Barriers and facilitators to implementation of digital solutions

Bidmead, Elaine ORCID: https://orcid.org/0000-0003-0166-4506 and McShane, Catherine (2021) Barriers and facilitators to implementation of digital solutions. Health, 13 (11). pp. 1330-1345.

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Abstract

Intro/background: The NHS Long term plan calls for “digital-first” solutions, however, many good innovations fail. Barriers to digital innovation in healthcare are well-rehearsed and often predictable. This paper aims to highlight issues to be considered in implementation.

Methods: It is a qualitative study of experiences of telehealth implementation.

Findings: Staff engagement is crucial to acceptance; compatibility with existing practises helps but where impossible, pathway redesign is necessary. There is a notion that staff of any grade can become digital champions, yet the role is challenging for staff without power. Funding systems can restrict adoption due to associated savings impacting elsewhere in the system. Organisational support for innovation is often apparent but does not trickle down to service level sufficiently.

Conclusions: Senior management needs to lead on and support at a micro level the implementation of digitally enabled health care. Funders and commissioners need to recognise that innovation takes time and that measured approaches are more successful.

Item Type:	Article
Journal / Publication Title:	Health
Publisher:	Scientific Research Publishing
ISSN:	1949-5005
Departments:	Centre for Research in Health and Society (CRIHS) Institute of Health > Continuing Development and Health Leadership
Additional Information:	This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.
Depositing User:	Elaine Bidmead
Date Deposited:	26 Nov 2021 11:02
Last Modified:	10 Feb 2024 20:32
URI:	https://insight.cumbria.ac.uk/id/eprint/6303

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