yet, knowledge about barriers to realizing platform openness is lacking. This research investigates the barriers to realizing platform openness in first-line healthcare.

Method

This research employed a qualitative exploratory approach. We collected data through thirteen semi-structured interviews with platform experts, application developers, and healthcare practitioners. As a study setting, we focused on Dutch first-line healthcare. We then analyzed the data using thematic analysis.

Result

We identify barriers in three main categories that hinder platform openness: technology-related (e.g., redundancy in development work), business-related (e.g., profit-maximizing strategy), and healthcare-related (e.g., reluctance to change).

Scientific contribution

We contribute to the platform literature in medical informatics by being among the first to examine openness barriers that hinder platform-based innovation. We thus explain why platform implementations often do not result in substantial improvements in healthcare delivery despite their transformative impact in other industries.

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在一线医疗保健领域实现创新：实现平台开放的障碍。

目的：数字平台对于促进一线医疗保健的创新至关重要。这些平台需要开放，允许外部人员利用、改进或从中获利。然而，人们对实现平台开放性的障碍还缺乏了解。本研究调查了在一线医疗保健领域实现平台开放的障碍：本研究采用了定性探索方法。我们通过对平台专家、应用程序开发人员和医疗从业人员进行 13 次半结构化访谈收集数据。作为研究背景，我们重点关注荷兰的一线医疗保健。然后，我们使用主题分析法对数据进行了分析：结果：我们发现了三大类阻碍平台开放的障碍：与技术相关的障碍（如开发工作中的冗余）、与业务相关的障碍（如利润最大化战略）以及与医疗相关的障碍（如不愿改变）：我们首次研究了阻碍基于平台的创新的开放性障碍，为医学信息学领域的平台文献做出了贡献。因此，我们解释了为什么尽管平台实施在其他行业产生了变革性影响，但却往往无法实质性地改善医疗服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.