ArticleFrontiers in digital health2022
Making Digital Health "Solutions" Sustainable in Healthcare Systems: A Practitioner Perspective.
Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How do domain diversity and healthcare system assumptions shape implementation research? A systematic review of theories, models, and frameworks for health digitalization.Frontiers in digital health · 2026Pooled it
- Acceptability of Health Information Technology by Health Care Professionals: Where We Are Now and How We Can Fill the Gap.Journal of medical Internet research · 2025Review
- Reporting Digital Health Implementations Based on the iCHECK-DH Guidelines and Checklist: Development of an Interactive Toolkit.Journal of medical Internet research · 2025Article
- World Health Organization Evidence-Based Self-Help Plus Intervention for Stress Management via Chatbot: Protocol for Adaptation to a Tech-Enabled Model.JMIR research protocols · 2025Article
- Advancing drug delivery research: sustainable strategies for innovation and translation.Drug delivery and translational research · 2025Review
- Value of a Nationwide University Network in scaling up telemonitoring: a qualitative study.BMJ health & care informatics · 2025Article
- Digital health readiness - insights from healthcare leaders in operational management: a cross-sectional survey.BMC health services research · 2025Article
- A Chatbot-Based Version of the World Health Organization-Validated Self-Help Plus Intervention for Stress Management: Co-Design and Usability Testing.JMIR human factors · 2024Article
- Discursive framework for a multi-disease digital health passport in Africa: a perspective.Globalization and health · 2024Review
- Breaking down the Digital Fortress: The Unseen Challenges in Healthcare Technology-Lessons Learned from 10 Years of Research.Sensors (Basel, Switzerland) · 2024Article
- Adoption of Digital Therapeutics in Europe.Therapeutics and clinical risk management · 2024Review
- The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from "Nice to Have" to Mandatory Systems.Clinics and practice · 2023Review
- iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations.Journal of medical Internet research · 2023Article
- Iterative Development, Validation, and Certification of a Smartphone System to Assess Neonatal Jaundice: Development and Usability Study.JMIR pediatrics and parenting · 2023Article
- Article
- The 'wrong pocket' problem as a barrier to the integration of telehealth in health organisations and systems.Digital healthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Digital health solutions have the potential to bring about great improvements in the delivery and quality of services in healthcare systems. In this paper, we draw on the extensive experience of NHS (National Health Service) England to develop a practitioner perspective on the challenges of effectively implementing and sustaining such solutions. We argue that a properly sustainable approach requires a shift in both thinking and practice when it comes to the spread and adoption of such technologies. Our thinking needs to shift from a focus on the technology itself to how we bring about the changes needed to deliver more efficient and effective care for patients. In practical terms, this means focussing on the changes involved to integrate digital health solutions into the delivery of services. In particular, it requires greater attention to the motivations, constraints and specific contexts that influence users and patients. The technical expertise of innovators therefore needs to be complemented by other forms of insight into change processes, including clinical and behavioral insight, process engineering and knowledge management. In this paper, we show how these different pillars of the NHS Sustainable Healthcare approach help to ensure the effective implementation and use of digital solutions. We draw out the implications of this approach for policy-makers in healthcare systems, highlighting the need to give greater attention and resources to the downstream challenges of implementing digital health solutions.
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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.