Institute of Global Health Innovation, Imperial College London, London, UK.
Institute of Global Health Innovation, Imperial College London, London, UK
BMJ Open. 2022 Apr 29;12(4):e056369. doi: 10.1136/bmjopen-2021-056369.
This study aimed to determine the impact of the United Kingdom's National Health Service Digital Academy (NHSDA) Digital Health Leadership course on high-level recommendations in digital preparedness and the development of a proficient leadership to oversee digital transformation, which has been a longstanding priority within the NHS.
A mixed methods study incorporating an online questionnaire, in-depth interviews and focus groups that were then analysed through a thematic analysis, underpinned by a constructivist approach.
An online mixed methods study of a defined cohort of participants who had completed the NHSDA course.
26 participants were recruited to the study, of whom 50% were clinicians, 26.9% in management and 19.2% in data science. All had completed the 2-year NHSDA programme in Digital Health Leadership more than 6 months prior.
Interviews and focus groups elicited two key areas of impact of the course: loco-regional digitisation and the development of a network of change agents. The dissertation project had direct effects on local digital transformation efforts. Most of these projects focused on clinician (11.7%) or service user (10.3%) engagement, as oppose to de novo digital processes (9.4%). The development of a network of digital leaders has facilitated communication between organisations and improved the efficiency of the national digital infrastructure.
A bespoke course incorporating a dissertation of practice model for digital health leaders can have broader impact for the attainment of digital priorities. This includes helping trusts to successfully adopt digital solutions, as well as fostering shared organisational learning. These influences, however, are mediated by resource and cultural barriers, which continue to hinder transformation efforts.
本研究旨在确定英国国民保健署数字学院(NHSDA)数字健康领导力课程对数字准备和培养熟练领导力以监督数字化转型的高级建议的影响,这是国民保健服务的长期优先事项。
一项混合方法研究,包括在线问卷调查、深入访谈和焦点小组,然后通过主题分析进行分析,主题分析的基础是建构主义方法。
对已完成 NHSDA 课程的特定参与者群体进行的在线混合方法研究。
共有 26 名参与者参与了这项研究,其中 50%是临床医生,26.9%是管理人员,19.2%是数据科学家。所有参与者都在 NHSDA 数字健康领导力项目中完成了为期 2 年的课程。
访谈和焦点小组引出了该课程的两个关键影响领域:局部数字化和变革推动者网络的发展。论文项目直接影响了当地的数字化转型工作。这些项目大多集中在临床医生(11.7%)或服务用户(10.3%)的参与,而不是新的数字化流程(9.4%)。数字领导者网络的发展促进了组织之间的沟通,并提高了国家数字基础设施的效率。
将实践模型纳入数字健康领导者定制课程可以对实现数字优先事项产生更广泛的影响。这包括帮助信托机构成功采用数字解决方案,以及促进组织间的共享学习。然而,这些影响受到资源和文化障碍的限制,这些障碍继续阻碍转型努力。