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@article{Aggarwal:2021:10.2196/31497,
author = {Aggarwal, R and Visram, S and Martin, G and Sounderajah, V and Gautama, S and Jarrold, K and Klaber, R and Maxwell, S and Neal, J and Pegg, J and Redhead, J and King, D and Ashrafian, H and Darzi, A},
doi = {10.2196/31497},
journal = {JMIR mHealth and uHealth},
pages = {1--11},
title = {Defining the enablers and barriers to the implementation of large-scale healthcare related mobile technology: a qualitative case study in a tertiary hospital setting},
url = {http://dx.doi.org/10.2196/31497},
volume = {10},
year = {2021}
}

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TY  - JOUR
AB  - Background:The successful implementation of clinical smartphone applications in hospital settings requires close collaboration with industry partners. A large-scale hospital-wide implementation of a clinical mobile application for healthcare professionals developed in partnership with Google Health and academic partners was deployed on a Bring Your Own Device (BYOD) basis using mobile device management (MDM) at our UK academic hospital. As this was the first large-scale implementation of this type of innovation in the UK health system, important insights and lessons learned from the deployment may be useful to other organisations considering implementing similar technology in partnership with commercial companies.Objective:The aims of this study were to define the key enablers and barriers, and to propose a ‘roadmap’ for the implementation of a hospital-wide clinical mobile application developed in collaboration with an industry partner as a data processor and an academic partner for independent evaluation.Methods:Semi-structured interviews were conducted with high-level stakeholders from industry, academia and healthcare providers who had instrumental roles in the implementation of the application at our hospital. The interviews explored participant’s views on the enablers and barriers to the implementation process. Interviews were analysed using a broadly deductive approach to thematic analysis.Results:In total, 14 participants were interviewed. Key enablers identified were the establishment of a steering committee with high-level clinical involvement, well-defined roles and responsibilities between partners, effective communication strategies with end-users, safe information governance precautions and increased patient engagement and transparency. Barriers identified were the lack of dedicated resources for mobile change at our hospital, risk aversion, unclear strategy and regulation, and the implications of BYOD and MDM policies. The key lesson
AU  - Aggarwal,R
AU  - Visram,S
AU  - Martin,G
AU  - Sounderajah,V
AU  - Gautama,S
AU  - Jarrold,K
AU  - Klaber,R
AU  - Maxwell,S
AU  - Neal,J
AU  - Pegg,J
AU  - Redhead,J
AU  - King,D
AU  - Ashrafian,H
AU  - Darzi,A
DO  - 10.2196/31497
EP  - 11
PY  - 2021///
SN  - 2291-5222
SP  - 1
TI  - Defining the enablers and barriers to the implementation of large-scale healthcare related mobile technology: a qualitative case study in a tertiary hospital setting
T2  - JMIR mHealth and uHealth
UR  - http://dx.doi.org/10.2196/31497
UR  - https://mhealth.jmir.org/2022/2/e31497
UR  - http://hdl.handle.net/10044/1/93922
VL  - 10
ER  -

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