Carl Savage
Principal Researcher
E-mail: carl.savage@ki.se
Telephone: +46852487900
Visiting address: Widerströmska huset, Tomtebodavägen 18A, 17165 Solna
Postal address: C7 Lärande, Informatik, Management och Etik, C7 MMC Savage, 171 77 Stockholm
About me
Senior researcher (2016-), research group leader (2012-), at the Medical Management Centre, Karolinska Institutet. Through co-creative collaborations with clinical managers and patients, my research focuses on how to develop innovative ways to improve health care for staff and patients by deepening and broadening our perspectives on quality improvement (including lean & Value-Based Health Care), AI implementation, complexity, medical leadership and change management, health care innovation, medical education, team training, patient safety, costing, reimbursement models, business model thinking, Triple and Quadruple Aim, and project management. I teach (3000+ hrs) at the undergraduate, graduate, and executive education levels.
Articles
- Article: FRONTIERS IN HEALTH SERVICES. 2025;4:1454658Reed JE; Antonacci G; Armstrong N; Baker GR; Crowe S; Harenstam KP; Hargreaves D; Jani YH; Provost L; Rejler M; Savage C; Thor J; Williams S; Woodcock T
- Article: BMC HEALTH SERVICES RESEARCH. 2025;25(1):265Lindlof H; Savage C; Harenstam KP; Vicente V
- Article: JOURNAL OF MEDICAL INTERNET RESEARCH. 2024;26:e50527Mazzocato P; Luckhaus JL; Castillo MM; Burnett J; Hager A; Oates G; Wannheden C; Savage C
- Article: INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS. 2024;187:105447Rafiq M; Mazzocato P; Guttmann C; Spaak J; Savage C
- Article: RESEARCH INVOLVEMENT AND ENGAGEMENT. 2024;10(1):54Dahlberg M; Luckhaus JL; Hasson H; Jansson H; Lek M; Savage C; Riggare S; Wannheden C
- Article: BMC HEALTH SERVICES RESEARCH. 2024;24(1):408Savage C; Tragl L; Castillo MM; Azizi L; Hasson H; Sundberg CJ; Mazzocato P
- Article: LAKARTIDNINGEN. 2023;120:23047Savage C; Savage M; Mazzocato P; Pukk Härenstam K
- Article: HEALTH EXPECTATIONS. 2023;26(4):1757-1767Wannheden C; Riggare S; Luckhaus JL; Jansson H; Sjunnestrand M; Stenfors T; Savage C; Reinius M; Hasson H
- Article: BMC EMERGENCY MEDICINE. 2023;23(1):65Karmelic E; Lindlof H; Luckhaus JL; Castillo MM; Vicente V; Harenstam KP; Savage C
- Article: STUDIES IN HEALTH TECHNOLOGY AND INFORMATICS. 2023;302:346-347What Are We Talking About When We Talk About Information-Driven Care? A Delphi-Study on a DefinitionSiira E; Svedberg P; Savage C; Nygren J
- Article: HEALTH SERVICES MANAGEMENT RESEARCH. 2023;36(2):109-118Tragl L; Savage C; Andreen-Sachs M; Brommels M
- Article: FRONTIERS IN HEALTH SERVICES. 2022;2:961475Nilsen P; Reed J; Nair M; Savage C; Macrae C; Barlow J; Svedberg P; Larsson I; Lundgren L; Nygren J
- Article: BMJ OPEN. 2022;12(1):e053735Reinius M; Mazzocato P; Riggare S; Bylund A; Jansson H; Ovretveit J; Savage C; Wannheden C; Hasson H
- Article: SOCIAL SCIENCE & MEDICINE. 2021;282:114145Ramos P; Savage C; Thor J; Atun R; Carlsson KS; Makdisse M; Neto MC; Klajner S; Parini P; Mazzocato P
- Article: EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY. 2021;30(3):415-427Schwarz UVT; Nielsen K; Edwards K; Hasson H; Ipsen C; Savage C; Abildgaard JS; Richter A; Lornudd C; Mazzocato P; Reed JE
- Article: BMC HEALTH SERVICES RESEARCH. 2021;21(1):406Wohlin J; Fischer C; Carlsson KS; Korlen S; Mazzocato P; Savage C; Stalberg H; Brommels M
- Journal article: F1000 PRIME REPORTS. 2021;:1314Hazelzet J; Thor J; Andersson Gäre B; Kremer JAM; van Weert N; Savage C; Elwyn G
- Article: BMJ OPEN. 2020;10(7):e035542Savage M; Savage C; Brommels M; Mazzocato P
