Research, Evaluation and Sustainability: Reflecting on 15 Years of Experience in eHealth

Pappas, Ioannis and Vseteckova, Jitka (2019). Research, Evaluation and Sustainability: Reflecting on 15 Years of Experience in eHealth. Biomedical Journal of Scientific & Technical Research, 19(2)

DOI: https://doi.org/10.26717/BJSTR.2019.18.003275

Abstract

In this paper we reflect on 15 years of experience in eHealth research and evaluation in the UK. An integrated, interroperable eHealth programme has yet to materialise. The initial promise that eHealth interventions can facilitate the shaping of the 21st century healthcare systems Stead et al. [1], has not been empirically demonstrated in the past decade. Although isolated cases of successful initiatives exist, the potential of eHealth remains largely unrealised Muuraiskangas et al. [2-4]. Investment in large programmes which aim to develop an integrated and interoperable platform across settings and levels of care, such as the NPfIT in the UK, may not have provided good value for money. Worse still, patient’s safety may have also been compromised Han et al. [5]. Similarly, to eCommerce, eGovernment and eLearning, eHealth (Table 1) was the result of both a demand by consumers and an initiative by government. It was therefore initially considered a paradox that it failed to deliver the much anticipated benefits. a paradox that it failed to deliver the muchanticipated benefits. A closer study of the various implementation programmes reveals the reasons for the relative failure of the UK to have a homogeneous and interoperable eHealth platform.

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