{"id":"https://openalex.org/W4387865244","doi":"https://doi.org/10.3233/shti230763","title":"Challenges in the Implementation of Disruptive Innovations in Health Care Organizations","display_name":"Challenges in the Implementation of Disruptive Innovations in Health Care Organizations","publication_year":2023,"publication_date":"2023-10-20","ids":{"openalex":"https://openalex.org/W4387865244","doi":"https://doi.org/10.3233/shti230763","pmid":"https://pubmed.ncbi.nlm.nih.gov/37869828"},"language":"en","primary_location":{"id":"doi:10.3233/shti230763","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti230763","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230763","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230763","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011019751","display_name":"Carsten Kaiser","orcid":"https://orcid.org/0009-0009-8539-6596"},"institutions":[{"id":"https://openalex.org/I1308524038","display_name":"Kiel Institute for the World Economy","ror":"https://ror.org/032yym934","country_code":"DE","type":"facility","lineage":["https://openalex.org/I1308524038","https://openalex.org/I315704651"]},{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Carsten Kaiser","raw_affiliation_strings":["Kiel Institute for Responsible Innovation, Kiel University, Germany"],"raw_orcid":"https://orcid.org/0009-0009-8539-6596","affiliations":[{"raw_affiliation_string":"Kiel Institute for Responsible Innovation, Kiel University, Germany","institution_ids":["https://openalex.org/I1308524038","https://openalex.org/I32021983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093109893","display_name":"Sophia Ackerhans","orcid":"https://orcid.org/0009-0005-9269-6854"},"institutions":[{"id":"https://openalex.org/I1308524038","display_name":"Kiel Institute for the World Economy","ror":"https://ror.org/032yym934","country_code":"DE","type":"facility","lineage":["https://openalex.org/I1308524038","https://openalex.org/I315704651"]},{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sophia Ackerhans","raw_affiliation_strings":["Kiel Institute for Responsible Innovation, Kiel University, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kiel Institute for Responsible Innovation, Kiel University, Germany","institution_ids":["https://openalex.org/I1308524038","https://openalex.org/I32021983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028413059","display_name":"Thomas V. Huynh","orcid":"https://orcid.org/0009-0005-5040-7057"},"institutions":[{"id":"https://openalex.org/I1308524038","display_name":"Kiel Institute for the World Economy","ror":"https://ror.org/032yym934","country_code":"DE","type":"facility","lineage":["https://openalex.org/I1308524038","https://openalex.org/I315704651"]},{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Thomas Huynh","raw_affiliation_strings":["Kiel Institute for Responsible Innovation, Kiel University, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kiel Institute for Responsible Innovation, Kiel University, Germany","institution_ids":["https://openalex.org/I1308524038","https://openalex.org/I32021983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003972538","display_name":"Jochen Denzinger","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jochen Denzinger","raw_affiliation_strings":["Iconstorm GmbH, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Iconstorm GmbH, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104186986","display_name":"Maurice Riegler","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maurice Riegler","raw_affiliation_strings":["Iconstorm GmbH, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Iconstorm GmbH, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103830568","display_name":"Daniel Dumitrescu","orcid":null},"institutions":[{"id":"https://openalex.org/I2800536013","display_name":"Heart and Diabetes Center North Rhine-Westphalia","ror":"https://ror.org/02wndzd81","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2799784675","https://openalex.org/I2800536013"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Daniel Dumitrescu","raw_affiliation_strings":["Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany","institution_ids":["https://openalex.org/I2800536013"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081496246","display_name":"Denise Guckel","orcid":null},"institutions":[{"id":"https://openalex.org/I2800536013","display_name":"Heart and Diabetes Center North Rhine-Westphalia","ror":"https://ror.org/02wndzd81","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2799784675","https://openalex.org/I2800536013"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Denise Guckel","raw_affiliation_strings":["Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany","institution_ids":["https://openalex.org/I2800536013"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065497433","display_name":"Anke Schmidt","orcid":"https://orcid.org/0000-0002-1016-9737"},"institutions":[{"id":"https://openalex.org/I2800536013","display_name":"Heart and Diabetes Center North Rhine-Westphalia","ror":"https://ror.org/02wndzd81","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2799784675","https://openalex.org/I2800536013"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Anke Schmidt","raw_affiliation_strings":["Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Applied Telemedicine, Herz- und Diabeteszentrum NRW, Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen, Germany","institution_ids":["https://openalex.org/I2800536013"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080941462","display_name":"Carsten