- Article: BMJ OPEN. 2020;10(6):e032573Keel G; Muhammad R; Savage C; Spaak J; Gonzalez I; Lindgren P; Guttmann C; Mazzocato P
- Article: JOURNAL OF MULTIDISCIPLINARY HEALTHCARE. 2019;12:1075-1083Rafiq M; Keel G; Mazzocato P; Spaak J; Guttmann C; Lindgren P; Savage C
- Article: BMC HEALTH SERVICES RESEARCH. 2019;19(1):842Storkholm MH; Mazzocato P; Savage C
- Article: INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE. 2019;31(7):30-36Savage C; Bjessmo S; Borisenko O; Larsson H; Karlsson J; Mazzocato P
- Article: BMC HEALTH SERVICES RESEARCH. 2019;19(1):517Storkholm MH; Savage C; Tessma MK; Salvig JD; Mazzocato P
- Article: WORLD HOSPITALS. 2019;55(2)Antoja G; Ribera J; Savage C
- Journal article: BMJ LEADER. 2018;2(3):95-102Savage M; Storkholm MH; Mazzocato P; Savage C
- Article: IMPLEMENTATION SCIENCE. 2018;13(1):78Storkholm MH; Mazzocato P; Tessma MK; Savage C
- Article: SOCIAL SCIENCE INFORMATION SUR LES SCIENCES SOCIALES. 2018;57(2):196-222Larsson A; Savage C; Brommels M; Mattsson P
- Article: INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE. 2017;29(6):853-860Savage C; Gaffney FA; Hussain-Alkhateeb L; Ackheim PO; Henricson G; Antoniadou I; Hedskold M; Harenstam KP
- Article: BMC HEALTH SERVICES RESEARCH. 2017;17(1):98Storkholm MH; Mazzocato P; Savage M; Savage C
- Article: BMC HEALTH SERVICES RESEARCH. 2016;16(1):588Savage C; Parke L; von Knorring M; Mazzocato P
- Article: BMJ QUALITY & SAFETY. 2015;24(7):451-457Fredriksson JJ; Ebbevi D; Savage C
- Article: JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT. 2014;28(2):266-288Mazzocato P; Thor J; Backman U; Brommels M; Carlsson J; Jonsson F; Hagmar M; Savage C
- Article: INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE. 2013;17(8):1029-1035Wannheden C; Westling K; Savage C; Sandahl C; Ellenius J
- Article: LAKARTIDNINGEN. 2012;109(32-33):1388-1389Tomson T; Tomson G; Savage C
- Article: NURSE EDUCATION TODAY. 2011;31(8):803-808Savage C; Amanalibi S; Andersson A; Lohr SC; Eliasson Z; Eriksson H; Erlandsson A; Goobar S; Holm J; Johansson C; Langendahl E; Lindberg A; Lundin J; Uhrdin A; Schwarz UVT
- Article: JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT. 2011;25(4):455-468Bergin E; Savage C
- Article: QUALITY AND SAFETY IN HEALTH CARE. 2010;19(5):376-382Mazzocato P; Savage C; Brommels M; Aronsson H; Thor J
- Article: MEDICAL TEACHER. 2009;31(11):e500-e506Esmaily HM; Savage C; Vahidi R; Amini A; Dastgiri S; Hult H; Dahlgren LO; Wahlstrom R
- Article: MEDICAL TEACHER. 2008;30(5):501-507Savage C; Brommels M
- Article: BMC MEDICAL EDUCATION. 2008;8:33Esmaily HM; Savage C; Vahidi R; Amini A; Zarrintan MH; Wahlstrom R
- Article: LAKARTIDNINGEN. 2008;105(20):1457-1458Savage C; Härenstam KP
- Article: MEDICAL TEACHER. 2008;30(1):55-61Bergman D; Savage C; Wahlstrom R; Sandahl C
- Show more
All other publications
- Preprint: JMIR PREPRINTS. 2023Mazzocato P; Luckhaus JL; Malmqvist Castillo M; Burnett J; Hager A; Oates G; Wannheden C; Savage C
- Review: JOURNAL OF MEDICAL INTERNET RESEARCH. 2022;24(10):e40238Sharma M; Savage C; Nair M; Larsson I; Svedberg P; Nygren JM
- Preprint: JMIR PREPRINTS. 2022Sharma M; Savage C; Nair M; Larsson I; Svedberg P; Nygren JM
- Preprint: JMIR PREPRINTS. 2022Rafiq M; Mazzocato P; Guttmann C; Spaak J; Savage C
- Preprint: SSRN ELECTRONIC JOURNAL. 2022Rafiq M; Mazzocato P; Guttmann C; Spaak J; Savage C
- Preprint: SSRN ELECTRONIC JOURNAL. 2021Rafiq M; Mazzocato P; Guttmann C; Spaak J; Savage C
- Letter: LAKARTIDNINGEN. 2020;(38-39)Savage C
