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Abstract：
BACKGROUND: Having a tax-funded and supposedly \'National\' Health Service (NHS), one might assume that the UK is well-positioned to roll out eHealth innovations at scale. Yet, despite a strong policy push, the English NHS has been limited in the extent to which it has exploited the potential of eHealth.
METHODS: This paper considers a range of macro, meso and micro factors influencing eHealth innovation in the English NHS.
CONCLUSIONS: While barriers to eHealth innovation exist at all scales, the fragmentation of the NHS is the most significant factor limiting adoption and diffusion. Rather than addressing problems of fragmentation, national policy seems to have intensified the digital divide. As the recently published NHS Long Term Plan places great emphasis on the role of digital transformation in helping health and care professionals communicate better and enabling people to access the care they need quickly and easily, the implications for the digital divide are likely to be significant for effectiveness, efficiency and equity.
METHODS: This paper considers a range of macro, meso and micro factors influencing eHealth innovation in the English NHS.
CONCLUSIONS: While barriers to eHealth innovation exist at all scales, the fragmentation of the NHS is the most significant factor limiting adoption and diffusion. Rather than addressing problems of fragmentation, national policy seems to have intensified the digital divide. As the recently published NHS Long Term Plan places great emphasis on the role of digital transformation in helping health and care professionals communicate better and enabling people to access the care they need quickly and easily, the implications for the digital divide are likely to be significant for effectiveness, efficiency and equity.
摘要：
背景：拥有税收资助的国家卫生服务（NHS），人们可能会认为，英国处于有利地位，可以大规模推出电子健康创新。然而，尽管有强有力的政策推动，英国NHS在利用eHealth潜力的程度上受到限制。
方法：本文考虑了一系列宏，影响英国NHS电子健康创新的中观和微观因素。
结论：虽然电子健康创新的障碍存在于各个层面，NHS的碎片化是限制采用和扩散的最重要因素。与其解决碎片化问题，国家政策似乎加剧了数字鸿沟。由于最近发布的NHS长期计划非常重视数字转型在帮助医疗保健专业人员更好地沟通并使人们能够快速轻松地获得所需护理方面的作用，对数字鸿沟的影响可能对有效性具有重要意义，效率和公平。
方法：本文考虑了一系列宏，影响英国NHS电子健康创新的中观和微观因素。
结论：虽然电子健康创新的障碍存在于各个层面，NHS的碎片化是限制采用和扩散的最重要因素。与其解决碎片化问题，国家政策似乎加剧了数字鸿沟。由于最近发布的NHS长期计划非常重视数字转型在帮助医疗保健专业人员更好地沟通并使人们能够快速轻松地获得所需护理方面的作用，对数字鸿沟的影响可能对有效性具有重要意义，效率和公平。
