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Hassane Alami, Jean-Paul Fortin, Marie-Pierre Gagnon

Sante Publique (Vandoeuvre-Les-Nancy, France)

|June 20, 2022

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Many digital health projects fail due to a narrow focus on technology. This study offers a framework to evaluate complex digital health initiatives within their sociotechnical context for better sustainability.

Area of Science:

Health Informatics
Sociotechnical Systems Analysis
Digital Health Implementation Science

Context:

Digital technologies are crucial for healthcare improvement but often fail to achieve sustainability and widespread adoption.
Current evaluations frequently overemphasize the technological aspects of digital health projects.
Health organizations are complex sociotechnical systems, requiring a holistic approach to technology integration.

Purpose:

To propose practical and theoretical elements for evaluating complex and innovative digital health projects.
To move beyond technology-centric evaluations towards a sociotechnical perspective.
To provide a non-prescriptive framework for assessing digital health initiatives.

Summary:

This article addresses the common failure of digital health projects by highlighting the need to consider the sociotechnical context.

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It proposes a strategic framework for evaluating complex digital health projects, moving beyond purely technological assessments.

The framework is informed by 15 years of experience evaluating three major digital health projects in Quebec.

Impact:

Aims to improve the sustainability and scalability of digital health innovations.
Provides a foundation for more effective evaluation of complex health technology implementations.
Contributes to a better understanding of how to integrate digital technologies into diverse healthcare settings.