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Healthcare
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Evaluating Health Technology Implementation and Adoption in Hospital Settings
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Evaluating Health Technology Implementation and Adoption in Hospital Settings

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Digital Health Technologies".

Deadline for manuscript submissions: 31 October 2026 | Viewed by 668

Editors

Prof. Dr. Hanadi Y. Hamadi

E-Mail Website
Guest Editor
Brooks College of Health (BCH), University of North Florida, Jacksonville, FL, USA
Interests: health information technology; artificial intelligence; value-based care; clinical decision-making; healthcare policy
Dr. Aaron C. Spaulding

E-Mail Website
Guest Editor
Mayo Clinic, Jacksonville, FL, USA
Interests: healthcare organizations; health information technology; value based care; quality outcomes

Special Issue Information

Dear Colleagues,

Hospital-based health technology assessment (HB-HTA) evaluates new health technologies from the perspective of a single hospital or healthcare unit to guide internal decision-making for adoption. This process plays a critical role in evidence-informed decision-making within healthcare institutions. As hospitals increasingly adopt innovative technologies to improve patient outcomes and operational efficiency, the need for structured, context-specific evaluation frameworks becomes paramount.

Hospitals face significant challenges in assessing whether health technologies deliver measurable clinical benefit, integrate into existing workflows, support staff capabilities, and justify costs within their specific organizational contexts. Current evaluation practices remain inconsistent, and many institutions lack systematic frameworks to assess implementation requirements, organizational readiness, workforce effects, and long-term sustainability.

This Special Issue on "Evaluating Health Technology Implementation and Adoption in Hospital Settings" aims to establish current evidence on HB-HTA implementation strategies, evaluation methods, and policy implications. We welcome original research, case studies, and reviews examining clinical effectiveness of telehealth and digital health technologies, implementation requirements, organizational readiness, workforce readiness and training, economic impact, equity and access considerations, and sustainability strategies specific to hospital environments.

We look forward to receiving your contribution.

Prof. Dr. Hanadi Y. Hamadi
Dr. Aaron C. Spaulding
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hospital-based health technology assessment
  • health technology
  • technology implementation
  • clinical effectiveness
  • hospital administration
  • artificial intelligence, economic evaluation
  • equity and access
  • new technologies

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Published Papers (2 papers)

