PDF(Pubmed)
Abstract：
UNASSIGNED: Digital health ecosystems may be the next revolution in improving citizens\' well-being, health delivery, data management, and health system processes, but solutions have not yet been broadly established. Reasons could be that health service-organizations have misaligned interests or lack capabilities. This study investigates reasons from a multi-health-service-organization perspective, differentiating between payers, insurers, healthcare providers, and innovators, detailing the expected value-adds, preferred participation roles, and required capabilities including a rating assessment.
UNASSIGNED: Findings are based on a taxonomy development methodology, which combines a literature review with semi-structured qualitative expert interviews, conducted using a modified Delphi approach. Interviews were thematically analysed.
UNASSIGNED: In total, 21 experts across the four health service-organization groups were interviewed. The capability taxonomy includes a total of 16 capabilities, categorized in three themes: \'Health market\', \'organizational\', and \'technology and informatic\'. Providers expect a value-add from strengthening their health process economics through efficiency gains but reveal the largest capability gaps, especially in \'interoperability\' and \'platform\'. Innovators\' \'technology and informatic\' capabilities complement well with those of payers for the \'health market\'.
UNASSIGNED: We present a health service-organization-specific three-stage approach for establishing digital health ecosystems. Payers and insurers should address their \'technology and informatic\' capability gaps, using technical enablers or forming new entities to reduce dependencies from legacy information technology systems. Innovators should clarify their monetization models and create positive awareness for their services, possibly entering the market directly. Providers must address interoperability issues and may require incentives to encourage their participation. Findings suggest governmental policymakers to prioritize three health policy initiatives.
UNASSIGNED: Findings are based on a taxonomy development methodology, which combines a literature review with semi-structured qualitative expert interviews, conducted using a modified Delphi approach. Interviews were thematically analysed.
UNASSIGNED: In total, 21 experts across the four health service-organization groups were interviewed. The capability taxonomy includes a total of 16 capabilities, categorized in three themes: \'Health market\', \'organizational\', and \'technology and informatic\'. Providers expect a value-add from strengthening their health process economics through efficiency gains but reveal the largest capability gaps, especially in \'interoperability\' and \'platform\'. Innovators\' \'technology and informatic\' capabilities complement well with those of payers for the \'health market\'.
UNASSIGNED: We present a health service-organization-specific three-stage approach for establishing digital health ecosystems. Payers and insurers should address their \'technology and informatic\' capability gaps, using technical enablers or forming new entities to reduce dependencies from legacy information technology systems. Innovators should clarify their monetization models and create positive awareness for their services, possibly entering the market directly. Providers must address interoperability issues and may require incentives to encourage their participation. Findings suggest governmental policymakers to prioritize three health policy initiatives.
摘要：
■数字健康生态系统可能是改善公民福祉的下一次革命，健康交付，数据管理,和卫生系统流程，但是解决方案尚未广泛建立。原因可能是卫生服务组织的利益失调或缺乏能力。本研究从多元卫生服务组织的角度调查了原因，区分付款人，保险公司，医疗保健提供者，和创新者，详细说明预期的增值，首选参与角色，和所需的能力，包括评级评估。
■研究结果基于分类学开发方法，将文献综述与半结构化的定性专家访谈相结合，使用改进的Delphi方法进行。对访谈进行了主题分析。
■总共，采访了四个卫生服务组织小组的21名专家。能力分类包括总共16种能力，分为三个主题：“健康市场”，\'组织\',和“技术和信息”。供应商期望通过提高效率来加强其卫生过程经济性，但显示出最大的能力差距，尤其是在\'互操作性\'和\'平台\'中。创新者的技术和信息能力与“健康市场”的付款人的能力相辅相成。
■我们提出了一种针对卫生服务组织的三阶段方法，用于建立数字卫生生态系统。付款人和保险公司应该解决他们的“技术和信息”能力差距，使用技术推动者或形成新实体来减少对传统信息技术系统的依赖。创新者应明确自己的货币化模式,为自己的服务树立正面意识,有可能直接进入市场。供应商必须解决互操作性问题，并可能需要激励措施来鼓励他们的参与。研究结果表明，政府决策者应优先考虑三项卫生政策举措。
■研究结果基于分类学开发方法，将文献综述与半结构化的定性专家访谈相结合，使用改进的Delphi方法进行。对访谈进行了主题分析。
■总共，采访了四个卫生服务组织小组的21名专家。能力分类包括总共16种能力，分为三个主题：“健康市场”，\'组织\',和“技术和信息”。供应商期望通过提高效率来加强其卫生过程经济性，但显示出最大的能力差距，尤其是在\'互操作性\'和\'平台\'中。创新者的技术和信息能力与“健康市场”的付款人的能力相辅相成。
■我们提出了一种针对卫生服务组织的三阶段方法，用于建立数字卫生生态系统。付款人和保险公司应该解决他们的“技术和信息”能力差距，使用技术推动者或形成新实体来减少对传统信息技术系统的依赖。创新者应明确自己的货币化模式,为自己的服务树立正面意识,有可能直接进入市场。供应商必须解决互操作性问题，并可能需要激励措施来鼓励他们的参与。研究结果表明，政府决策者应优先考虑三项卫生政策举措。