- Book chapter: IMPLEMENTING VALUE-BASED HEALTH CARE IN EUROPE: HANDBOOK FOR PIONEERS. 2020;p.Amer-Wåhlin I; Ramos P; Mazzocato P; Ingvar M
- Preprint: MEDRXIV. 2019Savage M; Savage C; Brommels M; Mazzocato P
- Letter: LAKARTIDNINGEN. 2019;116Mazzocato P; Savage C
- Book chapter: ARTIFICIAL INTELLIGENCE IN HEALTH: LECTURE NOTES IN COMPUTER SCIENCE. 2019;p. 228-244Rafiq M; Keel G; Mazzocato P; Spaak J; Savage C; Guttmann C
- Report: SBU BEREDER. 2018Dellve L; Hellström A; Levay C; Savage C
- Review: HEALTH SERVICES MANAGEMENT RESEARCH. 2017;30(4):219-226Fredriksson JJ; Mazzocato P; Muhammed R; Savage C
- Review: HEALTH POLICY. 2017;121(7):755-763Keel G; Savage C; Rafiq M; Mazzocato P
- Report: 2017Physicians' role in the management and leadership of health care: A scoping reviewSavage M; Mazzocato P; Savage C; Brommels M
- Report: 2016Forskningsinriktad uppföljning av förlossningsvården i Stockholm - En multipel fallstudie av organisationsmodeller och förändringar 2013‐2015Mazzocato P; Martin-Löf A; Savage C
Grants
- European Co-care Learning EcosystemsForte1 January 2026 - 31 December 2027The CoCare project provides evidence-based pathways for a paradigm shift in primary and community care practices and policies, aiming to disrupt traditional, fragmented, and provider-centric models by focusing on the upscaling of integrated, person-centred, and actor-empowering care ecosystems. In CoCare, existing care ecosystems encompassing diverse models of integrated care in five European countries are systematically identified and documented by utilising an ecosystem methodology. These national cases exemplify fhow participatory approaches, person-centred innovation, and empowered individuals can contribute to a more integrated and responsive care system. In Sweden, we will work with Regions Stockholm and Skåne who provide comprehensive community, primary, secondary, and tertiary care. This enables them to creatively address how to integrate care when a patient needs services from different care levels. The Advanced Medical Care at Home (Stockholm) and Mobile Primary Care Teams (Skåne) are two approaches to person-centred specialized care at home using mobile healthcare teams and advanced medical technology. The case study will be performed in collaboration with the teams under the auspices of the Region Stockholm Division of Primary and Community Care (“Stockholms läns sjukvårdsområde, SLSO”) and Region Skåne and look at the introduction of tailored digital monitoring and communication tools and the mobilization of patient and next-of-kin resources as active caregivers. Through the micro-level evidence generated through the project's activities, a complexity-sensitive framework for European co-care learning ecosystems will be developed to scale-up integrated, person-centred care systems. The framework will encompass policy recommendations, best practices, and strategies for overcoming the challenges of larger scale implementation. The co-care learning ecosystem framework will also address the potential for cross-border collaboration and the development of common standards across European countries. The project aims to foster a culture of co-creation and co-learning across the European community care ecosystems. Through series of participatory workshops, conferences, and other dialog-embedded activities, it will foster collaboration and knowledge exchange among health and care providers, policymakers, researchers, community organizations, and end-users. CoCare will engage with policymakers, healthcare leaders, and key decision-makers to translate its findings into concrete policy actions