Deploying digital health tools within large, complex health systems: key considerations for adoption and implementation.
Deploying digital health tools within large, complex health systems: key considerations for adoption and implementation.
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DOI：
10.1038/s41746-022-00557-1
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发表时间：
2022-01-27
影响因子：
15.2
通讯作者：
Gordon WJ
中科院分区：
文献类型：
--
作者：
Marwaha JS;Landman AB;Brat GA;Dunn T;Gordon WJ
近年来，有可能显著改善医疗服务提供的数字医疗工具的数量大幅增长。然而，这些工具在大型、复杂的卫生系统中的使用仍然相对有限。在企业一级采用和实施数字健康工具是一项挑战；几乎没有战略来帮助工具跨越从临床验证到大型健康系统工作流程中的整合的鸿沟。许多以前提出的数字健康实施框架在这些动态组织中很难运作。在这篇文章中，我们提出了九个维度，按照这些维度，经过临床验证的数字健康工具应该在采用之前由卫生系统进行检查，并提出在这种情况下选择数字健康工具和规划实施的策略。通过评估这些方面的预期工具，卫生系统可以评估哪些现有的数字健康解决方案值得采用，确保它们有足够的资源供部署和长期使用，并制定实施的战略计划。
In recent years, the number of digital health tools with the potential to significantly improve delivery of healthcare services has grown tremendously. However, the use of these tools in large, complex health systems remains comparatively limited. The adoption and implementation of digital health tools at an enterprise level is a challenge; few strategies exist to help tools cross the chasm from clinical validation to integration within the workflows of a large health system. Many previously proposed frameworks for digital health implementation are difficult to operationalize in these dynamic organizations. In this piece, we put forth nine dimensions along which clinically validated digital health tools should be examined by health systems prior to adoption, and propose strategies for selecting digital health tools and planning for implementation in this setting. By evaluating prospective tools along these dimensions, health systems can evaluate which existing digital health solutions are worthy of adoption, ensure they have sufficient resources for deployment and long-term use, and devise a strategic plan for implementation.
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