Implementation of a complex eHealth intervention by a public-private partnership in clinical practice: a qualitative...

Area of Science:

• Health Informatics
• Public Health
• Cardiovascular Disease Management

Background:

• Complex eHealth interventions are vital for healthcare improvement.
• Public-private partnerships (PPPs) are key for integrating these interventions.
• Challenges persist in translating eHealth initiatives into clinical practice.

Purpose of the Study:

• To identify barriers and facilitators for implementing the BENEFIT programme, a complex eHealth intervention for cardiovascular disease patients.
• To analyze the role of PPPs in the implementation of eHealth interventions within cardiac rehabilitation settings.

Main Methods:

• Qualitative study design utilizing semistructured interviews.
• 10 key stakeholders from four cardiac rehabilitation sites involved in the PPP were interviewed.
• Data analysis employed the Consolidated Framework for Implementation Research.

Main Results:

• Facilitators: Programme adaptability, effective team communication, digital healthcare needs, dedicated PPP leadership, structured meetings, and flexible strategy modification.
• Barriers: PPP-specific issues (role ambiguity, staffing shortages), workplace disruptions, poor IT integration, and unclear implementation goals across sites.

Conclusions:

• Implementing complex eHealth interventions via PPPs presents unique challenges.
• A comprehensive approach is needed, addressing PPP dynamics, role clarity, staffing, communication, and adaptability for sustainable eHealth integration.