ReviewBMC health services research2019
Why does the NHS struggle to adopt eHealth innovations? A review of macro, meso and micro factors.
Review in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A realist review of factors critical for the implementation of eHealth in chronic disease management.BMC health services research · 2025Pooled it
- What are the functionalities and features of mobile health record apps supporting persons experiencing social exclusion? A systematic literature review.Frontiers in digital health · 2025Pooled it
- Digital Health Interventions for Musculoskeletal Pain Conditions: Systematic Review and Meta-analysis of Randomized Controlled Trials.Journal of medical Internet research · 2022Pooled it
- The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Article
- Artificial Intelligence in Patient-Centered Care and Macro-, Meso-, and Micro-Level Determinants of Rehumanization and Dehumanization: Qualitative Interview Study.Journal of medical Internet research · 2026Article
- The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve.British journal of cancer · 2026Article
- Beyond the pilot phase: exploring the sustainable implementation of artificial intelligence in the English NHS.Frontiers in digital health · 2026Article
- The Potential for Smart Glasses to Transform Facial Palsy Therapy Globally: UK Budget Analysis, Delphi Outcomes Valuation Exercise, and Economic Modeling of Cost-Effectiveness.Journal of medical Internet research · 2025Article
- Digital Capability, Open-Source Use, and Interoperability Standards Within the National Health Service in England: Survey of Health Care Trusts.JMIR human factors · 2025Article
- Factors Influencing the Implementation of a Multispecialty Virtual Ward Program in the United Kingdom: Qualitative Exploration of Staff Experiences and Perspectives.Journal of medical Internet research · 2025Article
- Value of a Nationwide University Network in scaling up telemonitoring: a qualitative study.BMJ health & care informatics · 2025Article
- Digital Health Interventions Supporting Recovery for Intensive Care Patients and Their Family Members: A Scoping Review.Mayo Clinic proceedings. Digital health · 2025Review
- Increasing the inclusivity of digital health co-production: an integrative review.Frontiers in digital health · 2025Review
- Methodological Challenges in Randomized Controlled Trials of mHealth Interventions: Cross-Sectional Survey Study and Consensus-Based Recommendations.Journal of medical Internet research · 2024Article
- The perception of facilitators and barriers to the use of e-health solutions in Poland: a qualitative study.BMC medical informatics and decision making · 2024Article
- Investigating the Norwegian eHealth Governance Model: Document Study.Journal of medical Internet research · 2024Article
- A Cross-Disciplinary Analysis of the Complexities of Scaling Up eHealth Innovation.Journal of medical Internet research · 2024Article
- Perceived environmental uncertainty and job involvement: the mediating role of digital technology and organizational trust - a cross-sectional study in primary care facilities in the UK.BMC health services research · 2024Article
- Applying a Social Determinants of Health Framework to Guide Digital Innovations That Reduce Disparities in Chronic Disease.Psychosomatic medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundHaving a tax-funded and supposedly 'National' Health Service (NHS), one might assume that the UK is well-positioned to roll out eHealth innovations at scale. Yet, despite a strong policy push, the English NHS has been limited in the extent to which it has exploited the potential of eHealth. MAIN BODY: This paper considers a range of macro, meso and micro factors influencing eHealth innovation in the English NHS.
conclusionsWhile barriers to eHealth innovation exist at all scales, the fragmentation of the NHS is the most significant factor limiting adoption and diffusion. Rather than addressing problems of fragmentation, national policy seems to have intensified the digital divide. As the recently published NHS Long Term Plan places great emphasis on the role of digital transformation in helping health and care professionals communicate better and enabling people to access the care they need quickly and easily, the implications for the digital divide are likely to be significant for effectiveness, efficiency and equity.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.