Abstract
The key milestones in the rise of digital health illustrate efforts to bridge gaps in the evidence base, a shifting focus to scale-up and sustainability, growing attention to the precise costing of these strategies, and an emergent implementation science agenda that better characterizes the ecosystem—the social, political, economic, legal, and ethical context that supports digital health implementation—necessary to take digital health approaches to scale.
Highlights
The rapid and global growth of mobile phone use in the last decade has enabled health system and development innovators to leverage digital health strategies in low-resource settings to alleviate persistent health system challenges
We summarize the key milestones in the rise of digital health, illustrating efforts to bridge gaps in the evidence base, a shifting focus to scale-up and sustainability, growing attention to the precise costing of these strategies, and an emergent implementation science agenda to better characterize the necessary ecosystem of scale—the social, political, economic, legal, and ethical context that supports digital health implementation.[5]
We suggest that intensification of efforts to bridge these gaps will likely alleviate some of the frustrations associated with scaling and sustaining digital health strategies
Summary
The rapid and global growth of mobile phone use in the last decade has enabled health system and development innovators to leverage digital health strategies in low-resource settings to alleviate persistent health system challenges. In the early years of the mobile phone revolution, between about 2005 and 2010, the digital-health landscape was populated by numerous small-scale demonstration and pilot projects across low-, middle-, and high-income countries.[6] The focus of these limitedscale ‘proof-of-concept’ initiatives was often to demonstrate concept feasibility, with little consideration of what might be required to scale-up the intervention. Evaluating Health System Integration of Digital Health www.ghspjournal.org resources and capacity within the government to absorb these programs. Around this same time, global efforts to align and standardize information systems were led by the now-closed Health Metrics Network—a global partnership focused on widening the traditional scope of diseasecentric information systems to broader national health systems monitoring and building country capacity for data-driven decision making.[7]
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