Recurring implementation determinants in digital health innovations: a multi-context multiple case study and cross-case synthesis into a four-domain analytical framework - Takeaways - MDSpire

Recurring implementation determinants in digital health innovations: a multi-context multiple case study and cross-case synthesis into a four-domain analytical framework

  • By

  • Mariusz Jaworski

  • Petra Petrová

  • Thomas Spittler

  • Radu-George Ciorap

  • Agnieszka Wojtczuk-Turek

  • Ilona Cieslak

  • July 15, 2026

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  • 1

    Digital health technologies are increasingly adopted, but their implementation in routine practice is often inconsistent and limited to pilot projects.

  • 2

    The study identified 20 implementation determinants across 13 digital health cases from six European countries, organized into four domains.

  • 3

    The four interdependent domains of implementation determinants are technological, organizational, user-related, and system-level.

  • 4

    Common challenges in implementation include interoperability, usability, leadership, workflow integration, and regulatory alignment.

  • 5

    The resulting framework serves as an analytical tool for assessing implementation risks and planning digital health interventions.

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