Evidence map›Paper›PMID 33489312›Full record

SynthesisBMJ innovations2021

Are disruptive innovations recognised in the healthcare literature? A systematic review.

Viknesh Sounderajah, Vanash Patel, Lavanya Varatharajan, Leanne Harling, Pasha Normahani, Joshua Symons, James Barlow, Ara Darzi, Hutan Ashrafian

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ innovations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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  6. Article
  7. Article
  8. Review
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  11. Access to Care: End-to-End Digital Response for COVID-19 Care Delivery.The journal for nurse practitioners : JNP · 2022
    Article
  12. Review
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  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Viknesh SounderajahDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0002-4595-8402
Vanash PatelDepartment of Surgery and Cancer, Imperial College London, London, UK.
Lavanya VaratharajanDepartment of Bariatric Surgery, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, UK.
Leanne HarlingDepartment of Surgery and Cancer, Imperial College London, London, UK.
Pasha NormahaniDepartment of Surgery and Cancer, Imperial College London, London, UK.
Joshua SymonsDepartment of Surgery and Cancer, Imperial College London, London, UK.
James BarlowImperial College Business School, Imperial College London, London, UK.
Ara DarziDepartment of Surgery and Cancer, Imperial College London, London, UK.
Hutan AshrafianDepartment of Surgery and Cancer, Imperial College London, London, UK.

Funding

Medical Research Council MC_PC_18032
6 · The paper itself

Abstract

The study aims to conduct a systematic review to characterise the spread and use of the concept of 'disruptive innovation' within the healthcare sector. We aim to categorise references to the concept over time, across geographical regions and across prespecified healthcare domains. From this, we further aim to critique and challenge the sector-specific use of the concept. PubMed, Medline, Embase, Global Health, PsycINFO, Maternity and Infant Care, and Health Management Information Consortium were searched from inception to August 2019 for references pertaining to disruptive innovations within the healthcare industry. The heterogeneity of the articles precluded a meta-analysis, and neither quality scoring of articles nor risk of bias analyses were required. 245 articles that detailed perceived disruptive innovations within the health sector were identified. The disruptive innovations were categorised into seven domains: basic science (19.2%), device (12.2%), diagnostics (4.9%), digital health (21.6%), education (5.3%), processes (17.6%) and technique (19.2%). The term has been used with increasing frequency annually and is predominantly cited in North American (78.4%) and European (15.2%) articles. The five most cited disruptive innovations in healthcare are 'omics' technologies, mobile health applications, telemedicine, health informatics and retail clinics. The concept 'disruptive innovation' has diffused into the healthcare industry. However, its use remains inconsistent and the recognition of disruption is obscured by other types of innovation. The current definition does not accommodate for prospective scouting of disruptive innovations, a likely hindrance to policy makers. Redefining disruptive innovation within the healthcare sector is therefore crucial for prospectively identifying cost-effective innovations.

Indexed as

global healthmHealthreverse innovations

Identifiers

PMID33489312
PMCPMC7802637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.