Design Studies

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Guided by Tronto’s (1993) ethic of care framework and Responsible Research and Innovation (RRI), this qualitative study focuses on the ways in which health innovation designers reason around care and responsibility and translate these notions into their work. The exploratory findings provide a novel empirical basis for scholars to conceptualize health innovation designers as ‘care-makers’ and to integrate designers within the care relationship alongside caregivers and care-receivers.

Social Science & Medicine

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The challenge of novel and high cost health technologies has encouraged the growth of regulatory agencies such as Health Technology Assessment (HTA) organizations and Group Procurement Organizations (GPO). Yet the existence of several agencies in the same polycentric regulatory regime raises questions about whether and how their work can be coordinated. Drawing on a case study of GPOs and HTA agencies across four provinces in Canada, we explore the separate evolution of these agencies, emerging connections between them for non-drug technologies, and the organizational processes and evaluative judgments that underpin coordination efforts.

Miller, A. F., Lehoux, P., Rac, V. E., P. Bytautas, J. P., Krahn, M., Peacock, S. (2020). Modes of coordination for health technology adoption: Health Technology Assessment agencies and Group Procurement Organizations in a polycentric regulatory regime, Social Science & Medicine.

Journal of Responsible Innovation

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In the field of Responsible Research and Innovation (RIR), tools have been developed to enable entrepreneurs to integrate RIR principles into their practices. While these tools may include measurable self-assessment indicators, external assessment approaches have so far received little attention. This study addresses this gap by applying the Responsible Innovation in Health (RIH) Tool, which adopts an external assessment approach, to 16 health innovations from Canada and Brazil.

Lehoux, P., Silva, H. P., Oliveira, R.R., Rivard, L. (2020). The responsible innovation in health tool and the need to reconcile formative and summative ends in RRI tools for business, Journal of Responsible Innovation.

BMJ Quality & Safety

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Although Do-It-Yourself and open access health innovations can offer interesting solutions for patients with needs that are currently not met by the medical industry, they pose new dilemmas in terms of quality and safety. In this study, the authors seek to better understand the dilemmas raised by two examples of popular innovations. To do so, they gathered the views of health care innovators who are familiar with medical device standards and regulations in order to identify practical issues and develop recommendations for public policy. 

Rivard, L., Lehoux, P., Alami, H. “It’s not just hacking for the sake of it”: a qualitative study of health innovators’ views on patient-driven open innovations, quality and safety,

Research Policy

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Seen as professional intermediaries, procurement offices affect innovation: they shape the valuation of goods and the markets through which they are exchanged. Yet procurement offices seem largely incidental to the innovation efforts of others. In this article, the authors argue that enhancing the capacities of procurement offices can support responsive innovation.

Miller, A. F., Lehoux, P. (2020). The innovation impacts of public procurement offices: The case of healthcare procurement, Research Policy.

Cadernos de Saúde Pública

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COVID-19. The speed with which solutions have been developed and made available to the population in Latin America raises an important set of ethical, legal, social, economic, and environmental questions. In this paper we discuss how the perspective of Responsible Innovation in Health (RIH) provides important elements for answering these questions.

Silva, H. P., Oliveira, R.R.,  Pozelli Sabio, R., Lehoux, P. (2020). Fostering the common good in times of COVID-19: the Responsible Innovation in Health perspective, Cadernos de Saúde Pública.

In Fieri and OBVIA

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The In Fieri team, in collaboration with OBVIA, developed a policy brief on AI and digital solutions. Using examples, it describes the four responsible innovation principles and clarifies pre-existing socioeconomic dynamics that condition the current development of these solutions as well as future trajectories. We offer guidance for public decision-makers and developers to help them shift towards a more responsible development of these innovations.

Lehoux, P., Alami, H., Mörch, C., Rivard, L., Oliveira, R.R., Silva, H.P. (2020). Can we innovate responsibly during a pandemic? Artificial intelligence, digital solutions and SARS-Cov-2.

Journal of Health Organization and Management

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An important step to ensure the successful integration of AI and avoid unnecessary investments and costly failures, better consideration should be given to: 1) needs and added-value assessment; 2) workplace readiness: stakeholder acceptance and engagement; 3) technology-organization alignment assessment; and 4) business plan: financing and investments. Decision-makers and technology promoters should better address the complexity of AI and understand the systemic challenges raised by its implementation in healthcare organizations and systems.

Alami, H., Lehoux, P., Denis, JL., Motulsky, A., Petitgrand, C., Savoldelli, M., Rouquet, R., Gagnon, MP., Roy, D., Fortin, JP. (2020). Organizational readiness for artificial intelligence in health care: Insights for decision-making and practice. Journal of Health Organization and Management.

Globalization and Health

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Most AI-based health applications are developed and implemented in high-income countries, their use in Low- and Middle-Income Countries (LMICs) contexts is recent and there is a lack of robust local evaluations to guide decision-making in low-resource settings. After discussing the potential benefits as well as the risks and challenges raised by AI-based health care, this paper proposes five building blocks to guide the development and implementation of more responsible, sustainable, and inclusive AI health care technologies in LMICs.

Alami, H., Rivard, L., Lehoux, P., Hoffman, S. J., Cadeddu, SBM., Savoldelli, M., Samri, MA., Ag Ahmed, MA., Fleet, R., Fortin, JP. (2020). Artificial intelligence in health care: Laying the Foundation for Responsible, sustainable, and inclusive innovation in low- and middle-income countries. Globalization and Health. 16(1): 52.

International Journal of Health Policy and Management

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By confirming key aspects of the RIH Tool’s reliability and applicability, our study brings its development to completion. It can be jointly put into action by innovation stakeholders who want to foster innovations with greater social, economic and environmental value.

Silva, H.P., Lefebvre, A.-A., Rocha, R.O., Lehoux, P. (2020). Fostering Responsible Innovation in Health: An evidence-informed assessment tool for decision-makers, International Journal of Health Policy and Management.