Background
The implementation of digital health technologies is expected to improve the quality of care and simplify clinical actions [Research has already been conducted on a number of technology-related factors, including the interoperability of new technologies with existing practice systems [As part of the digital transformation of the German healthcare system, we sought to understand the complex implementation mechanisms that lead to the adoption of a digital innovation for polypharmacy management. Therefore, this formative evaluation study within the cluster-randomized controlled trial (cRCT) project “Application of a Digitally Assisted Pharmacotherapy Management System” (AdAM project—original German acronym for the project), was designed to analyze individual and organizational contextual factors related to implementation mechanisms [Our research questions were the following:
What are the possible implementation mechanisms by which digital innovation for polypharmacy management results in intended outcomes?How and in what context does the digital innovation work for primary care physicians?