@Article{info:doi/10.2196/14994,
author="Desveaux, Laura
and Soobiah, Charlene
and Bhatia, R Sacha
and Shaw, James",
title="Identifying and Overcoming Policy-Level Barriers to the Implementation of Digital Health Innovation: Qualitative Study",
journal="J Med Internet Res",
year="2019",
month="Dec",
day="20",
volume="21",
number="12",
pages="e14994",
keywords="health care; policy; implementation; health technology",
abstract="Background: 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. 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. Methods: 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. Results: 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. Conclusions: These findings emphasize the critical role of the government in developing a vision and creating the foundation upon which innovation activities will be modeled. ",
issn="1438-8871",
doi="10.2196/14994",
url="http://www.jmir.org/2019/12/e14994/",
url="https://doi.org/10.2196/14994",
url="http://www.ncbi.nlm.nih.gov/pubmed/31859679"
}