through evidence-based policy recommendations that address the key challenges of scaling-up co-care ecosystems, including the need for regulatory reform, changes in funding models, and the development of new infrastructure and technology to support integrated care. The project is expected to have a significant impact on the future of primary and community care in Europe by promoting the adoption of integrated, person-centred co-care learning ecosystems to improve health outcomes, efficiency, and a more equitable and accessible healthcare system. The project will strengthen the role of community organizations and actors in providing essential support and services to individuals and families. It will promote a more sustainable and resilient healthcare system by fostering collaboration among stakeholders, improving the efficiency of resource utilization, and addressing the challenges of an aging population with an increasing chronic disease burden.
- New Models to Deliver Healthcare (NMDH)European Institute of Innovation and Technology1 September 2024 - 31 December 2025HVCEdu consortium includes all members of the value chain from patients and caregivers to industry, including healthcare prevention & deliver, and academy & research organizations (AQuAS, EAVBHC, DSPC, KI, UniHa, HUVH, ULS, Borås University, UPV, Medtronic, and Air Liquids) with a recognized knowledge in education and implementation of new models of delivering health care (NMDH). Our vision is to create a comprehensive and personalized program of new models of independent modules aligning with the EIT Health implementation matrix focusing on integrated, preventive, personalized, value(s)-driven, and sustainable health care. HVCEdu will bridge the gap between theory and practice to develop actionable knowledge to facilitate the implementation and adoption of NMDH tailored to the diverse European (EU) health contexts. Together with EIT Health, we can educate a broad number of stakeholders with the necessary skills for implementing and adopting high value care to transform EU healthcare systems.
- European Commission1 January 2024The overall objective of the APOLLO2028 project is to provide health and care workers, organisations, and healthcare system funders and policy makers with research-backed innovative solutions to help improve mental health, wellbeing, and capacity to be more resilient to changing environments (especially daily pressures and extreme events) at the workplace. The originality of the project is to consider resilience in health care in a holistic approach to build individual, team and organizational capabilities to face the next extreme events and daily pressures. Therefore, we will study individual factors affecting resilience, group factors, organizational factors, and develop a model involving all types of factors. This model will serve as a basis for the production of guidelines to be disseminated to health and care workers, their managers, as well as policy makers and health systems funders. We will also develop an AI-based system to support in the identification of stress factors and recommend actions. We will involve all the stakeholders in a co-design work to finalise our solutions. We will also review the cost effectiveness of our solutions. The main impact of our project will be a reduction of stress factors at the workplace, and an improvement of resilience of all the health and care workers. We will ensure our solutions are disseminated to all EU member states and adapted to the specifics of each of their health care systems.
