Implementing a national Scottish digital health & wellbeing service at scale: a qualitative study of stakeholders' views

Ruth Agbakoba, Marilyn McGee-Lennon, Matt-Mouley Bouamrane, Nicholas Watson, Frances Mair

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)

4 Citations (Scopus)

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.
LanguageEnglish
Title of host publicationMEDINFO 2015
Subtitle of host publicationeHealth-enabled Health
EditorsIndra Neil Sarkar, Andrew Georgiou, Paulo Mazzoncini de Azevedo Marques
Pages487 - 491
Number of pages5
Volume216
DOIs
Publication statusPublished - 14 Aug 2015
EventMEDINFO 2015: The 15th World Congress on Health and Biomedical Informatics - São Paulo, Brazil
Duration: 19 Aug 201523 Aug 2015

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
Volume216

Conference

ConferenceMEDINFO 2015: The 15th World Congress on Health and Biomedical Informatics
CountryBrazil
CitySão Paulo
Period19/08/1523/08/15

Fingerprint

Information Services
Telemedicine
Scotland
Chronic Disease
Aging of materials
Observation
Health
Interviews
Technology
Delivery of Health Care
Population

Keywords

  • eHealth implementation
  • qualitative case study

Cite this

Agbakoba, R., McGee-Lennon, M., Bouamrane, M-M., Watson, N., & Mair, F. (2015). Implementing a national Scottish digital health & wellbeing service at scale: a qualitative study of stakeholders' views. In I. N. Sarkar, A. Georgiou, & P. M. de Azevedo Marques (Eds.), MEDINFO 2015: eHealth-enabled Health (Vol. 216, pp. 487 - 491). (Studies in Health Technology and Informatics; Vol. 216). https://doi.org/10.3233/978-1-61499-564-7-487
Agbakoba, Ruth ; McGee-Lennon, Marilyn ; Bouamrane, Matt-Mouley ; Watson, Nicholas ; Mair, Frances. / Implementing a national Scottish digital health & wellbeing service at scale : a qualitative study of stakeholders' views. MEDINFO 2015: eHealth-enabled Health. editor / Indra Neil Sarkar ; Andrew Georgiou ; Paulo Mazzoncini de Azevedo Marques. Vol. 216 2015. pp. 487 - 491 (Studies in Health Technology and Informatics).
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Agbakoba, R, McGee-Lennon, M, Bouamrane, M-M, Watson, N & Mair, F 2015, Implementing a national Scottish digital health & wellbeing service at scale: a qualitative study of stakeholders' views. in IN Sarkar, A Georgiou & PM de Azevedo Marques (eds), MEDINFO 2015: eHealth-enabled Health. vol. 216, Studies in Health Technology and Informatics, vol. 216, pp. 487 - 491, MEDINFO 2015: The 15th World Congress on Health and Biomedical Informatics, São Paulo, Brazil, 19/08/15. https://doi.org/10.3233/978-1-61499-564-7-487

Implementing a national Scottish digital health & wellbeing service at scale : a qualitative study of stakeholders' views. / Agbakoba, Ruth; McGee-Lennon, Marilyn; Bouamrane, Matt-Mouley; Watson, Nicholas; Mair, Frances.

MEDINFO 2015: eHealth-enabled Health. ed. / Indra Neil Sarkar; Andrew Georgiou; Paulo Mazzoncini de Azevedo Marques. Vol. 216 2015. p. 487 - 491 (Studies in Health Technology and Informatics; Vol. 216).

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)

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T1 - Implementing a national Scottish digital health & wellbeing service at scale

T2 - a qualitative study of stakeholders' views

AU - Agbakoba, Ruth

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AU - Bouamrane, Matt-Mouley

AU - Watson, Nicholas

AU - Mair, Frances

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AB - 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.

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KW - qualitative case study

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M3 - Chapter (peer-reviewed)

SN - 978-1-61499-563-0

VL - 216

T3 - Studies in Health Technology and Informatics

SP - 487

EP - 491

BT - MEDINFO 2015

A2 - Sarkar, Indra Neil

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ER -

Agbakoba R, McGee-Lennon M, Bouamrane M-M, Watson N, Mair F. Implementing a national Scottish digital health & wellbeing service at scale: a qualitative study of stakeholders' views. In Sarkar IN, Georgiou A, de Azevedo Marques PM, editors, MEDINFO 2015: eHealth-enabled Health. Vol. 216. 2015. p. 487 - 491. (Studies in Health Technology and Informatics). https://doi.org/10.3233/978-1-61499-564-7-487