How to govern the digital transformation of health services

J 2019

How to govern the digital transformation of health services

RICCIARDI, Walter, Pedro Pita BARROS, Aleš BOUREK, Werner BROUWER, Tim KELSEY et. al.

Základní údaje

Originální název

How to govern the digital transformation of health services

Autoři

RICCIARDI, Walter (380 Itálie, garant), Pedro Pita BARROS (620 Portugalsko), Aleš BOUREK (203 Česká republika, domácí), Werner BROUWER (528 Nizozemské království), Tim KELSEY (36 Austrálie) a Lasse LEHTONEN (246 Finsko)

Vydání

European journal of public health, OXFORD, OXFORD UNIV PRESS, 2019, 1101-1262

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.391

Kód RIV

RIV/00216224:14110/19:00112630

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1093/eurpub/ckz165

UT WoS

000501730200003

Klíčová slova anglicky

health services; digitalization

Štítky

14110511, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 2. 6. 2020 11:42, Mgr. Tereza Miškechová

Anotace

V originále

The impact of digitalization of health services has been profound and is expected to be even more profound in the future. It is important to evaluate whether digital health services contribute to health system goals in an optimal way. This should be done at the level of the service, not the 'digital transformation'. Decisions to adopt new digital health services, at different levels of the health care system, are ideally based on evidence regarding their performance in light of health system goals. In order to evaluate this, a broad perspective should be taken in evaluations of digital health services. Attainment of the broad health system goals, including quality, efficiency and equity, are objectives against which to judge new digital health services. These goals in a broad sense are unaltered by the process of digitalization. Governance should be designed and tailored in such a way to capture all relevant changes in an adequate way. When evaluating digital health services many specific aspects need to be considered. Like for other innovations and (new) technologies, such promises may or may not materialize and potential benefits may also be accompanied by unintended and/or negative (side) effects in the short or long term. Hence, the introduction, implementation, use and funding of digital health technologies should be carefully evaluated and monitored. Governments should play a more active role in the further optimization both of the process of decision making (both at the central and decentral level) and the related outcomes. They need to find a balance between centralized and decentralized activity. Moreover, the broader preparation of the health care system to be able to deal with digitalization, from education, through financial and regulatory preconditions, to implementation of monitoring systems to monitor its effects on health system performance remains important.

Citovat

RICCIARDI, Walter, Pedro Pita BARROS, Aleš BOUREK, Werner BROUWER, Tim KELSEY a Lasse LEHTONEN. How to govern the digital transformation of health services. European journal of public health. OXFORD: OXFORD UNIV PRESS, 2019, roč. 29, OCT 2019, s. 7-12. ISSN 1101-1262. Dostupné z: https://dx.doi.org/10.1093/eurpub/ckz165.

@article{1607118,
   author = {Ricciardi, Walter and Barros, Pedro Pita and Bourek, Aleš and Brouwer, Werner and Kelsey, Tim and Lehtonen, Lasse},
   article_location = {OXFORD},
   article_number = {OCT 2019},
   doi = {http://dx.doi.org/10.1093/eurpub/ckz165},
   keywords = {health services; digitalization},
   language = {eng},
   issn = {1101-1262},
   journal = {European journal of public health},
   title = {How to govern the digital transformation of health services},
   url = {http://dx.doi.org/10.1093/eurpub/ckz165},
   volume = {29},
   year = {2019}
}

TY  - JOUR
ID  - 1607118
AU  - Ricciardi, Walter - Barros, Pedro Pita - Bourek, Aleš - Brouwer, Werner - Kelsey, Tim - Lehtonen, Lasse
PY  - 2019
TI  - How to govern the digital transformation of health services
JF  - European journal of public health
VL  - 29
IS  - OCT 2019
SP  - 7-12
EP  - 7-12
PB  - OXFORD UNIV PRESS
SN  - 11011262
KW  - health services
KW  - digitalization
UR  - http://dx.doi.org/10.1093/eurpub/ckz165
L2  - http://dx.doi.org/10.1093/eurpub/ckz165
N2  - The impact of digitalization of health services has been profound and is expected to be even more profound in the future. It is important to evaluate whether digital health services contribute to health system goals in an optimal way. This should be done at the level of the service, not the 'digital transformation'. Decisions to adopt new digital health services, at different levels of the health care system, are ideally based on evidence regarding their performance in light of health system goals. In order to evaluate this, a broad perspective should be taken in evaluations of digital health services. Attainment of the broad health system goals, including quality, efficiency and equity, are objectives against which to judge new digital health services. These goals in a broad sense are unaltered by the process of digitalization. Governance should be designed and tailored in such a way to capture all relevant changes in an adequate way. When evaluating digital health services many specific aspects need to be considered. Like for other innovations and (new) technologies, such promises may or may not materialize and potential benefits may also be accompanied by unintended and/or negative (side) effects in the short or long term. Hence, the introduction, implementation, use and funding of digital health technologies should be carefully evaluated and monitored. Governments should play a more active role in the further optimization both of the process of decision making (both at the central and decentral level) and the related outcomes. They need to find a balance between centralized and decentralized activity. Moreover, the broader preparation of the health care system to be able to deal with digitalization, from education, through financial and regulatory preconditions, to implementation of monitoring systems to monitor its effects on health system performance remains important.
ER  -

RICCIARDI, Walter, Pedro Pita BARROS, Aleš BOUREK, Werner BROUWER, Tim KELSEY a Lasse LEHTONEN. How to govern the digital transformation of health services. \textit{European journal of public health}. OXFORD: OXFORD UNIV PRESS, 2019, roč.~29, OCT 2019, s.~7-12. ISSN~1101-1262. Dostupné z: https://dx.doi.org/10.1093/eurpub/ckz165.

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