Value in co-creation: Subjecting innovative in-hospital technologies to multi-stakeholder appraisal

Payam Abrishami Shirazi*, Albert Boer, Klasien Horstman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Abstract: This article addresses how we can account for a value-driven
introduction of in-hospital innovations when value is prone to – sometimes
considerable – uncertainty. The contribution of multi-disciplinary, evidenceinformed multi-stakeholder deliberation (MSD) to deal with value issues is examined. Despite a widespread recognition of multi-stakeholder participation in health care policy-making, it is still uncommon in the decision-making setting
involving in-hospital technologies. An ‘interpretative knowledge synthesis’ method has been adopted. This approach involves constructing a conceptual crossdisciplinary analysis by drawing on different strands of literature from Health Technology Assessment (HTA), public policy, and Science and Technology Studies. The authors describe that during introduction of in-hospital innovations, the social value of these technologies is at stake and that the formal evidence basis of the innovation is, by itself, inadequate to legitimise their introduction. It is then explained how MSD can help maintain public legitimisation of new technology. By sustaining mutual learning about what matters to one another, stakeholders can take their understanding of value upstream, towards value to society at large. MSD, then serves as a platform for ‘value in co-creation’: engaging in discursive appraisal of an innovation’s value. Concrete guidance is proposed for a multistakeholder
appraisal of value as part of business/implementation planning in
order to responsibly introduce new technologies in hospital setting. A
collaborative endeavour to co-create value attends to current processes of
decentralised, market-oriented introduction of in-hospital innovations. The aim isto legitimise dissemination, realise a socially-desirable impact from limited
resources, and act collectively to mitigate uncertainties during the course of implementation.
Original languageEnglish
Article number1:12-30
Pages (from-to)12-30
Number of pages19
JournalInternational Journal of Hospital Based Health Technology Assessment (IJHBHTA)
Publication statusPublished - Nov 2017

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