Recurring implementation determinants in digital health innovations: a multi-context multiple case study and cross-case synthesis into a four-domain analytical framework - Scorecard - MDSpire
Advertisement
Recurring implementation determinants in digital health innovations: a multi-context multiple case study and cross-case synthesis into a four-domain analytical framework
Clinical Scorecard: Identifying Common Factors in the Implementation of Digital Health Innovations: A Multi-Context Case Study and Development of a Four-Domain Analytical Framework
At a Glance
Category
Detail
Condition
Digital Health Innovations
Key Mechanisms
Implementation determinants across various digital health technologies.
Target Population
Healthcare organizations and professionals implementing digital health solutions.
Care Setting
Various healthcare settings across Europe.
Key Highlights
Identified 20 implementation determinants organized into four domains: technological, organizational, user-related, and system-level.
Common challenges include interoperability, usability, leadership, workflow integration, and funding stability.
The framework aids in early identification of implementation risks and readiness assessment.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Risks
Implementation challenges often extend beyond technology to include organizational and system-level factors.
Patient & Prescribing Data
Not specified; focuses on healthcare organizations.
Insights into the implementation of diverse digital health technologies.
Clinical Best Practices
Utilize established frameworks like NASSS and CFIR for implementation planning.
Consider organizational fit and user engagement in the implementation process.
An internist-led consultative care model changed diagnoses for more than half of patients with complex conditions and modified treatment plans in most.
In a planned BALANCE analysis, elevated day 7 procalcitonin was associated with higher mortality, but the small subgroup analysis found no evidence that extending antibiotics from 7 to 14 days improved outcomes.
