Hourani Danah, Darling Simone, Cameron Eloise, Dromey James, Crossley Louise, Kanagalingam Sanji, Muscara Frank, Gwee Amanda, Gell Grace, Hiscock Harriet, Anderson Vicki
Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia.
Front Digit Health. 2021 May 24;3:661708. doi: 10.3389/fdgth.2021.661708. eCollection 2021.
Embedding digital technologies in healthcare has the potential to streamline and personalize medical care. However, healthcare systems are often fragmented, and therefore achieving a truly integrated digital health program can be challenging. To promote a streamlined, evidence-based approach to implementing digital health solutions in a healthcare system, the Murdoch Children's Research Institute (MCRI) established the Digital Health Translation and Implementation Program (DHTI) bringing together clinicians, researchers and digital health experts. From the program commencement, frontline clinical innovators have collaborated with DHTI team members to develop and implement digital solutions to address pain-points in the healthcare system. Throughout this program, important lessons have been learnt relating to the development, evaluation and implementation of digital solutions in the healthcare system. This paper explores these lessons and makes recommendations for the successful implementation of digital health solutions in healthcare systems under five main categories: (1) design and usability, (2) stakeholder engagement and uptake, (3) project management and resourcing, (4) process and implementation, and (5) evaluation. Recommendations suggested here are designed to support future healthcare-based digital health programs to maximize the impact digital solutions can have on the healthcare system and patients.
将数字技术融入医疗保健领域，有望使医疗服务更加高效且个性化。然而，医疗保健系统往往分散，因此要实现真正整合的数字健康计划颇具挑战。为推动在医疗保健系统中以精简、循证的方式实施数字健康解决方案，默多克儿童研究所（MCRI）设立了数字健康转化与实施计划（DHTI），汇聚了临床医生、研究人员和数字健康专家。自该计划启动以来，一线临床创新者就与DHTI团队成员合作，开发并实施数字解决方案，以解决医疗保健系统中的痛点问题。在整个计划过程中，我们学到了关于医疗保健系统中数字解决方案的开发、评估和实施的重要经验教训。本文探讨了这些经验教训，并从五个主要类别为在医疗保健系统中成功实施数字健康解决方案提出建议：（1）设计与可用性；（2）利益相关者参与和采用；（3）项目管理与资源配置；（4）流程与实施；（5）评估。此处提出的建议旨在支持未来基于医疗保健的数字健康计划，以最大限度地发挥数字解决方案对医疗保健系统和患者的影响。
