What are the factors related to the adoption of technology-based approaches to self-management in the NHS?
Across the NHS, a vision of a technology-enabled, patient-centred service, with reduced use of hospital resources, is being widely embraced.
An aging population, the increased burden of chronic disease, and major financial uncertainties have led to the urgent prioritisation of health care strategies that promote self-management and remote care provision.
National and local policy in health and social care argues that technology-based solutions will reduce costs, improve patient outcomes and support patient empowerment. However, successful implementation is not simply a function of demonstrating feasibility, effectiveness and cost-effectiveness. It also depends on contextual factors such as organisational and professional barriers and facilitators to the use of technology, and on individual experience and attitudes.
This cross cutting study will examine these issues in relation to three of the projects (self-management in gestational hypertension; bipolar disorder; pulmonary rehabilitation) via case studies. In each case study we will use a mixed methods approach to understanding the multiple human factors and contextual issues influencing adoption. We will examine data on the use of interventions (usage data and self-reported ‘use-in-context’ from questionnaires) and undertake a series of key informant interviews with patients, practitioners, and managers.
Across the three case studies we will identify critical factors for the successful adoption of these self-management solutions. This will inform the implementation of these specific examples in our local health economy, and will provide wider learning for other researchers, developers, and NHS staff.