Paper Info
Title
Implementing a national Scottish digital health & wellbeing service at scale : a qualitative study of stakeholders' views
Abstract
Digital technologies are being used as part of international efforts to revolutionize healthcare in order to meet increasing demands such as the rising burden of chronic disease and ageing populations. In Scotland there is a government push towards a national service (Living It Up) as a single point of reference where citizens can access information, products and services to support their health and wellbeing. The aim of the study is to examine implementation issues including the challenges or facilitators which can help to sustain this intervention. We gathered data in three ways: a) participant observation to gain an understanding of LiU (N=16); b) in-depth interviews (N=21) with stakeholders involved in the process; and c) analysis of documentary evidence about the progress of the implementation (N=45). Barriers included the need to "work at risk" due to delays in financing, inadequate infrastructure and skill-set deficiencies, whilst facilitators included trusted relationships, champions and a push towards normalisation. The findings suggest that a Scottish ehealth service is achievable but identifies key considerations for future large scale initiatives.
Year
DOI
Venue
2015
10.3233/978-1-61499-564-7-487
Studies in Health Technology and Informatics
Keywords
Field
DocType
eHealth,Chronic Disease,Wellness Programs,Implementation
Health care,Participant observation,Nursing,Public relations,Knowledge management,Digital health,eHealth,Qualitative research,Medicine,National service,Government,Health promotion
Conference
Volume
ISSN
Citations 
216
0926-9630
1
PageRank 
References 
Authors
0.39
1
5
Name
Order
Citations
PageRank
ruth agbakoba181.66
Marilyn Rose McGee-Lennon2646.98
Matt-M. Bouamrane318424.28
nick watson430.77
Frances Mair5263.68