Ajer Anne Ks, Øvrelid Egil
Department of Informatics, University of Oslo, Oslo, Norway.
Health Serv Insights. 2023 Sep 26;16:11786329231200704. doi: 10.1177/11786329231200704. eCollection 2023.
Digital innovation (DIN) is crucial for managing the growth of resource use in the hospital sector and for providing citizens with services aligned with the requirements of the modern world. DIN includes the co-creation of novel services, such as digital remote care (DRC) solutions. The healthcare sector, with a plethora of applications, is an example of a large digital infrastructure. Our study aims to explore how DRC initiatives can be integrated in large-scale digital infrastructures. Our in-depth case study, which explores 72 different DRC trajectories at 9 hospital health trusts in Norway, reveals the dynamic interplay among 3 key mechanisms - idealistic entrepreneurship, anchoring and remote infrastructure. Our contribution to the DIN literature is a model that shows the interplay among these key mechanisms, which increases the innovation pace, improves the innovations' scalability and provides a robust organisation that constantly implements innovations. As a contributions to DRC practice, lessons learned to speed up the innovation pace are offered: (1) Create a DRC organisational structure. (2) Ensure financial predictability. (3) secure anchoring upward in the governance structure. (4) Make the remote infrastructure appropriate for integration with the current digital infrastructure. (5) Advocate the success across the organisation to spur others to innovate.
数字创新（DIN）对于管理医院部门资源使用的增长以及为公民提供符合现代世界要求的服务至关重要。DIN包括共同创造新颖的服务，如数字远程护理（DRC）解决方案。拥有大量应用程序的医疗保健部门是大型数字基础设施的一个例子。我们的研究旨在探索DRC计划如何能够整合到大规模数字基础设施中。我们深入的案例研究，探索了挪威9家医院健康信托机构的72条不同的DRC轨迹，揭示了理想主义创业、锚定和远程基础设施这3个关键机制之间的动态相互作用。我们对DIN文献的贡献是一个模型，该模型展示了这些关键机制之间的相互作用，这加快了创新步伐，提高了创新的可扩展性，并提供了一个不断实施创新的强大组织。作为对DRC实践的贡献，我们提供了加快创新步伐的经验教训：（1）创建DRC组织结构。（2）确保财务可预测性。（3）在治理结构中向上确保锚定。（4）使远程基础设施适合与当前数字基础设施集成。（5）在整个组织中宣扬成功以激励其他人进行创新。
