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Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy

Denis Dennehy Orcid Logo, Thomas James, Daniel Rees Orcid Logo, Roderick Thomas, M. N. Ravishankar

Information Systems Journal

Swansea University Authors: Denis Dennehy Orcid Logo, Daniel Rees Orcid Logo, Roderick Thomas

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DOI (Published version): 10.1111/isj.70024

Abstract

Health and social care are at a pivotal point, encountering complex and multifaceted systemic and workforce-related challenges. Governments have identified the need to redefine health and social care services to address the evolving needs of both patients and service providers. Yet, there is a strug...

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Published in: Information Systems Journal
ISSN: 1350-1917 1365-2575
Published: Wiley 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa70662
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spelling 2026-01-09T14:06:47.7120746 v2 70662 2025-10-14 Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy ba782cbe94139075e5418dc9274e8304 0000-0001-9931-762X Denis Dennehy Denis Dennehy true false daa6762111f9ebf62b9c2ec655512783 0000-0003-0372-6096 Daniel Rees Daniel Rees true false 891091891b6eee412668ae216f713312 Roderick Thomas Roderick Thomas true false 2025-10-14 CBAE Health and social care are at a pivotal point, encountering complex and multifaceted systemic and workforce-related challenges. Governments have identified the need to redefine health and social care services to address the evolving needs of both patients and service providers. Yet, there is a struggle to balance the interrelatedness of the social and technical aspects of sector-wide change initiatives, and little is known about the dynamics of the technology-push and demand-pull nexus when scaling effective healthcare initiatives beyond the incremental pilot phase, to national levels. This paper addresses this knowledge deficit by drawing on insights gained through the formation and launch of the Health and Social Care Innovation Wales ecosystem. It introduces an innovation impact matrix to support public policy advisors and innovation strategists in understanding how interactions between economic value and healthcare value can impact the ecosystem. The paper provides policy makers, innovation leads, and health and social care managers with a set of recommendations to mitigate the strategic and operational challenges of orchestrating and scaling a digital health innovation ecosystem. Journal Article Information Systems Journal 0 Wiley 1350-1917 1365-2575 case study, digital health, digital innovation, innovation ecosystem, innovation management 7 12 2025 2025-12-07 10.1111/isj.70024 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University SU Library paid the OA fee (TA Institutional Deal) This work was supported by Llywodraeth Cymru. 2026-01-09T14:06:47.7120746 2025-10-14T14:09:37.2100145 Faculty of Humanities and Social Sciences School of Management - Business Management Denis Dennehy 0000-0001-9931-762X 1 Thomas James 2 Daniel Rees 0000-0003-0372-6096 3 Roderick Thomas 4 M. N. Ravishankar 5 70662__35947__d2862da6e6c04547a99303dd762a8e5f.pdf 70662.VOR.pdf 2026-01-09T14:04:28.5556869 Output 1508974 application/pdf Version of Record true © 2025 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License,. true eng http://creativecommons.org/licenses/by/4.0/
title Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
spellingShingle Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
Denis Dennehy
Daniel Rees
Roderick Thomas
title_short Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
title_full Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
title_fullStr Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
title_full_unstemmed Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
title_sort Building a Digital Health Innovation Ecosystem: Tech‐Push, Demand‐Pull, and Government Policy
author_id_str_mv ba782cbe94139075e5418dc9274e8304
daa6762111f9ebf62b9c2ec655512783
891091891b6eee412668ae216f713312
author_id_fullname_str_mv ba782cbe94139075e5418dc9274e8304_***_Denis Dennehy
daa6762111f9ebf62b9c2ec655512783_***_Daniel Rees
891091891b6eee412668ae216f713312_***_Roderick Thomas
author Denis Dennehy
Daniel Rees
Roderick Thomas
author2 Denis Dennehy
Thomas James
Daniel Rees
Roderick Thomas
M. N. Ravishankar
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publishDate 2025
institution Swansea University
issn 1350-1917
1365-2575
doi_str_mv 10.1111/isj.70024
publisher Wiley
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hierarchy_top_title Faculty of Humanities and Social Sciences
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hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
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description Health and social care are at a pivotal point, encountering complex and multifaceted systemic and workforce-related challenges. Governments have identified the need to redefine health and social care services to address the evolving needs of both patients and service providers. Yet, there is a struggle to balance the interrelatedness of the social and technical aspects of sector-wide change initiatives, and little is known about the dynamics of the technology-push and demand-pull nexus when scaling effective healthcare initiatives beyond the incremental pilot phase, to national levels. This paper addresses this knowledge deficit by drawing on insights gained through the formation and launch of the Health and Social Care Innovation Wales ecosystem. It introduces an innovation impact matrix to support public policy advisors and innovation strategists in understanding how interactions between economic value and healthcare value can impact the ecosystem. The paper provides policy makers, innovation leads, and health and social care managers with a set of recommendations to mitigate the strategic and operational challenges of orchestrating and scaling a digital health innovation ecosystem.
published_date 2025-12-07T05:33:15Z
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