Characterizing attributes of innovation of technologies for healthcare: a systematic review
Open accessAbstract
OBJECTIVES: Characterizing and evaluating the holistic value of innovative healthcare technologies (e.g. treatments, services) constitutes a crucial goal to maximize limited resources. However, the characteristics of innovation have not been well identified. This review aims to describe the characteristics of healthcare innovation. METHODS: We performed a comprehensive systematic search using PubMed, Embase, PsycINFO, and Econlit from inception to July 2022. Articles were included if they described innovation or the characteristics of innovation of the technologies in healthcare. Characteristics or definitions of innovation directly or indirectly described as innovation were extracted from the included articles. Two independent reviewers then conceptualized the identified characteristics of innovation to generate innovation attributes in healthcare. RESULTS: In total, 103 articles were included in this review. Eight attributes describing innovation, i.e. novelty, step change, substantial benefits, an improvement over existing technologies, convenience and/or adherence, added value, acceptable cost, and uncounted benefits, were conceptualized. Most of the identified innovation attributes were based on the researchers' perspective. CONCLUSIONS: This study conceptualized innovation attributes in healthcare based on the characteristics of healthcare innovation as defined in the literature. Further research is warranted to obtain a complete understanding of the perspectives of researchers and other stakeholders, including patients, healthcare providers, healthcare payers, and the pharmaceutical industry, on recognizing innovation in healthcare.KEY POINTSThis is the first systematic review to conceptualize attributes of healthcare innovation.We conceptualized eight attributes describing innovation, i.e. novelty, step change, substantial benefits, an improvement over existing technologies, convenience and/or adherence, added value, acceptable cost, and uncounted benefits based on the similar concept.In existing literature, patients' and caregivers' perspectives were less frequently found to describe the innovation attributes.Future research is needed to identify, measure, and value various stakeholders, including patients' and caregivers' perspectives on healthcare innovation.
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Many factors identified in our analysis reflect established findings on implementation of other innovations and NASSS framework constructs.
“Many factors identified in our analysis—including context (at system, organization, and service levels), leadership and engagement approaches, technological considerations, use of data, and local capacity and resourcing (e.g., finance, people)–reflect established findings on implementation of other innovations, digital or otherwise,21,27, 28, 29, 30 and NASSS framework constructs.20”
From Procurement and early deployment of artificial intelligence tools for chest diagnostics in NHS services in England: a rapid, mixed method evaluation (2025) · cites this paper as [29]
The Discussion and Conclusions (pages unavailable) identify attributes used to recognize innovative healthcare technologies, including novelty, benefits and acceptable cost. They do not address whether the cited factors—such as leadership, data use and local capacity—are established findings about implementing innovations. Searches for implementation factors, leadership and resources found no passage establishing that link. The separate NASSS-framework clause is attributed to citation 20, not this source. (LLM, conf=0.73)
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Ramsay, A. I. G., Crellin, N., Lawrence, R., Walton, H., Bagri, S., Dodsworth, E., Elphinstone, H., Gleeson, F., Halliday, A., Herbert, K., et al. (2025) · eClinicalMedicine · doi:10.1016/j.eclinm.2025.103481 · Cited by 13 · see citing works
- Authors
- Syeed, M. S., Poudel, N., Ngorsuraches, S., Veettil, S. K., & Chaiyakunapruk, N.
- Affiliations
- University of Utah (US)
- Auburn University (US)
- Corresponding author
- Chaiyakunapruk, Nathorn
- Venue
- Journal of Medical Economics
- Publisher
- Informa UK Limited
- Published
- 2022-11-11
- Volume
- 25
- Issue
- 1
- Pages
- 1158-1166
- ISSN
- 1369-6998 (ISSN-L)
- 1941-837X
- OpenAlex
- W4307425101
- Cited by
- 18
- References
- 0
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 4 · 2023: 2 · 2022: 1
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Medical Economics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Social Sciences › Sociology and Political Science › Innovation, Technology, and Society
- Keywords
- healthcare innovation, innovation characteristics, new technologies, step change, value addition, patient and caregiver perspectives, stakeholder perspectives, innovation value, resource allocation
- MeSH terms
- Delivery of Health Care, Health Personnel, Humans, Caregivers
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