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Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study

eHealth is expected to contribute in tackling challenges for health care systems. However, it also imposes challenges. Financing strategies adopted at national as well regional levels widely affect eHealth long‐term sustainability. In a public health care system, the public actor is among the main “...

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Detalles Bibliográficos
Autores principales: De Rosis, Sabina, Nuti, Sabina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900845/
https://www.ncbi.nlm.nih.gov/pubmed/28791771
http://dx.doi.org/10.1002/hpm.2443
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author De Rosis, Sabina
Nuti, Sabina
author_facet De Rosis, Sabina
Nuti, Sabina
author_sort De Rosis, Sabina
collection PubMed
description eHealth is expected to contribute in tackling challenges for health care systems. However, it also imposes challenges. Financing strategies adopted at national as well regional levels widely affect eHealth long‐term sustainability. In a public health care system, the public actor is among the main “buyers” eHealth. However, public interventions have been increasingly focused on cost containment. How to match these 2 aspects? This article explores some central issues, mainly related to financial aspects, in the development of effective and valuable eHealth strategies in a public health care system: How can the public health care system (as a “buyer”) improve long‐term success and sustainability of eHealth solutions? What levers are available to match in the long period different interests of different stakeholders in the eHealth field? A case study was performed in the Region of Tuscany, Italy. According to our results, win‐win strategies should be followed. Investments should take into account the need to long‐term finance solutions, for sustaining changes in health care organizations for obtaining benefits. To solve the interoperability issues, the concept of the “platform approach” emerged, based on collaboration within and between organizations. Private sector as well as beneficiaries and final users of the eHealth solutions should participate in their design, provision, and monitoring. For creating value for all, the evidence gap and the financial needs could be addressed with a pull mechanism of funding, aimed at paying according to the outcomes produced by the eHealth solution, on the base of an ongoing monitoring, measurement, and evaluation of the outcomes.
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spelling pubmed-59008452018-04-23 Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study De Rosis, Sabina Nuti, Sabina Int J Health Plann Manage Research Articles eHealth is expected to contribute in tackling challenges for health care systems. However, it also imposes challenges. Financing strategies adopted at national as well regional levels widely affect eHealth long‐term sustainability. In a public health care system, the public actor is among the main “buyers” eHealth. However, public interventions have been increasingly focused on cost containment. How to match these 2 aspects? This article explores some central issues, mainly related to financial aspects, in the development of effective and valuable eHealth strategies in a public health care system: How can the public health care system (as a “buyer”) improve long‐term success and sustainability of eHealth solutions? What levers are available to match in the long period different interests of different stakeholders in the eHealth field? A case study was performed in the Region of Tuscany, Italy. According to our results, win‐win strategies should be followed. Investments should take into account the need to long‐term finance solutions, for sustaining changes in health care organizations for obtaining benefits. To solve the interoperability issues, the concept of the “platform approach” emerged, based on collaboration within and between organizations. Private sector as well as beneficiaries and final users of the eHealth solutions should participate in their design, provision, and monitoring. For creating value for all, the evidence gap and the financial needs could be addressed with a pull mechanism of funding, aimed at paying according to the outcomes produced by the eHealth solution, on the base of an ongoing monitoring, measurement, and evaluation of the outcomes. John Wiley and Sons Inc. 2017-08-08 2018 /pmc/articles/PMC5900845/ /pubmed/28791771 http://dx.doi.org/10.1002/hpm.2443 Text en © 2017 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
De Rosis, Sabina
Nuti, Sabina
Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title_full Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title_fullStr Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title_full_unstemmed Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title_short Public strategies for improving eHealth integration and long‐term sustainability in public health care systems: Findings from an Italian case study
title_sort public strategies for improving ehealth integration and long‐term sustainability in public health care systems: findings from an italian case study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900845/
https://www.ncbi.nlm.nih.gov/pubmed/28791771
http://dx.doi.org/10.1002/hpm.2443
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