Identifying and Overcoming Policy-Level Barriers to the Implementation of Digital Health Innovation: Qualitative Study

• Published in: Journal of medical Internet research Vol. 21; no. 12; p. e14994
• Main Authors: Desveaux, Laura, Soobiah, Charlene, Bhatia, R Sacha, Shaw, James
• Format: Journal Article
• Language: English
• Published: Canada JMIR Publications 20.12.2019
• Subjects: Original Paper; health technology; health care; implementation; policy
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/14994

High-level policy barriers impede widespread adoption for even the most well-positioned innovations. Most of the work in this field assumes rather than analyzes the driving forces of health innovation. Objective: The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. We completed semistructured interviews with 10 members of senior leadership across key organizations that are engaged in health care-related digital health activities. Data were analyzed using qualitative description. A total of 6 key policy priorities emerged, including the need for (1) a system-level definition of innovation, (2) a clear overarching mission, and (3) clearly defined organizational roles. Operationally, there is a need to (4) standardize processes, (5) shift the emphasis to change management, and (6) align funding structures. These findings emphasize the critical role of the government in developing a vision and creating the foundation upon which innovation activities will be modeled.