Related Experiment Video
Updated: Aug 5, 2026
11:21
Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Recurring implementation determinants in digital health innovations: a multi-context multiple case study and
Mariusz Jaworski1, Petra Petrová2, Thomas Spittler3
1Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
Frontiers in Digital Health
|July 30, 2026
Summary
Implementing digital health solutions requires addressing technological, organizational, user, and system-level factors. A new framework helps plan and assess readiness for digital health interventions, moving beyond technology alone.
Area of Science:
- Health Informatics
- Digital Health Implementation Science
Background:
- Digital health technologies are vital but face uneven adoption in routine healthcare.
- Many digital health pilots fail to scale or integrate into daily workflows.
Purpose of the Study:
- To identify recurring implementation determinants for digital health.
- To develop a practical framework for planning and assessing digital health readiness.
Main Methods:
- Secondary qualitative multiple case study with cross-case synthesis.
- Analysis of 13 digital health implementations across six European countries.
- Utilized standardized implementation case reports from an Erasmus+ project.
Main Results:
- Identified 20 implementation determinants organized into four domains: technological, organizational, user-related, and system-level.
- Common issues included interoperability, usability, leadership, workflow integration, staff competencies, user engagement, funding, and regulation.
- Implementation challenges typically involved multiple factors, not just the technology.
Conclusions:
- The four-domain framework structures implementation knowledge for diverse digital health settings.
- This framework aids in identifying risks, assessing readiness, and planning digital health interventions.
- The tool is designed for analysis and planning, not prediction of success.
Related Concept Videos
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:21Dimensions of Health and Illness
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
01:30Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: