What does this research mean for the field?

Combining and adapting implementation frameworks is essential for the successful adoption of health technology and AI in primary and secondary care, helping to identify barriers and support workflow integration, though significant gaps in equity, safety, and training remain. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

August 23, 2026BMC Health Services ResearchOpen Access

Application of frameworks for health technology implementation in primary and secondary care - a mixed methods systematic review

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Authors

SGShraboni Ghosal EKEvangelos Kontopantelis

Discussion

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Overview

Systematic review reveals implementation frameworks improve health technology adoption in healthcare settings, indicating the need for adaptable and equity-focused models.

Key Points

Synthesize evidence on the application of frameworks for health technology implementation in primary and secondary care to evaluate implementation strategies, challenges, and outcomes.
Conducted a mixed methods systematic review across four databases (Embase, Medline, Scopus, Web of Science) from 2018 to 2025 following PRISMA and JBI guidelines (PROSPERO CRD420251042112).
Appraised study quality using the Mixed Methods Appraisal Tool (MMAT) and synthesized data from 95 studies encompassing 228,734 adult participants via thematic analysis and narrative synthesis.
Synthesized 95 studies (56% qualitative, 22% mixed methods, 20% quantitative, 2% trials), with 95% conducted in medium- to high-income countries (40% in the USA).
Established frameworks—such as CFIR, RE-AIM, NASSS, TAM, and NPT—were utilized in ≥50% of studies, enhancing stakeholder engagement, workflow integration, and sustainability.
Identified prominent barriers to health technology and artificial intelligence implementation, including low digital literacy, inadequate training, and organizational, safety, and equity gaps.

Cite This Study

Ghosal et al. (2026) studied this question.

synapsesocial.com/papers/6a8aae007677a34114446a99 https://doi.org/10.1186/s12913-026-15135-4

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August 23, 2026BMC Health Services ResearchOpen Access

Application of frameworks for health technology implementation in primary and secondary care - a mixed methods systematic review

View Full Paper

Ask AI

Bookmark

Authors

SGShraboni Ghosal EKEvangelos Kontopantelis

Discussion

Member takes

Overview

Systematic review reveals implementation frameworks improve health technology adoption in healthcare settings, indicating the need for adaptable and equity-focused models.

Key Points

Synthesize evidence on the application of frameworks for health technology implementation in primary and secondary care to evaluate implementation strategies, challenges, and outcomes.
Conducted a mixed methods systematic review across four databases (Embase, Medline, Scopus, Web of Science) from 2018 to 2025 following PRISMA and JBI guidelines (PROSPERO CRD420251042112).
Appraised study quality using the Mixed Methods Appraisal Tool (MMAT) and synthesized data from 95 studies encompassing 228,734 adult participants via thematic analysis and narrative synthesis.
Synthesized 95 studies (56% qualitative, 22% mixed methods, 20% quantitative, 2% trials), with 95% conducted in medium- to high-income countries (40% in the USA).
Established frameworks—such as CFIR, RE-AIM, NASSS, TAM, and NPT—were utilized in ≥50% of studies, enhancing stakeholder engagement, workflow integration, and sustainability.
Identified prominent barriers to health technology and artificial intelligence implementation, including low digital literacy, inadequate training, and organizational, safety, and equity gaps.

Cite This Study

Ghosal et al. (2026) studied this question.

synapsesocial.com/papers/6a8aae007677a34114446a99 https://doi.org/10.1186/s12913-026-15135-4

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