TY - JOUR
AU - A. R. Bhuiya
AU - P. DeMaio
AU - J. D. Cura
AU - F. P. Gauvin
AU - S. Hagens
AU - P. Hébert
AU - J. N. Lavis
AU - J. McMurray
AU - K. A. Moat
AU - R. J. Reid
AU - H. Sveistrup
AU - L. Tamblyn-Watts
AU - M. G. Wilson
A1 - 
AB - BACKGROUND: Health-system leaders are increasingly faced with making decisions about whether and how to use a wide range of current and emerging health-system innovations to address complex system and policy challenges. Health-system innovations can broadly include new ways of doing things at a system level, such as new approaches to govern health systems, care delivery, funding models, health policy or better ways to integrate health and social services. However, Canada has historically struggled with the adaptation and uptake of health-system innovations. This multicomponent study aimed to explore the challenges, approaches and implementation considerations for creating an integrated innovation system that enables the adaptation and uptake of health-system innovations from the perspectives of citizens and health system leaders in Canada. METHODS: We synthesized the best-available evidence into an evidence brief and a subsequent plain-language version (a citizen brief) in consultation with a steering committee and key informants, including policymakers, leaders of systems, organizations and professional organizations, industry representatives, citizen leaders and researchers. These briefs informed deliberations in four citizen panels (n = 48 participants) and a national stakeholder dialogue with health-system leaders (n = 23 participants) to identify key challenges, approaches, implementation considerations and next steps that could be taken. RESULTS: Citizen panel participants and health-system leaders highlighted barriers such as culture and mindsets that resist health-system innovations, limited targeted funding for health-system innovations and processes that encourage sustainability, lack of mechanisms to adapt health-system innovation in local contexts and limited health human resources due to competing interests across health systems. Both groups emphasized the need for people-centred approaches to establish shared goals and vision, identify gaps and map what has worked to drive health-system innovations, set priorities and discuss how each stakeholder group can contribute to building and reviewing implementation considerations such as resources and funding related for the adaptation and uptake of health-system innovations. CONCLUSIONS: The findings provide insight for ongoing efforts to improve the development, implementation and evaluation efforts to enhance and harness health-system innovation to strengthen health systems in Canada. Collaboration from within and between governments and sectors will ultimately help to increase the value gained from health-system innovations.
AD - McMaster Health Forum, McMaster University, Hamilton, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.; Ministère de La Santé Et Des Services Sociaux, Québec City, Canada.; Canada Health Infoway, Ottawa, Canada.; Canadian Institutes of Health Research, Ottawa, Canada.; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.; Lazaridis School of Business and Economics/Community Health, Wilfrid Laurier University, Waterloo, ON, Canada.; Trillium Health Partners, Mississauga, Canada.; Bruyère Health Research Institute, Ottawa, Canada.; University of Ottawa, Ottawa, Canada.; CanAge, Toronto, Canada.; McMaster Health Forum, McMaster University, Hamilton, Canada. wilsom2@mcmaster.ca.; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada. wilsom2@mcmaster.ca.
AN - 41316339
BT - Health Res Policy Syst
C5 - Healthcare Disparities
CP - 1
DA - Nov 28
DO - 10.1186/s12961-025-01429-2
DP - NLM
ET - 20251128
IS - 1
JF - Health Res Policy Syst
LA - eng
N2 - BACKGROUND: Health-system leaders are increasingly faced with making decisions about whether and how to use a wide range of current and emerging health-system innovations to address complex system and policy challenges. Health-system innovations can broadly include new ways of doing things at a system level, such as new approaches to govern health systems, care delivery, funding models, health policy or better ways to integrate health and social services. However, Canada has historically struggled with the adaptation and uptake of health-system innovations. This multicomponent study aimed to explore the challenges, approaches and implementation considerations for creating an integrated innovation system that enables the adaptation and uptake of health-system innovations from the perspectives of citizens and health system leaders in Canada. METHODS: We synthesized the best-available evidence into an evidence brief and a subsequent plain-language version (a citizen brief) in consultation with a steering committee and key informants, including policymakers, leaders of systems, organizations and professional organizations, industry representatives, citizen leaders and researchers. These briefs informed deliberations in four citizen panels (n = 48 participants) and a national stakeholder dialogue with health-system leaders (n = 23 participants) to identify key challenges, approaches, implementation considerations and next steps that could be taken. RESULTS: Citizen panel participants and health-system leaders highlighted barriers such as culture and mindsets that resist health-system innovations, limited targeted funding for health-system innovations and processes that encourage sustainability, lack of mechanisms to adapt health-system innovation in local contexts and limited health human resources due to competing interests across health systems. Both groups emphasized the need for people-centred approaches to establish shared goals and vision, identify gaps and map what has worked to drive health-system innovations, set priorities and discuss how each stakeholder group can contribute to building and reviewing implementation considerations such as resources and funding related for the adaptation and uptake of health-system innovations. CONCLUSIONS: The findings provide insight for ongoing efforts to improve the development, implementation and evaluation efforts to enhance and harness health-system innovation to strengthen health systems in Canada. Collaboration from within and between governments and sectors will ultimately help to increase the value gained from health-system innovations.
PY - 2025
SN - 1478-4505
SP - 3
ST - Creating an integrated innovation system to enable the adaptation and uptake of health-system innovations in Canada: insights from citizen panels and a national stakeholder dialogue
T1 - Creating an integrated innovation system to enable the adaptation and uptake of health-system innovations in Canada: insights from citizen panels and a national stakeholder dialogue
T2 - Health Res Policy Syst
TI - Creating an integrated innovation system to enable the adaptation and uptake of health-system innovations in Canada: insights from citizen panels and a national stakeholder dialogue
U1 - Healthcare Disparities
U3 - 10.1186/s12961-025-01429-2
VL - 24
VO - 1478-4505
Y1 - 2025
ER -