Technology adoption in healthcare: Delphi consensus for the early exploration and agile adoption of emerging healthcare technology conceptual framework.

Abstract

Objectives: In the ever-evolving landscape of healthcare, the integration of digital systems and medical devices is increasingly important for modernising healthcare delivery. However, the acceptance and adoption of emerging technologies by healthcare staff present challenges. The purpose of this research was to apply relevant knowledge to inform and improve a conceptual framework (ARC): early exploration and agile adoption of emerging healthcare technology. We report on an expert-led Delphi study to evaluate consensus regarding the framework.

Method: The ARC conceptual framework, presented as four successive phases: imagine, educate, validate and score, was evaluated by 23 experts over two rounds. Experts first agreed/disagreed with 31 enabling statements relating to the early exploration and evaluation of new technology. The expert panel made recommendations (n=20), which were incorporated into round 2 with a checklist to evaluate the potential of a new technology.

Results: All participating experts completed round 1, and 13 completed round 2. Consensus (defined as >75% agreement) was achieved for 93.4% (n=57) of statements, with consensus without exception achieved for 34.4% (n=21) items and 16 new items added to the improved ARC framework, including on the appropriate use of simulation studies.

Discussion: The main findings highlight the importance of demonstration spaces, time in clinical environments with clinical teams, data-driven benefits and structured debriefs with staff.

Conclusion: A Delphi approach achieved expert consensus regarding the ARC framework for engaging with new technology and preparing the healthcare workforce for its use. Further advocacy is required to negotiate stakeholder involvement and interdisciplinary cooperation.