A Systematic Literature Review Protocol to understand the Healthcare Service Innovation Ecosystem

Rosa Milena Gomez-Caballero

https://orcid.org/0000-0001-8727-5629

Spain

Universitat Politècnica de València image/svg+xml

Clara Isabel López Gualdrón

https://orcid.org/0000-0002-9581-1628

Colombia

Industrial University of Santander image/svg+xml

Cesar Augusto Acevedo-Argüello

https://orcid.org/0000-0002-0979-4113

Colombia

Industrial University of Santander image/svg+xml

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Accepted: 2025-04-03

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Published: 2025-04-10

DOI: https://doi.org/10.4995/wpom.21407
Funding Data

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Keywords:

Healthcare service, ecosystem, protocol, service innovation, stakeholders

Supporting agencies:

This research was not funded

Abstract:

The research's primary goal is to address the innovation ecosystem in healthcare services to understand how interaction among stakeholders occurs and how that interaction influences or does not influence the results obtained from the innovation process. We aim to build a theoretical model applicable to the healthcare sector context regarding the questions we aim to answer through systematic review: Does the relationship between stakeholders of the Health Services Innovation Ecosystem affect innovation outcomes? The target population includes the actors within the ecosystem (partners, stakeholders, and other participants); the phenomenon of interest is how these actors interact, with the context being the innovation process, specifically focusing on the outcomes of their interactions. This article defines the framework proposal for systematic review. A methodological approach was developed considering the parameters of the PRISMA 2020 Statement since the definition of the review objective was to collect and analyze data. As a result, the research question has been validated, and studies included in the review have been identified. The results will be analyzed and generated in the following research phase.

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References:

Abugabah, A., Nizamuddin, N., & Alzubi, A. A. (2020). Decentralized telemedicine framework for a smart healthcare ecosystem. IEEE Access, 8, 166575–166588. https://doi.org/10.1109/ACCESS.2020.3021823

Adner, R. (2006). Match Your Innovation Strategy to Your Innovation Ecosystem. www.hbrreprints.org

Alzate Montoya, M. A., Montenegro Martinez, G., Londoño Pelaez, C., & Cardona Arango, D. (2022). Innovation ecosystems in health: countries and theoretical models used. F1000Research, 11, 1458. https://doi.org/10.12688/f1000research.125854.1

Aria, M., & Cuccurullo, C. (2017). bibliometrix: An R-tool for comprehensive science mapping analysis. Journal of Informetrics, 11(4), 959–975. https://doi.org/10.1016/j.joi.2017.08.007

Aromataris, E., & Riitano, D. (2014). Constructing a search strategy and searching for evidence. The American Journal of Nursing, 114(5), 49–56. https://doi.org/10.1097/01.NAJ.0000446779.99522.f6

Butler, A., Hall, H., & Copnell, B. (2016). A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews on Evidence-Based Nursing, 13(3), 241–249. https://doi.org/10.1111/wvn.12134

CIMIT. (2023). Consortia for Improving Medicine with Innovation Technology. https://www.cimit.org/home

Collins, J. M., & Dempsey, M. K. (2019). Healthcare innovation methodology: codifying the process of translating knowledge into better healthcare products, services, and procedures. In Current Opinion in Biomedical Engineering (Vol. 11, pp. 16–21). Elsevier B.V. https://doi.org/10.1016/j.cobme.2019.09.003

Freeman, E. (1984). Strategic Management: A Stakeholder Approach (Pitman, Ed.).

Frow, P., McColl-Kennedy, J. R., & Payne, A. (2016). Co-creation practices: Their role in shaping a health care ecosystem. Industrial Marketing Management, 56, 24–39. https://doi.org/10.1016/j.indmarman.2016.03.007

Granstrand, O., & Holgersson, M. (2020). Innovation ecosystems: A conceptual review and a new definition. In Technovation (Vols. 90–91). Elsevier Ltd. https://doi.org/10.1016/j.technovation.2019.102098

Guarcello, C., & de Vargas, E. R. (2020). Service Innovation in Healthcare: A Systematic Literature Review. Latin American Business Review, 21(4), 353–369. https://doi.org/10.1080/10978526.2020.1802286

Jackson, D. J. (2011). What is an Innovation Ecosystem? http://www.sustainablescale.org/ConceptualFramework/UnderstandingScale/BasicConcepts/EcosystemFunctionsServices.aspx

