Digital technology's potential to transform the health care system depends on organizational and governance changes-particularly at the territorial level-and requires a new approach to evaluation that goes beyond measuring the medical services delivered.

This qualitative study is part of a project to support a territory receiving funding from Caisse des Dépôts to pilot innovative digital solutions with both health and economic goals. The study aims to develop a method for the territorial evaluation of digital health solutions, reconciling public health issues with local authority's challenge from citizens on non-medical health issues-such as access to care and prevention-and its goal to respond with competitive technological offerings.

Buidling on recent academic research on innovation ecosystems and maturity measurements, we propose structuring the experimentation and evaluation processes to guide the innovation program collaboratively with evaluators skilled in conducting these maturity measurements. The evaluation method thus combines a measurement of the territory's digital health maturity with that of innovative digital projects, enabling alignment with the strategic goals.

The proposed evaluation approach fundamentally redefines how territories are empowered regarding access to care, autonomy, prevention, and exposure to health risks, while addressing important ethical considerations.