Value
Implementation will only succeed if the e-health application creates value for all parties involved.
Consider how the technology can be made more attractive to investors.
If the technology is in an early stage of development, consider the following:
· What is the likely value for investors (in particular the business case for generating profit, further spin-offs and highly skilled jobs), for policymakers in the field of medicines and medical devices (preliminary evidence of efficacy and safety) and for financial policymakers (verifiable business processes and governance)?
· Can the risk of the technology be reduced by removing expensive but non-essential features?
[Kvk.nl] Finding financing for your innovation
Finding financing for your innovation. Website created by the government.
Consider how the value of the technology can be increased for patients or the public.
If a technology is intended for patients or the general public, its potential benefits should be weighed against the costs, including users’ willingness and ability to contribute financially, the effort required to use the technology and whether users are willing and able to make that effort, and the desirability of medicalisation. Can the design be made more appealing? Can data be presented in a way that patients or their relatives can meaningfully use?
Nfukwaliteit.nl [Guide for the selection of PROs and PROMs]
Guide for the selection of patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs).
Look for evidence of effectiveness and cost-effectiveness.
If the technology is already at a more advanced stage of development, research can be conducted into its effectiveness (does it work?) and cost-effectiveness (is it good value for money?). This can be compared with “usual care”. Try these tools:
Cpb.nl [The introduction of expensive technology in healthcare]
The introduction of expensive technology in healthcare: mapping health gains for new medical technology.
Cpb.nl [The introduction of expensive technology in healthcare]
The introduction of expensive technology in healthcare: mapping health gains for new medical technology. Background document
Zorginstituutnederland.nl [Guidelines for economic evaluation]
Guidelines for economic evaluation to demonstrate the cost-effectiveness of a (new) medicine.
Take the environment and its needs into account.
Is there a realistic assessment of the requirements for large-scale implementation of this innovation? Consider, for example, healthcare organizations or the public sector. Even if something is demonstrably cost-effective, its implementation may not be affordable or a priority at the local level.