Abstract：
BACKGROUND:Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locations across the system and may take place over extended timeframes. This calls for new approaches to evaluate these programmes. MAIN BODY:Drawing on over a decade of conducting formative and summative evaluations of health information technologies, we here build on previous work detailing evaluation challenges and ways to tackle these. Important considerations include changing organisational, economic, political, vendor and markets necessitating tracing of evolving networks, relationships, and processes; exploring mechanisms of spread; and studying selected settings in depth to understand local tensions and priorities. CONCLUSIONS:Decision-makers need to recognise that formative evaluations, if built on solid theoretical and methodological foundations, can help to mitigate risks and help to ensure that programmes have maximum chances of success.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Cresswell K,Sheikh A,Franklin BD,Krasuska M,Nguyen HT,Hinder S,Lane W,Mozaffar H,Mason K,Eason S,Potts HWW,Williams Rdoi
10.1186/s12913-020-05355-7subject
Has Abstractpub_date
2020-05-27 00:00:00pages
477issue
1issn
1472-6963pii
10.1186/s12913-020-05355-7journal_volume
20pub_type
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