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Research

20 pages, 3169 KB  
Article
Multidisciplinary Expert Perspectives on a Conceptual Autonomous Mini Surgical Robot for Gynecological Procedures: An Exploratory Qualitative Study
by Özen İnam, Yahya Kahvecioğlu and Samet Okay
Healthcare 2026, 14(15), 2306; https://doi.org/10.3390/healthcare14152306 - 31 Jul 2026
Abstract
Background/Objectives: Successful implementation of autonomous surgical technologies requires not only engineering innovation but also early evaluation of clinical usability, patient safety, workflow integration, and stakeholder acceptance. Although autonomous robotic systems are expected to transform minimally invasive surgery, evidence regarding their implementation in gynecological [...] Read more.
Background/Objectives: Successful implementation of autonomous surgical technologies requires not only engineering innovation but also early evaluation of clinical usability, patient safety, workflow integration, and stakeholder acceptance. Although autonomous robotic systems are expected to transform minimally invasive surgery, evidence regarding their implementation in gynecological practice remains limited. This study explored multidisciplinary expert perspectives on the clinical implementation, safety, usability, workflow integration, and future adoption of an autonomous mini surgical robot concept designed for intrauterine polyp resection and tubal ligation. Methods: A qualitative study was conducted with 10 experts (3 gynecologists, 2 anesthesiologists, 2 women’s health nurses, and 3 engineers). Participants evaluated the proposed concept through open-ended questionnaires and semi-structured interviews. Data were analyzed using Braun and Clarke’s thematic analysis. Results: Six implementation-oriented themes were identified: clinical value, patient safety and human oversight, technology readiness, clinical workflow integration, future adoption and scalability, and ethical governance. Participants considered the proposed concept to have the potential to improve procedural precision and standardization while emphasizing that successful implementation would require physician supervision, rigorous safety validation, integration into existing clinical workflows, multidisciplinary collaboration, professional training, and appropriate ethical and regulatory oversight. Clinicians primarily emphasized patient safety and usability, whereas engineers focused on technological optimization and AI integration. Conclusions: This exploratory qualitative study provides preliminary insights into multidisciplinary expert perspectives on the future implementation of autonomous mini surgical robots in gynecology. The findings may help inform future technology development, implementation planning, and subsequent prototype-based clinical research. Full article
(This article belongs to the Special Issue Evaluating Health Technology Implementation and Adoption in Hospital Settings)
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25 pages, 2865 KB  
Article
Process and Strategies for Implementing an Antenatal Psychosocial Clinical Decision Support System Within an Inter-Organisational Care Context: The Born in Belgium Professionals Platform
by Kelly Amuli, Kim Decabooter, Caroline Germanes, An-Sofie Van Parys, Sabine Verschelde, Emilie Saey, Manon Moulin, Pieter Cornu and Katrien Beeckman
Healthcare 2026, 14(11), 1508; https://doi.org/10.3390/healthcare14111508 - 29 May 2026
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Abstract
Background/Objectives: Despite ongoing innovation, few interventions—including Clinical Decision Support Systems (CDSS)—are successfully integrated into routine care. Understanding the process through which innovations are implemented is therefore essential for advancing practice and research. In perinatal settings, evidence on how CDSS implementation unfolds and [...] Read more.
Background/Objectives: Despite ongoing innovation, few interventions—including Clinical Decision Support Systems (CDSS)—are successfully integrated into routine care. Understanding the process through which innovations are implemented is therefore essential for advancing practice and research. In perinatal settings, evidence on how CDSS implementation unfolds and which strategies support adoption, scale-up, and sustainment remains limited. This study aimed to understand the implementation process, key determinants and implementation strategies of a shared antenatal psychosocial CDSS (i.e., the Born in Belgium Professionals [BIB-Pro]) implemented in a real-world, cross-sectoral perinatal care setting. Methods: A qualitative exploratory case study was conducted between January and March 2025. Data included semi-structured interviews with all seven implementation agents, document analysis of the implementation plan. Directed content analysis was applied using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to categorise contextual determinants and the ERIC taxonomy to classify implementation strategies. Data were synthesised across the four EPIS phases. Results: The implementation process unfolded across all EPIS phases, showing a shift in responsibility from the policy level to the implementation team and healthcare organisations. Implementation was shaped by key determinants across multiple levels: (1) the bridging functions by the BIB-Pro implementation agents connecting policy, innovation, and organisational practice; (2) the system-level leadership and funding by the National Institute for Health and Disability Insurance that enabled initiation and sustainability; and (3) the multilevel stakeholder involvement and inter-organisational collaboration across care settings. In addition, the personal attributes of implementation agents—accessibility, active listening, adaptability, and persistent follow-up—were also identified as relevant factors in the implementation process. Across the implementation process, a broad range of implementation strategies was identified. The most prominent ERIC strategies were developing stakeholder interrelationships, evaluative and iterative strategies, engaging stakeholders, training and educating stakeholders, and providing interactive assistance. Barriers encountered during the implementation process included fragmented care networks, inconsistent regional referral structures, legal uncertainties, and variable digital readiness. In response to these challenges, implementation strategies were applied to support collaboration, clarify procedures and provide targeted support. Conclusions: This study provides insight into how a CDSS was introduced, scaled, and sustained across complex multiple Belgian perinatal care settings. Strong bridging functions, stakeholder interrelationships, iterative evaluation, and system-level support were key factors throughout the implementation process. Across all phases, stakeholder interrelationship strategies and evaluative and iterative strategies were the most prominent and consistently applied, supporting stakeholder engagement and sustained use of the platform. These findings offer actionable guidance for implementing digital tools in multi-organisational and multi-level contexts within perinatal care and other healthcare settings. Full article
(This article belongs to the Special Issue Evaluating Health Technology Implementation and Adoption in Hospital Settings)
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