International Journal of Health Policy and Management

International Journal of Health Policy and Management

Fostering Responsible Innovation in Health: An EvidenceInformed Assessment Tool for Innovation Stakeholders

Document Type : Original Article

Authors
Hudson P. Silva 1
Andrée-Anne Lefebvre 2
Robson R. Oliveira 1
Pascale Lehoux 1
1 Public Health Research Institute, University of Montreal, Montreal, QC, Canada
2 School of Public Health, University of Montreal, Montreal, QC, Canada
10.34172/ijhpm.2020.34
Abstract
Background
Responsible innovation in health (RIH) emphasizes the importance of developing technologies that are responsive to system-level challenges and support equitable and sustainable healthcare. To help decision-makers identify whether an innovation fulfills RIH requirements, we developed and validated an evidence-informed assessment tool comprised of 4 inclusion and exclusion criteria, 9 assessment attributes and a scoring system.

 
Methods
We conducted an inter-rater reliability assessment to establish the extent to which 2 raters agree when applying the RIH Tool to a diversified sample of health innovations (n = 25). Following the Tool’s 3-step process, sources of information were collected and cross-checked to ensure their clarity and relevance. Ratings were reported independently in a spreadsheet to generate the study’s database. To measure inter-rater reliability, we used: a non-adjusted index (percent agreement), a chance-adjusted index (Gwet’s AC) and the Pearson’s correlation coefficient. Results of the Tool’s application to the whole sample of innovations are summarized through descriptive statistics.

 
Results
Our findings show complete agreement for the screening criteria, “almost perfect” agreement for 7 assessment attributes, “substantial” agreement for 2 attributes and “almost perfect” agreement for the RIH overall score. A large portion of the sample obtained high scores for 6 attributes (health relevance, health inequalities, responsiveness, level and intensity of care and frugality) and low scores for 3 attributes (ethical, legal, and social issues [ELSIs], inclusiveness and eco-responsibility). At the rating step, 88% of the innovations had a sufficient number of attributes documented (≥ 7/9), but the assessment was based on sources of moderate to high quality (mean score ≥ 2 points) for 36% of the sample. While “Almost all RIH features” were present for 24% of the innovations (RIH mean score between 4.1-5.0 points), “Many RIH features” were present for 52% of the sample (3.1-4.0 points) and “Few RIH features” were present for 24% of the innovations (2.1-3.0 points).

 
Conclusion
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.

Highlights

Supplementary File 1 (Download)

Keywords
Responsible Innovation
Health Technology
Assessment Tool
Multi-criteria Decision Analysis
Sustainability
Equity
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International Journal of Health Policy and Management
Volume 10, Issue 4
April 2021
Pages 181-191

  • Received Date 02 August 2019
  • Revised Date 22 December 2019
  • Accepted Date 26 February 2020
  • First Published Date 01 April 2021
  • Published Date 01 April 2021