- Reimagining Health and Care: A service design experiment to foster co-creation of person and public health valueLorentz Center12 June 2023 - 16 June 2023
- Validation and Implementation of a Predictive Analytics Model to reduce hospital readmissions in chronic careVINNOVA1 January 2020 - 1 January 2021
- Validering och implemementering av en prediktiv analysmodell för att reducera återinläggningar på sjukhus vid kronisk sjukdomRegion Stockholm Innovation fund1 January 2020 - 1 January 2021
- Advanced Health Care Management - hybrid and case teachingKarolinska Institutet Pedagogical Project Grant1 January 2020 - 31 December 2021
- Swedish Research Council for Health Working Life and Welfare1 December 2018 - 30 November 2024
- Integrerad vård vid multisjuklighet hos äldre: HND-centrum en mottagning för patienter med samtidig hjärtsjukdom, njursvikt och diabetesKamprad Family Foundation1 January 2018 - 1 January 2020
- InnoLead@KarolinskaVINNOVA1 January 2018 - 1 January 2020
- Hospital-at-home: A pilot project for care of acutely sick patients in the homeRegion Stockholm Innovationsfond1 January 2016 - 1 January 2017
- Business models in birthing careStockholm County Council1 January 2015 - 1 January 2016
- Swedish Research Council for Health Working Life and Welfare1 December 2014 - 30 November 2017
- Innovation-driven reimbursement models in primary careVINNOVA1 January 2014 - 1 January 2016
- Sjukvårds- och näringslivsmanagement för blivande läkareTorsten Söderbergs Stiftelse1 January 2010 - 1 January 2011
- A platform for learning about patient safety: The foundations for a positive spiralVinnvård1 January 2008 - 1 January 2013
Employments
- Principal Researcher, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 2022-
- Researcher, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 2016-2022
Degrees and Education
- Degree Of Doctor Of Philosophy, Department of Learning, informatics, Management and Ethics, Karolinska Institutet, 2011
Supervision
Supervision to doctoral degree
- Nikhil Gupta, Title: A Strategic Framework for Patient Safety: Leveraging Systems Thinking and Safety Intelligence, 2028
- Henrik Lindlöf, Site Independent Management in Prehospital Emergency Care, 2026
- George Keel, Counting what counts: Time-driven activity-based costing in health care, https://openarchive.ki.se/articles/thesis/Counting_what_counts_time-driven_activity-based_costing_in_health_care/26912272?file=48956269, 2020
- Pedro Ramos, The adoption, adaptation, and abandonment of Value-Based Health Care, https://openarchive.ki.se/articles/thesis/The_adoption_adaptation_and_abandonment_of_value-based_health_care/26902972?file=48945334, 2023
- Marie Storkholm, Innovating Inside the Box: How contextual constraints can contribute to the innovation of health care processes, https://openarchive.ki.se/articles/thesis/Innovation_inside_the_box_how_contextual_constraints_can_contribute_to_improvement_in_health_care/26902978?file=48945343, 2018
- Muhammad Rafiq, Eliminating guesswork : an exploration of the role of predictive modelling in care management for patients with multimorbidities, https://openarchive.ki.se/articles/thesis/Eliminating_guesswork_an_exploration_of_the_role_of_predictive_modelling_in_care_management_for_patients_with_multimorbidities/26922592?file=48968074, 2022
- Jens Jacob Fredriksson, Disrupting Hospitals: Business Model Transformation within Academic Medicine, https://openarchive.ki.se/articles/thesis/How_can_health_care_organizations_create_value_Business_model_explorations/26905861?file=48948835, 2018
- Anthony Larsson, Too Big to Fail? – A Case Study of the Rise and Fall of a Large-Scale Life-Science Research Infrastructure, https://openarchive.ki.se/articles/thesis/Too_big_to_fail_A_case_study_of_the_rise_and_fall_of_a_medical_research_infrastructure/26908384?file=48950899, 2018
Committee work
- Member, Delegation for Medical Quality, Swedish Society of Medicine, 2018-2021