Mainardes, E. W., Alves, H., & Raposo, M. (2012). A model for stakeholder classification and stakeholder relationships. Management Decision, 50(10), 1861–1879. https://doi.org/10.1108/00251741211279648

Marin-Garcia, J. A. (2021). Three-stage publishing to support evidence-based management practice. WPOM-Working Papers on Operations Management, 12(2), 56–95. https://doi.org/10.4995/wpom.11755

Marin-Garcia, J. A., Vidal-Carreras, P. I., Garcia Sabater, J. J., & Escribano-Martinez, J. (2019). Protocol: Value Stream Maping in Healthcare. A systematic literature review. WPOM-Working Papers on Operations Management, 10(2), 36. https://doi.org/10.4995/wpom.v10i2.12297

Miles, S. (2017). Stakeholder Theory Classification, Definitions and Essential Contestability (pp. 21–47). https://doi.org/10.1108/S2514-175920170000002

Mitchell, R. K., Agle, B. R., & Wood, D. J. (1997). Toward a Theory of Stakeholder Identification and Salience: Defining the Principle of Who and What Really Counts. In Source: The Academy of Management Review (Vol. 22, Issue 4). https://www.jstor.org/stable/259247

Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., Estarli, M., Barrera, E. S. A., Martínez-Rodríguez, R., Baladia, E., Agüero, S. D., Camacho, S., Buhring, K., Herrero-López, A., Gil-González, D. M., Altman, D. G., Booth, A., … Whitlock, E. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Revista Espanola de Nutricion Humana y Dietetica, 20(2), 148–160. https://doi.org/10.1186/2046-4053-4-1

Omachonu, V. K., & Einspruch, N. G. (2010). Innovation in Healthcare Delivery Systems: A Conceptual Framework. In The Innovation Journal: The Public Sector Innovation Journal (Vol. 15, Issue 1).

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. In The BMJ (Vol. 372). BMJ Publishing Group. https://doi.org/10.1136/bmj.n71

Pereno, A., & Eriksson, D. (2020). A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards. Futures, 122. https://doi.org/10.1016/j.futures.2020.102605

Polónia, D. F., & Gradim, A. C. (2021). Innovation And Knowledge Flows In Healthcare Ecosystems: The Portuguese Case. The Electronic Journal of Knowledge Management, 18(3), 374–391. www.ejkm.com

Randhawa, K., West, J., Skellern, K., & Josserand, E. (2021). Evolving a Value Chain to an Open Innovation Ecosystem: Cognitive Engagement of Stakeholders in Customizing Medical Implants. California Management Review, 63(2), 101–134. https://doi.org/10.1177/0008125620974435

Shaw, D. R., & Allen, T. (2018). Studying innovation ecosystems using ecology theory. Technological Forecasting and Social Change, 136, 88–102. https://doi.org/10.1016/j.techfore.2016.11.030

Singhal, S., Kayyali, B., Levin, R., & Greenberg, Z. (2020). The next wave of healthcare innovation: The evolution of ecosystems How healthcare stakeholders can win within evolving healthcare ecosystems.

Siu, C. P. Y. (2024). Stakeholder analysis within the innovation ecosystem: A gerontechnology case in Hong Kong. Gerontechnology, 23(1), 1–19. https://doi.org/10.4017/gt.2024.23.1.861.08

Stern, C., Jordan, Z., & Mcarthur, A. (2014). SYSTEMATIC REVIEWS, Step by Step Developing the Review Question and Inclusion Criteria (Vol. 114, Issue 4). https://doi.org/10.1097/01.NAJ.0000445689.67800.86

Torab-Miandoab, A., Samad-Soltani, T., & Rezaei-hachesu, P. (2024). Open Innovation in Healthcare Ecosystem – a systematic review. https://doi.org/10.21203/rs.3.rs-640164/v3

Vaz, N., & Araujo, C. A. S. (2024). Service design for the transformation of healthcare systems: A systematic review of literature. Health Services Management Research, 37(3), 174–188. https://doi.org/10.1177/09514848231194846

Wass, S., & Vimarlund, V. (2016). Healthcare in the age of open innovation – A literature review. Health Information Management Journal, 45(3), 121–133. https://doi.org/10.1177/1833358316639458

Wu, J., Wang, Y., Tao, L., & Peng, J. M. (2019). Stakeholders in the healthcare service ecosystem. Procedia CIRP, 83, 375–379. https://doi.org/10.1016/j.procir.2019.04.085

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