Schultz","orcid":"https://orcid.org/0000-0002-5984-9872"},"institutions":[{"id":"https://openalex.org/I1308524038","display_name":"Kiel Institute for the World Economy","ror":"https://ror.org/032yym934","country_code":"DE","type":"facility","lineage":["https://openalex.org/I1308524038","https://openalex.org/I315704651"]},{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Carsten Schultz","raw_affiliation_strings":["Kiel Institute for Responsible Innovation, Kiel University, Germany"],"raw_orcid":"https://orcid.org/0000-0002-5984-9872","affiliations":[{"raw_affiliation_string":"Kiel Institute for Responsible Innovation, Kiel University, Germany","institution_ids":["https://openalex.org/I1308524038","https://openalex.org/I32021983"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5011019751"],"corresponding_institution_ids":["https://openalex.org/I1308524038","https://openalex.org/I32021983"],"apc_list":null,"apc_paid":null,"fwci":4.1046,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.9485137,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"309","issue":null,"first_page":"145","last_page":"149"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11891","display_name":"Big Data and Business Intelligence","score":0.9700000286102295,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11891","display_name":"Big Data and Business Intelligence","score":0.9700000286102295,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.906000018119812,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.8051638603210449},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.6055015325546265},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.582720160484314},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.5574129223823547},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.5444594025611877},{"id":"https://openalex.org/keywords/process","display_name":"Process (computing)","score":0.5386336445808411},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.2847049832344055},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.11423537135124207}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.8051638603210449},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.6055015325546265},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.582720160484314},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.5574129223823547},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5444594025611877},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.5386336445808411},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2847049832344055},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11423537135124207},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009938","descriptor_name":"Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009938","descriptor_name":"Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009938","descriptor_name":"Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti230763","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti230763","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230763","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:37869828","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37869828","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti230763","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti230763","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230763","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4387865244.pdf"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2023856047","https://openalex.org/W2144816153","https://openalex.org/W2894826729","https://openalex.org/W2898192966","https://openalex.org/W3004612364","https://openalex.org/W3157996575","https://openalex.org/W4378909115"],"related_works":["https://openalex.org/W1981780420","https://openalex.org/W2182707996","https://openalex.org/W45233828","https://openalex.org/W2964988449","https://openalex.org/W2397952901","https://openalex.org/W2029380707","https://openalex.org/W4281737987","https://openalex.org/W4386449603","https://openalex.org/W3124412501","https://openalex.org/W2048235121"],"abstract_inverted_index":{"Health":[0],"organizations":[1,38,109],"face":[2],"barriers":[3,29,57,80,93,105],"when":[4],"seeking":[5],"to":[6,37,53],"deploy":[7],"radical":[8,113],"innovations,":[9],"such":[10],"as":[11],"innovative":[12],"telemonitoring":[13],"approaches":[14],"or":[15],"AI":[16],"based":[17],"Clinical":[18],"Decision":[19],"Support":[20],"Systems":[21],"(CDSS)":[22],"into":[23],"their":[24,40],"clinical":[25],"workflow.":[26],"However,":[27],"these":[28,104],"are":[30],"of":[31,49,69,85,98],"various":[32],"types":[33],"and":[34,39,58,72,74,116,121],"rarely":[35],"known":[36],"management.":[41],"This":[42],"study":[43,77],"conducted":[44],"a":[45,65],"systematic":[46],"literature":[47],"review":[48],"99":[50],"selected":[51],"studies":[52],"identify":[54],"the":[55,76,83,86,99],"implementation":[56,92],"factors":[59],"encountered":[60],"in":[61],"this":[62],"process.":[63],"Using":[64],"hierarchical":[66],"framework":[67],"comprising":[68],"strategies,":[70],"resources":[71],"capabilities,":[73],"processes,":[75],"examined":[78],"16":[79],"generated":[81],"from":[82],"analysis":[84],"individual":[87],"studies.":[88],"The":[89],"findings":[90],"highlight":[91],"on":[94],"all":[95],"three":[96],"levels":[97],"proposed":[100],"framework.":[101],"By":[102],"addressing":[103],"comprehensively,":[106],"health":[107,114,122],"care":[108,119,123],"can":[110],"successfully":[111],"implement":[112],"innovations":[115],"enhance":[117],"patient":[118],"outcomes":[120],"delivery.":[124]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3}],"updated_date":"2026-01-22T23:29:09.771500","created_date":"2025-10-10T00:00:00"}
